The delaying of elective surgeries after COVID-19 infection decreases postoperative complications
Summary: Background: Huge controversy surrounds delaying elective surgeries after COVID-19 infection. Although two studies evaluated the issue, several gaps still exist. Methods: A propensity score matched retrospective single center cohort design was used to evaluate the optimum time of delaying e...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958423006723 |
| _version_ | 1797669961861169152 |
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| author | Ibraheem Y. Qudaisat Ahmad A. Toubasi Yazan Y. Obaid Farah H. Albustanji Sarah M. Al-Harasis Abdelkarim S. AlOweidi |
| author_facet | Ibraheem Y. Qudaisat Ahmad A. Toubasi Yazan Y. Obaid Farah H. Albustanji Sarah M. Al-Harasis Abdelkarim S. AlOweidi |
| author_sort | Ibraheem Y. Qudaisat |
| collection | DOAJ |
| description | Summary: Background: Huge controversy surrounds delaying elective surgeries after COVID-19 infection. Although two studies evaluated the issue, several gaps still exist. Methods: A propensity score matched retrospective single center cohort design was used to evaluate the optimum time of delaying elective surgeries after COVID-19 infection and the validity of the current ASA guidelines in this regard. The exposure of interest was a previous COVID-19 infection. The primary composite included the incidence of death, unplanned Intensive Care Unit admission or postoperative mechanical ventilation. The secondary composite included the occurrence of pneumonia, acute respiratory distress, or venous thromboembolic. Results: The total number of patients was 774, half of them had a history of COVID-19 infection. The analysis revealed that delaying surgeries for 4 weeks was associated with significant reduction in primary composite (AOR = 0.02; 95%CI: 0.00–0.33) and the length of hospital stay (B = 3.05; 95%CI: 0.41–5.70). Furthermore, before implementing the ASA guidelines in our hospital, a significant higher risk for the primary composite (AOR = 15.15; 95%CI: 1.84–124.44; P-value = 0.011) was observed compared to after applying it. Conclusion: Our study showed that the optimum period of delaying elective surgery after COVID-19 infection is four weeks, with no further benefits from waiting for longer times. This finding provide further support to the current ASA guidelines about delaying elective surgeries. Further large-scale prospective studies are needed to give more evidence-based support to the appropriateness of the 4-week waiting time for elective surgeries after COVID-19 infection and to investigate the effect of type of surgery on the required delay. |
| first_indexed | 2024-03-11T20:52:37Z |
| format | Article |
| id | doaj.art-40c3dbb587804a4fb49599092279c899 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-03-11T20:52:37Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-40c3dbb587804a4fb49599092279c8992023-10-01T05:57:52ZengElsevierAsian Journal of Surgery1015-95842023-10-01461043084316The delaying of elective surgeries after COVID-19 infection decreases postoperative complicationsIbraheem Y. Qudaisat0Ahmad A. Toubasi1Yazan Y. Obaid2Farah H. Albustanji3Sarah M. Al-Harasis4Abdelkarim S. AlOweidi5Department of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, The University of Jordan, Amman, Jordan; The corresponding author. Faculty of Medicine, The University of Jordan, Amman, 11942, Jordan.Faculty of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, The University of Jordan, Amman, JordanFaculty of Medicine, The University of Jordan, Amman, JordanDepartment of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman, JordanSummary: Background: Huge controversy surrounds delaying elective surgeries after COVID-19 infection. Although two studies evaluated the issue, several gaps still exist. Methods: A propensity score matched retrospective single center cohort design was used to evaluate the optimum time of delaying elective surgeries after COVID-19 infection and the validity of the current ASA guidelines in this regard. The exposure of interest was a previous COVID-19 infection. The primary composite included the incidence of death, unplanned Intensive Care Unit admission or postoperative mechanical ventilation. The secondary composite included the occurrence of pneumonia, acute respiratory distress, or venous thromboembolic. Results: The total number of patients was 774, half of them had a history of COVID-19 infection. The analysis revealed that delaying surgeries for 4 weeks was associated with significant reduction in primary composite (AOR = 0.02; 95%CI: 0.00–0.33) and the length of hospital stay (B = 3.05; 95%CI: 0.41–5.70). Furthermore, before implementing the ASA guidelines in our hospital, a significant higher risk for the primary composite (AOR = 15.15; 95%CI: 1.84–124.44; P-value = 0.011) was observed compared to after applying it. Conclusion: Our study showed that the optimum period of delaying elective surgery after COVID-19 infection is four weeks, with no further benefits from waiting for longer times. This finding provide further support to the current ASA guidelines about delaying elective surgeries. Further large-scale prospective studies are needed to give more evidence-based support to the appropriateness of the 4-week waiting time for elective surgeries after COVID-19 infection and to investigate the effect of type of surgery on the required delay.http://www.sciencedirect.com/science/article/pii/S1015958423006723HumanCOVID-19Elective surgeriesAnesthesia |
| spellingShingle | Ibraheem Y. Qudaisat Ahmad A. Toubasi Yazan Y. Obaid Farah H. Albustanji Sarah M. Al-Harasis Abdelkarim S. AlOweidi The delaying of elective surgeries after COVID-19 infection decreases postoperative complications Asian Journal of Surgery Human COVID-19 Elective surgeries Anesthesia |
| title | The delaying of elective surgeries after COVID-19 infection decreases postoperative complications |
| title_full | The delaying of elective surgeries after COVID-19 infection decreases postoperative complications |
| title_fullStr | The delaying of elective surgeries after COVID-19 infection decreases postoperative complications |
| title_full_unstemmed | The delaying of elective surgeries after COVID-19 infection decreases postoperative complications |
| title_short | The delaying of elective surgeries after COVID-19 infection decreases postoperative complications |
| title_sort | delaying of elective surgeries after covid 19 infection decreases postoperative complications |
| topic | Human COVID-19 Elective surgeries Anesthesia |
| url | http://www.sciencedirect.com/science/article/pii/S1015958423006723 |
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