新型冠状病毒感染患者术后并发症及相关危险因素

doi:10.16352/j.issn.1001-6325.2024.03.0408

基础医学与临床 ›› 2024, Vol. 44 ›› Issue (3): 408-411.doi: 10.16352/j.issn.1001-6325.2024.03.0408

新型冠状病毒感染患者术后并发症及相关危险因素

张毅, 申乐^*

中国医学科学院北京协和医学院北京协和医院麻醉科,北京 100730

收稿日期:2023-07-06 修回日期:2023-12-27 出版日期:2024-03-05 发布日期:2024-02-22
通讯作者: ^*:pumchshenle@163.com
基金资助:
中央高水平医院临床科研专项-2022年专科提升计划(2022-PUMCH-B-007)

Postoperative complications and related risk factors in COVID-19 patients

ZHANG Yi, SHEN Le^*

Department of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China

Received:2023-07-06 Revised:2023-12-27 Online:2024-03-05 Published:2024-02-22
Contact: ^*:pumchshenle@163.com

摘要/Abstract

摘要： 新型冠状病毒感染(COVID-19)患者术后肺部并发症及败血症等多系统并发症发生率和病死率均显著增加,故COVID-19患者应充分康复后再行择期手术,常规建议至少需要7周康复时间。同时COVID-19患者术后并发症等不良结局的发生需要考虑年龄、病情严重程度、手术类型、麻醉方式、基础合并症、毒株类型及疫苗接种情况等相关危险因素,结合具体情况多维度考量。

关键词: 新型冠状病毒感染, 择期手术时机, 术后并发症

Abstract: The incidence of postoperative multi-system complications, such as pulmonary complications and sepsis, as well as mortality of patients with COVID-19. Therefore, patients with COVID-19 should be fully recovered before elective surgery and a minimum of 7 weeks recovery time is routinely recommen-ded. At the same time, the occurrence of adverse outcomes such as postoperative complications in patients with COVID-19 should be considered in a multidimensional manner, taking into account the related risk factors such as age, severity of the disease, type of surgery, anesthesia method, underlying comorbidities, type of viral strain, vaccination status and other related risk factors.

Key words: SARS-CoV-2 infection, timing of elective surgery, postoperative complication

中图分类号:

R614

张毅, 申乐. 新型冠状病毒感染患者术后并发症及相关危险因素[J]. 基础医学与临床, 2024, 44(3): 408-411.

ZHANG Yi, SHEN Le. Postoperative complications and related risk factors in COVID-19 patients[J]. Basic & Clinical Medicine, 2024, 44(3): 408-411.

