术后的SARS-CoV-2感染和术后并发症:在中国的一项单中心回顾性队列研究
Jia Zhan1, Fei Zhong2, LingYan Dai2
1Department of Anesthesiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
BMJ open
|May 19, 2025
概括
术后的SARS-CoV-2感染,特别是在手术后两周内,显著增加了术后并发症的风险. 随着感染和手术之间的时间间隔延长,风险就会减少.
科学领域:
- 传染性疾病 传染性疾病
- 外科手术的结果
- 流行病学 流行病学
背景情况:
- 欧米克朗变种的激增为经过外科手术后感染SARS-CoV-2的手术患者的管理带来了独特的挑战.
- 了解COVID-19感染相对于手术的时间的影响对于患者的安全至关重要.
研究的目的:
- 为了调查围绕手术的SARS-CoV-2感染和在Omicron流行浪潮期间的术后并发症之间的关联.
- 为了确定感染的时间是否会影响手术不良结果的风险.
主要方法:
- 追溯队列研究涉及7927名接受手术的成年患者.
- 多变量后勤回归分析了从手术到COVID-19诊断的间隔和术后并发症之间的关系.
- 术后并发症被定义为30天内不良事件的复合.
主要成果:
- 11.76%的患者经历了术后并发症.
- 术前和术后的COVID-19在手术后一周内与明显更高的并发症风险相关 (aORs从1.95到2.67).
- 随着手术和感染之间的间隔越长,风险就越低;老年患者,吸烟者,并发症患者和严重症状患者面临更高的风险.
结论:
- 在术后COVID-19和术后并发症之间存在显著的时间依赖关系.
- 量身定制的术前风险评估,加强术后监测和有效的COVID-19预防是必不可少的.
相关概念视频
01:23Peripheral Artery Disease V: Postoperative Nursing Management
4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
57
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
57