Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis
Hundreds of surgeries are postponed every day during the global COVID -19 pandemic. The hospital and clinicians are in dilemma scheduling elective procedures during the pandemic. The current study was designed to evaluate postoperative pulmonary complications and mortality in COVID-19 patients in a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Bali Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=201;epage=209;aulast=Widnyana |
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| author | I Made Gede Widnyana Tjokorda Gde Agung Senapathi Marilaeta Cindryani Nova Juwita Bianca Jeanne |
| author_facet | I Made Gede Widnyana Tjokorda Gde Agung Senapathi Marilaeta Cindryani Nova Juwita Bianca Jeanne |
| author_sort | I Made Gede Widnyana |
| collection | DOAJ |
| description | Hundreds of surgeries are postponed every day during the global COVID -19 pandemic. The hospital and clinicians are in dilemma scheduling elective procedures during the pandemic. The current study was designed to evaluate postoperative pulmonary complications and mortality in COVID-19 patients in a systematic review and meta-analysis of globally published peer-reviewed literatures. A systematic literature search was conducted using the selection criteria in five databases. A quality assessment was made with a validated Newcastle-Ottawa Scale. The meta-analysis worked as a generic inverse variance meta-analysis. A total of 308 articles were identified from different databases and 5 articles with a total 1408 participants were selected for evaluation after successive screenings. The meta-analysis revealed a high global rate of postoperative mortality among COVID-19 patients, as high as 23% (95% CI: 15 to 26), and high postoperative pulmonary complications including pneumonia and acute respiratory distress syndrome. The 30-days mortality rate and prevalence of pulmonary complications were high. There was one death for every five COVID-19 patients undergoing surgical procedures, indicating the need for mitigating strategies to decrease perioperative mortality, transmission to healthcare workers, and non-COVID-19 patients. Larger samples and/or multicenter trials are needed to explore the perioperative mortality dan morbidity rate of patients with COVID-19 undergoing surgeries, and in particular, factors with the highest impact on perioperative mortality. There should be a clinical guideline to determine when to operate or not to operate on patients with COVID-19 for elective and emergency surgeries. |
| first_indexed | 2024-04-12T07:44:57Z |
| format | Article |
| id | doaj.art-d6e87087a4f543f28aa14dbf3361cae8 |
| institution | Directory Open Access Journal |
| issn | 2549-2276 |
| language | English |
| last_indexed | 2024-04-12T07:44:57Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Bali Journal of Anesthesiology |
| spelling | doaj.art-d6e87087a4f543f28aa14dbf3361cae82022-12-22T03:41:43ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762022-01-016420120910.4103/bjoa.bjoa_182_22Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysisI Made Gede WidnyanaTjokorda Gde Agung SenapathiMarilaeta CindryaniNova JuwitaBianca JeanneHundreds of surgeries are postponed every day during the global COVID -19 pandemic. The hospital and clinicians are in dilemma scheduling elective procedures during the pandemic. The current study was designed to evaluate postoperative pulmonary complications and mortality in COVID-19 patients in a systematic review and meta-analysis of globally published peer-reviewed literatures. A systematic literature search was conducted using the selection criteria in five databases. A quality assessment was made with a validated Newcastle-Ottawa Scale. The meta-analysis worked as a generic inverse variance meta-analysis. A total of 308 articles were identified from different databases and 5 articles with a total 1408 participants were selected for evaluation after successive screenings. The meta-analysis revealed a high global rate of postoperative mortality among COVID-19 patients, as high as 23% (95% CI: 15 to 26), and high postoperative pulmonary complications including pneumonia and acute respiratory distress syndrome. The 30-days mortality rate and prevalence of pulmonary complications were high. There was one death for every five COVID-19 patients undergoing surgical procedures, indicating the need for mitigating strategies to decrease perioperative mortality, transmission to healthcare workers, and non-COVID-19 patients. Larger samples and/or multicenter trials are needed to explore the perioperative mortality dan morbidity rate of patients with COVID-19 undergoing surgeries, and in particular, factors with the highest impact on perioperative mortality. There should be a clinical guideline to determine when to operate or not to operate on patients with COVID-19 for elective and emergency surgeries.http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=201;epage=209;aulast=Widnyana30-day mortalityardscovid-19perioperativepneumoniapulmonary complicationsurgery |
| spellingShingle | I Made Gede Widnyana Tjokorda Gde Agung Senapathi Marilaeta Cindryani Nova Juwita Bianca Jeanne Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis Bali Journal of Anesthesiology 30-day mortality ards covid-19 perioperative pneumonia pulmonary complication surgery |
| title | Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis |
| title_full | Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis |
| title_fullStr | Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis |
| title_full_unstemmed | Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis |
| title_short | Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis |
| title_sort | pulmonary complications and 30 day mortality rate in covid 19 patients undergoing surgery a systematic review and meta analysis |
| topic | 30-day mortality ards covid-19 perioperative pneumonia pulmonary complication surgery |
| url | http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=201;epage=209;aulast=Widnyana |
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