SARS-CoV-2 感染对外科手术期间死亡率的影响
B Ayuso-García1, Á Marchán-López2, H J Castro Pousada3
1Unidad de Enfermedades Infecciosas, Hospital Universitario Lucus Augusti, Lugo, Spain.
Revista clinica espanola
|November 7, 2025
概括
术后COVID-19显著增加了手术患者的死亡率,特别是在感染后的第一周内. 诸如年龄,并发症和疫苗接种状况等因素影响结果,需要仔细安排干预时间.
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:
- 外科手术期间的SARS-CoV-2感染与死亡率增加有关.
- 了解COVID-19对手术患者的影响对于风险分层和管理至关重要.
研究的目的:
- 评估SARS-CoV-2感染对手术患者停留时间和死亡率的影响.
- 为了确定与术后COVID-19患者死亡率增加相关的风险因素.
主要方法:
- 在2020年3月至2022年12月期间,对19,152次手术进行了回顾性研究.
- 排除小程序;收集临床,行政和流行病学数据.
- 多变量考克斯回归分析以确定死亡率预测因素.
主要成果:
- COVID-19患者 (3.2%) 年龄较大,并发病率较高,住院时间较长.
- 在COVID-19患者中观察到较高的死亡率 (调整后的危险比为1.54).
- 感染后第一周死亡风险最高;年龄,并发症和不完全接种疫苗是重要因素.
结论:
- 术后COVID-19与增加的外科手术死亡率有关,特别是在第一周内.
- 年龄,并发症和疫苗接种情况是安排外科手术的关键因素.
- 死亡风险窗口似乎随着时间的推移而缩小,2022年手术减少,与2020-2021年相比,死亡率更高.
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