PURWAKARTA, AYOPURWAKARTA.COM – People who are going for surgery or surgery must delay for at least seven weeks if they are infected with Covid-19. This is because Covid-19 survivors are said to be at more risk of dying from surgery if it is done within 1 to 6 weeks after infection.
Launching from Healthshots, researchers conducted an international, multicentre and prospective study of 140,231 patients who underwent elective or emergency surgery in 116 countries during October 2020. They compared surgical patients with pre-operative SARS-CoV-2 infection with patients without SARS-infection. Previous CoV-2.
This research has been published in the journal Anesthesia.
“For the first time, this provides us with evidence of a minimum time delay in performing surgery that will optimize the outcome of surgery,” said Dr Shilpa Sharma, pediatric surgeon, AIIMS New Delhi who is also the lead author of the hospital.
“However, this needs to be balanced against the risk of disease in the patient. At AIIMS, we have routinely performed RTPCR / CBNAAT to screen all surgical patients. Often times the results are positive for Covid-19 and if possible, we postpone surgery and wait for the patient to recover,” he added.
Postoperative mortality with a patient without Covid-19 has a 1.5 percent risk of dying within 30 days. However, the risk of death increases when surgery patients have contracted Covid-19.
Research shows that the risk of death increases to 4 percent if operated on 0-4 weeks after being infected with Covid-19 and 3.6 percent when operated on 5-6 weeks after Covid-19 infection. The risk does not increase (still 1.5 percent) if surgery is performed after 7 percent after Covid-19 infection.
Patients who were operated on within six weeks of the diagnosis of SARS-CoV-2 were also at high risk for postoperative pulmonary complications for 30 days.
“In addition we have shown that patients who are still asymptomatic seven weeks after SARS-CoV-2 infection and undergoing surgery also have an increased mortality rate. Therefore, these patients may benefit from further delay until their symptoms disappear,” said doctor Sharma. .
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