COVID-19 in the Perioperative Period of Cardiovascular Surgery: the Brazilian Experience

• Autor(a) principal: Gomes,Walter J.
• Data de Publicação: 2021
• Outros Autores: Rocco,Isadora, Pimentel,Wallace S., Pinheiro,Aislan H. B., Souza,Paulo M. S., Costa,Luiz A. A., Teixeira,Marjory M. P., Ohashi,Leonardo P., Bublitz,Caroline, Begot,Isis, Moreira,Rita Simone L, Hossne Jr,Nelson A., Vargas,Guilherme F., Branco,João Nelson R., Teles,Carlos A., Medeiros,Eduardo A. S., Sáfadi,Camila, Rampinelli,Amândio, Moratelli Neto,Leopoldo, Rosado,Anderson Rosa, Mesacasa,Franciele Kuhn, Capriata,Ismael Escobar, Segalote,Rodrigo Coelho, Palmieri,Deborah Louize da Rocha Vianna, Jardim,Amanda Cristina Mendes, Vianna,Diego Sarty, Coutinho,Joaquim Henrique de Souza Aguiar, Jazbik,João Carlos, Coutinho,Henrique Madureira da Rocha, Kikuta,Gustavo, Almeida,Zely Sant'Anna Marotti de, Feguri,Gibran Roder, Lima,Paulo Ruiz Lucio de, Franco,Anna Carolina, Borges,Danilo de Cerqueira, Cruz,Felipe Ramos Honorato De La, Croti,Ulisses Alexandre, Borim,Bruna Cury, Marchi,Carlos Henrique De, Goraieb,Lilian, Postigo,Karolyne Barroca Sanches, Jucá,Fabiano Gonçalves, Oliveira,Fátima Rosane de Almeida, Souza,Rafael Bezerra de, Zilli,Alexandre Cabral, Mas,Raul Gaston Sanchez, Bettiati Junior,Luiz Carlos, Tranchesi,Ricardo, Bertini Jr,Ayrton, Franco,Leandro Vieira, Fernandes,Priscila, Oliveira,Fabiana, Moraes Jr,Roberto, Araújo,Thiago Cavalcanti Vila Nova de, Braga,Otávio Penna, Pedrosa Sobrinho,Antônio Cavalcanti, Teixeira,Roberta Tavares Barreto, Camboim,Irla Lavor Lucena, Gomes,Eduardo Nascimento, Reis,Pedro Horigushi, Garcia,Luara Piovan, Scorsioni,Nelson Henrique Goes, Lago,Roberto, Guizilini,Solange
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000600725
• topic: COVID-19; SARS-CoV-2; Cardiac Surgical Procedures; Thoracic Surgery; Comorbidity

Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death.