Postoperative pneumonia after bariatric surgery during the COVID-19 pandemic: a National Surgical Quality Improvement Program study

Grosser, Rachel; Romero-Vélez, Gustavo; Pereira, Xavier; Moran-Atkin, Erin; Choi, Jenny; Camacho, Diego

doi:10.1016/j.soard.2022.06.015

Cited by 3 publications

(1 citation statement)

References 32 publications

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“… 34 In contrast, another retrospective study using the American College of Surgeons National Surgical Quality Improvement Project database reported a significant increase in postoperative pneumonia occurrence during the COVID-19 pandemic compared to before the pandemic. 35 In another study, the authors described the lack of medical resources during the early COVID-19 pandemic in the US and the possibility of perioperative COVID-19 infection as the possible reasons for these results. 29 However, the shortage of medical resources seemed to be less severe in South Korea because the number of COVID-19 infections did not increase as rapidly as in the US.…”

Section: Discussionmentioning

confidence: 99%

Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients

Ju¹,

Jiwon²,

Hong³

et al. 2023

IJGM

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Purpose We aimed to investigate the impact of enhanced in-hospital infection prevention during the coronavirus disease 2019 (COVID-19) pandemic on postoperative pneumonia in older surgical patients. Patients and Methods We retrospectively reviewed the electronic medical records of consecutive patients ≥70 years who underwent elective surgery between 2017 and 2021 at our institution. All perioperative variables were retrieved from the electronic medical records. The primary outcome was new-onset postoperative pneumonia during the hospitalization period. Since February 2020, our institution implemented a series of policies to enhance infection prevention, hence patients were divided into groups according to whether they underwent surgery before or during the COVID-19 pandemic. An interrupted time series analysis was performed to evaluate the difference between pre- and post-intervention slopes of the primary outcome. Results Among the 29,387 patients included in the study, 10,547 patients underwent surgery during the COVID-19 pandemic. Although there was a decreasing trend of the monthly incidence rate of postoperative pneumonia compared to before the COVID-19 pandemic, there was no statistical significance in the trend (slope before COVID-19 period: β-coefficient, −0.007; 95% CI, −0.022 to 0.007). Conclusion Our study revealed that enhanced in-hospital infection prevention implemented to manage the COVID-19 pandemic did not significantly affect the decreasing trend of postoperative pneumonia at our institution.

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Section: Discussionmentioning

confidence: 99%