Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall Reconstruction
Background:. The incidence of postoperative complications among patients with coronavirus disease 2019 (COVID-19) positivity undergoing elective surgical operations is poorly understood. This study aimed to identify differences in postoperative complications after elective abdominal wall reconstruct...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2024-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006301 |
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| author | Fabiola Aguilera, MD Grant Wagner, BS Madeline Bald, BS Joshua Richman, MD, PhD Jorge I. de la Torre, MD, FACS, MSHA |
| author_facet | Fabiola Aguilera, MD Grant Wagner, BS Madeline Bald, BS Joshua Richman, MD, PhD Jorge I. de la Torre, MD, FACS, MSHA |
| author_sort | Fabiola Aguilera, MD |
| collection | DOAJ |
| description | Background:. The incidence of postoperative complications among patients with coronavirus disease 2019 (COVID-19) positivity undergoing elective surgical operations is poorly understood. This study aimed to identify differences in postoperative complications after elective abdominal wall reconstruction (AWR) in patients diagnosed with COVID-19 compared with patients presenting prepandemic.
Methods:. A single-institution, retrospective chart review was performed of patients undergoing AWR between January 2017 and September 2022. Patients were stratified by date: pre-COVID-19 (January 2017 to December 2019) and post-COVID-19 (January 2020 to September 2022). Patients confirmed as COVID-19-positive were also identified. Data collected included demographics, clinical characteristics, and complications. Univariate and multivariate analyses were performed.
Results:. We included 168 patients. The mean age was 54 years, and the mean body mass index was 33 kg/m2. Seventy-five patients underwent surgery pre-COVID-19 and 93 patients after. Of 93 patients, 16 (17%) had a positive COVID-19 test before surgery or during the perioperative period. These 2 groups were risk-matched. Patients with COVID-19 had no significant increase in postoperative complications. Major complications occurred at 13.3% in the pre-COVID-19 group and 7.5% in the post-COVID-19 group. Patients with COVID-19 were more likely to be younger (48 versus 57; P = 0.049) and more likely to have a shorter length of stay in the hospital (3 versus 5.8; P = 0.038).
Conclusions:. In our case series, there was an associated increase in the incidence of overall pulmonary-related complications in the postpandemic group. This study is limited by its small sample size. Further investigation should be carried out on this topic. |
| format | Article |
| id | doaj-art-18739ed9e04449de9be7a53e928cc356 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-18739ed9e04449de9be7a53e928cc3562024-11-26T08:02:35ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-11-011211e630110.1097/GOX.0000000000006301202411000-00037Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall ReconstructionFabiola Aguilera, MD0Grant Wagner, BS1Madeline Bald, BS2Joshua Richman, MD, PhD3Jorge I. de la Torre, MD, FACS, MSHA4From the * Division of Plastic Surgery, Department of Surgery, The University of Alabama at Birmingham, Birmingham, Ala.† Department of Surgery, The University of Alabama at Birmingham, Birmingham, Ala.‡ School of Medicine, The University of Alabama at Birmingham, Birmingham, Ala.† Department of Surgery, The University of Alabama at Birmingham, Birmingham, Ala.From the * Division of Plastic Surgery, Department of Surgery, The University of Alabama at Birmingham, Birmingham, Ala.Background:. The incidence of postoperative complications among patients with coronavirus disease 2019 (COVID-19) positivity undergoing elective surgical operations is poorly understood. This study aimed to identify differences in postoperative complications after elective abdominal wall reconstruction (AWR) in patients diagnosed with COVID-19 compared with patients presenting prepandemic. Methods:. A single-institution, retrospective chart review was performed of patients undergoing AWR between January 2017 and September 2022. Patients were stratified by date: pre-COVID-19 (January 2017 to December 2019) and post-COVID-19 (January 2020 to September 2022). Patients confirmed as COVID-19-positive were also identified. Data collected included demographics, clinical characteristics, and complications. Univariate and multivariate analyses were performed. Results:. We included 168 patients. The mean age was 54 years, and the mean body mass index was 33 kg/m2. Seventy-five patients underwent surgery pre-COVID-19 and 93 patients after. Of 93 patients, 16 (17%) had a positive COVID-19 test before surgery or during the perioperative period. These 2 groups were risk-matched. Patients with COVID-19 had no significant increase in postoperative complications. Major complications occurred at 13.3% in the pre-COVID-19 group and 7.5% in the post-COVID-19 group. Patients with COVID-19 were more likely to be younger (48 versus 57; P = 0.049) and more likely to have a shorter length of stay in the hospital (3 versus 5.8; P = 0.038). Conclusions:. In our case series, there was an associated increase in the incidence of overall pulmonary-related complications in the postpandemic group. This study is limited by its small sample size. Further investigation should be carried out on this topic.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006301 |
| spellingShingle | Fabiola Aguilera, MD Grant Wagner, BS Madeline Bald, BS Joshua Richman, MD, PhD Jorge I. de la Torre, MD, FACS, MSHA Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall Reconstruction |
| title_full | Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall Reconstruction |
| title_fullStr | Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall Reconstruction |
| title_full_unstemmed | Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall Reconstruction |
| title_short | Incidence of Postoperative Complications among Patients with Active or Resolved COVID-19 Undergoing Elective Abdominal Wall Reconstruction |
| title_sort | incidence of postoperative complications among patients with active or resolved covid 19 undergoing elective abdominal wall reconstruction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006301 |
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