Surgical outcomes inchildren with perioperative SARS-CoV-2 diagnosis

Nielson, Christopher; Suarez, Daniel; Taylor, Isabel K; Huang, Yiqing; Park, Albert H.

doi:10.1016/j.ajic.2022.02.024

Cited by 12 publications

(9 citation statements)

References 19 publications

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“…The corrected findings alter the conclusion regarding risk of pulmonary complications and are consistent with previous studies [ 2 , 3 , 4 ] that report increased risk of pulmonary complications in paediatric patients with SARS‐CoV‐2 who undergo general anaesthesia.…”

supporting

confidence: 89%

Calculation error alters interpretation of pulmonary complications in children with SARS‐CoV‐2 undergoing surgery

2022

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The correspondence by Glasbey et al. [1] offers important data describing peri-operative outcomes in children infected with SARS-CoV-2. Data from the COVIDSurg and GlobalSurg Collaboratives provide the largest paediatric sample to date. However, we believe that the present study contains an error which alters the authors' primary conclusion. They state that in children with SARS-CoV-2, "30-day pulmonary complications occurred in 10 out of 207 (0.5%)." Utilising the data provided, the incidence of pulmonary complications at 30 days is 4.8%, not 0.5%. This is higher than the incidence of pulmonary complications, 267 out of 13,418 (2.0%) in children without SARS-CoV-2.Additionally, the stated number of children without SARS-CoV-2 included in this study was 13,418. Therefore, regarding the primary outcome of 30-day postoperative mortality, the denominator stated by Glasbey et al.[1] may be incorrect as well: "In children who did not have SARS-CoV-2, mortality was 125 out of 13,616 (0.9%)".The corrected findings alter the conclusion regarding risk of pulmonary complications and are consistent with previous studies [2-4] that report increased risk of pulmonary complications in paediatric patients with SARS-CoV-2 who undergo general anaesthesia.

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supporting

confidence: 89%

Calculation error alters interpretation of pulmonary complications in children with SARS‐CoV‐2 undergoing surgery

2022

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“…During the study period, 7,199 patients underwent preoperative RT-PCR for SARS-COV-2, and 187 (2.59%) cases of COVID-19 were diagnosed, most of which (62.1%) were asymptomatic (Table 1). as well as an increase in pulmonary complications 7 . In our…”

Section: Scientific Comunication Abstract Abstractmentioning

confidence: 99%

A retrospective report on the preoperative mandatory SARS-COV-2 infection screening in a single pediatric center. Is it time to stop testing our patients?

Souza

Saruhashi

Lima

et al. 2022

Rev. Col. Bras. Cir.

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The novel coronavirus SARS-COV-2 (COVID-19) pandemic dramatically changed the workflow of healthcare professionals around the world. Surgical procedures were withheld and postponed in a scenario of fear and uncertainty. Despite numerous medical institutions having swiftly and widely implemented pre-operative screening protocols, cost-effective studies remain scarce specially when comparing to other mitigation measures such as the donning of masks and social distancing measures. The objective of our study is to report the monthly positivity rates of SARS-COV-2 infection in our service and compare our data with monthly positivity rates reported by the State Health Department. Between April, 2020, to February, 2022, 7,199 patients had the RT-PCR for SARS-COV-2 collected, with 187 (2.59%) testing positive for COVID-19. Most of them (62.1%) were asymptomatic. The most common symptoms were coryza (10.7%), fever (10%), and diarrhea (8.7%). Nonetheless, there were two deaths due to COVID-19 reported in our center. Further studies are necessary to elucidate the impact of pre-operative screening for SARS-COV-2 in asymptomatic patients.

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“…2 A pediatric study demonstrated increased risk of perioperative pulmonary complications with active COVID‐19 infection, but no mortality difference. 3 There is little data on timing elective surgery in pediatrics after SARS‐CoV‐2 infection and no current consensus guidelines for children.…”

mentioning

confidence: 99%

“…Adults with SARS‐CoV‐2 infection have higher risk of pulmonary complications and mortality after surgery, 1 leading many consensus groups to recommend delaying elective surgery in adults for 7 weeks after infection 2 . A pediatric study demonstrated increased risk of perioperative pulmonary complications with active COVID‐19 infection, but no mortality difference 3 . There is little data on timing elective surgery in pediatrics after SARS‐CoV‐2 infection and no current consensus guidelines for children.…”

mentioning

confidence: 99%

Early elective surgery in children with mild COVID‐19 does not increase pulmonary complications: A retrospective cohort study

Lee

Banik

Giordano

et al. 2022

Pediatric Anesthesia

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COVID-19 has affected surgery worldwide and there is debate about when to proceed with elective surgery after infection. Adults with SARS-CoV-2 infection have higher risk of pulmonary complications and mortality after surgery, 1 leading many consensus groups to recommend delaying elective surgery in adults for 7 weeks after infection. 2 A pediatric study demonstrated increased risk of perioperative pulmonary complications with active COVID-19 infection, but no mortality difference. 3 There is little data on timing elective surgery in pediatrics after SARS-CoV-2 infection and no current consensus guidelines for children. SARS-CoV-2 infection generally runs milder courses in children compared with adults; however, even mild upper respiratory infections increase perioperative complications, and the standard recommendation is to wait at least 4 weeks after upper respiratory infection for elective pediatric surgery. 4 As hospitals relax COVID-19 precautions, policies regarding elective surgery scheduling are being reevaluated. Our institution recently decreased the waiting period for elective pediatric surgery from 28 to 14 days after onset of SARS-CoV-2 infection. Our study aimed to determine if complication rates increase when proceeding with elective surgery in children with mild COVID-19 as early as 14 days after diagnosis by assessing anesthetic

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Surgical outcomes inchildren with perioperative SARS-CoV-2 diagnosis

Cited by 12 publications

References 19 publications

Calculation error alters interpretation of pulmonary complications in children with SARS‐CoV‐2 undergoing surgery

Calculation error alters interpretation of pulmonary complications in children with SARS‐CoV‐2 undergoing surgery

A retrospective report on the preoperative mandatory SARS-COV-2 infection screening in a single pediatric center. Is it time to stop testing our patients?

Early elective surgery in children with mild COVID‐19 does not increase pulmonary complications: A retrospective cohort study

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