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在COVID-19感染后,优化癌症患者选择性手术的时间;一个后流行病分析

Mahmoud Al-Masri^1,2,3, Yasmin Safi⁴, Osama Alayyan⁴

¹King Hussein Cancer Center, Amman, Jordan. malmasri@khcc.jo.

Infectious agents and cancer

|April 15, 2025

概括

在COVID-19诊断后推迟选择性手术至少17天,可以尽量减少术后并发症和住院时间. 等待2-3周可以确保患者的手术结果更好.

科学领域:

手术瘤学手术瘤学
传染性疾病传染性疾病
公共卫生公共卫生

背景情况:

随着COVID-19的流行,选择性外科手术程序,特别是癌症患者的选择性手术程序受到严重干扰.
在SARS-CoV-2感染后选择性手术的最佳时间尚不清楚,这会影响患者的治疗结果.
尽量减少延迟对于防止癌症护理的不良结果至关重要.

研究的目的:

为了确定COVID-19诊断后选择性手术的最佳等待期.
为了尽量减少30天的术后发病率和死亡率.
为了确定COVID-19感染后手术后并发症的预测因素.

主要方法:

术前COVID-19诊断的成年患者的回顾性图表审查 (2020年9月 - 2023年4月).
选择性手术延迟的分析及其与术后并发症的相关性.
多变量分析控制年龄,ASA得分,并发症和吸烟状况.

主要成果:

94.7%的手术被推迟,5.3%的手术被取消.
在COVID-19诊断后等待≥17天与肺部和其他术后并发症的减少有关.
经过≥17天的手术和COVID-19症状状态是更好的术后结果的显著预测因素.

结论:

建议在COVID-19诊断后至少17天 (2-3周) 进行选择性手术,以获得最佳的术后结果.
需要进一步的研究来评估这些手术延迟对瘤结果的影响.

关键词:

在 COVID-19 疫情中,癌症癌症癌症癌症在手术中延迟手术.术后并发症术后并发症到了手术的时间.

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