Impact of COVID-19 on cardiac surgery outcomes

AIM: This study aimed to assess the impact of COVID-19 infection on cardiac surgery outcomes in patients who contracted COVID-19 peri-operatively or had recently recovered from COVID-19.

METHODS: The study prospectively enrolled 95 patients scheduled for cardiac surgery who had recently recovered from COVID-19. This formed the post-COVID-19 group. The other group consisted of 25 patients who contracted COVID-19 peri-operatively. Patients were followed for all-cause mortality as the primary endpoint and postoperative course complications as the secondary endpoint. Data were compared to a historical cohort of 280 non-COVID-19 patients.

RESULTS: The peri-operative COVID-19 group exhibited a significantly higher prevalence of primary outcome all-cause mortality (28%), compared with 4.3% in the controls (p < 0.01), as well as the secondary composite endpoint (stroke, peri-operative myocardial infarction and pneumonia) (52 vs 13.9%, p < 0.01). The post-COVID-19 group had a higher incidence of acute pulmonary embolism (3.2 vs 0%, p < 0.01) and atrial fibrillation (23.4 vs 11.4%, p < 0.01).

CONCLUSION: Patients who contracted COVID-19 peri-operatively had an increased rate of mortality and postoperative complications, while cardiac surgery in the recently recovered COVID-19 group was associated with a higher incidence of pulmonary embolism and atrial fibrillation.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Cardiovascular journal of Africa - 34(2024) vom: 12. Feb., Seite 1-6

Sprache:

Englisch

Beteiligte Personen:

Mandić, Danica [VerfasserIn]
Milovančev, Aleksandra [VerfasserIn]
Redžek, Aleksandar [VerfasserIn]
Petrović, Milovan [VerfasserIn]
Ilić, Aleksandra [VerfasserIn]
Čanković, Milenko [VerfasserIn]
Pekarić, Melisa Mironicki [VerfasserIn]
Dudaš, Vanja [VerfasserIn]
Šarošković, Bojana [VerfasserIn]

Links:

Volltext

Themen:

Cardiac surgery
Complications
Coronavirus disease 2019 (COVID‐19)
Journal Article
Mortality
Outcomes

Anmerkungen:

Date Revised 26.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.5830/CVJA-2023-065

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368973743