参考文献 22

[1]	Huang C, Huang L, Wang Y, et al. 6-Month conse-quences of COVID-19 in patients discharged from hospital: a cohort study[J]. Lancet (London, England),2021, 397: 220-232.
[2]	Pan L, Mu M, Yang P, et al. Clinical characteristics of COVID-19 patients with digestive symptoms in Hubei, China: a descriptive, cross-sectional, multicenter study[J]. Am J Gastroenterol,2020, 115: 766-773.
[3]	Taquet M, Geddes JR, Husain M, et al. 6-Month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records[J]. Lancet Psychiatry,2021, 8: 416-427.
[4]	Nikolich JŽ, Rosen CJ. Toward comprehensive care for long covid[J]. N Engl J Med,2023, 388: 2113-2115.
[5]	Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study[J]. Anaesthesia,2021, 76: 748-758.
[6]	Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study[J]. Lancet (London, England),2020, 396: 27-38.
[7]	Kiyatkin ME, Levine SP, Kimura A, et al. Increased incidence of post-operative respiratory failure in patients with pre-operative SARS-CoV-2 infection[J]. J Clin Anesth,2021, 74: 110409.doi:10.1016/j.jclinane.2021.110409.
[8]	Jonker PKC, van der Plas WY, Steinkamp PJ, et al. Perioperative SARS-CoV-2 infections increase mortality, pulmonary complications, and thromboembolic events: a Dutch, multicenter, matched-cohort clinical study[J]. Surgery,2021, 169: 264-274.
[9]	Argandykov D, Dorken-Gallastegi A, El Moheb M, et al. Is perioperative COVID-19 really associated with worse surgical outcomes? a nationwide COVIDSurg propensity-matched analysis[J]. J Trauma Acute Care Surg,2023, 94: 513-524.
[10]	Bryant JM, Boncyk CS, Rengel KF, et al. Association of time to surgery after COVID-19 infection with risk of postoperative cardiovascular morbidity[J]. JAMA Netw Open,2022, 5: e2246922.doi: 10.1001/jamanetworkopen.2022.46922.
[11]	Yilmaz S, Sapci I, Jia X, et al. Risk factors associated with postoperative mortality among COVID-19 positive patients: results of 3 027 operations and procedures[J]. Ann Surg,2022, 276: 969-974.
[12]	SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study[J]. Anaesthesia,2022, 77: 28-39.
[13]	Li YK, Peng S, Li LQ, et al. Clinical and transmission characteristics of Covid-19 - a retrospective study of 25 cases from a single thoracic surgery department[J]. Curr Med Sci,2020, 40: 295-300.
[14]	Zhong Q, Liu YY, Luo Q, et al. Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-centre, observational cohort study[J]. Br J Anaesth,2020, 124: 670-675.
[15]	James A, De Jong A, Jeanmougin T, et al. Character-istics and outcomes of patients undergoing anesthesia while SARS-CoV-2 infected or suspected: a multicenter register of consecutive patients[J]. BMC Anesthesiol,2022, 22: 46.doi: 10.1186/s12871-022-01581-0.
[16]	Garnier M, Constantin JM, Cinotti R, et al. Association of preoperative COVID-19 and postoperative respiratory morbidity during the Omicron epidemic wave: the DROMIS-22 multicentre prospective observational cohort study[J]. EClinicalMedicine,2023, 58: 101881.doi:: 10.1016/j.eclinm.2023.101881.
[17]	Kirca F, Aydoğan S, Gözalan A, et al. Comparison of clinical characteristics of wild-type SARS-CoV-2 and Omi-cron[J]. Rev Assoc Med Bras (1992),2022, 68: 1476-1480.
[18]	Andrews N, Stowe J, Kirsebom F, et al. Covid-19 vaccine effectiveness against the Omicron (B.1.1.529) Variant[J]. N Engl J Med,2022, 386: 1532-1546.
[19]	American Society of Anesthesiologists and Anesthesia Patient Safety Foundation Joint Statement on Elective Surgery and Anesthesia for Patients After COVID-19 Infection. Accessed April 8, 2023.Available from: https://www.apsf.org/news-updates/asa-and-apsf-joint-statement-on-electi-ve-surgery-and-anesthesia-for-patients-after-covid-19-infe-ction/.
[20]	El-Boghdadly K, Cook TM, Goodacre T, et al. Timing of elective surgery and risk assessment after SARS-CoV-2 infection: 2023 update: a multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Federation of Surgical Specialty Associations, Royal College of Anaesthetists and Royal College of Surgeons of England[J]. Anaesthesia,2023, 78: 1147-1152.
[21]	Australian and New Zealand College of Anaesthetists. Guideline on surgical patient safety for SARS-CoV-2 infection and vaccination[EB/OL]. (2022-08-04)[2023-04-08]. Available from: https://www.anzca.edu.au/getattachment/af1fb728-5e87-413a-b006-c54cecf282b1/PG68(A)-Guideline-surgical-patient-safety-SARS-CoV-2.
[22]	北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议多学科专家组. 北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)[J].协和医学杂志,2023, 14: 266-270.

新型冠状病毒感染患者术后并发症及相关危险因素

Postoperative complications and related risk factors in COVID-19 patients

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