Timing of elective cardiac surgery following recent COVID-19 infection:a single-center retrospective cohort study
Wang Jing
Wang Jian
Wang Tianlong
Teng Yuan
Liu Gang
Wang Qian
Lou Song
Hu Qiang
Gao Guodong
Yu Kun
Ji Bingyang
Abstract：Objective This study aimed to evaluate the safety of elective on-pump cardiac surgery after COVID-19 infection and explore the optimal timing for the procedure.Methods A retrospective cohort study was conducted in adult patients who underwent elective on-pump cardiac surgery between February 7th,2023,and March 9th,2023.Patients who had preoperatively infected with COVID-19 were included.Patients were categorized into preoperative COVID-19≤8 weeks and>8 weeks groups.Surgical parameters and postoperative outcomes were compared.Multiple linear regression and subgroup analysis were used to determine the associated factors of patients'outcomes.Results A total of 415 patients were included,with 79(19.0%)having a preoperative COVID-19 diagnosis≤8 weeks.In preoperative COVID-19≤8 weeks group,patients exhibited longer mechanical ventilation(MV)time(7(5,11)h vs.6(5,8)h,P = 0.02),increased postoperative drainage volume(961(680,1405)ml vs.800(533,1102)mL,P = 0.003),longer length of stay in the intensive care unit(LOS ICU)(48(24,72)h vs.24(24,48)h,P = 0.012)and LOS(13(10,15)d vs.11(9,14)d,P = 0.041)compared to preoperative COVID-19>8 weeks group.The effects of preoperative COVID-19 infection≤8 weeks on ICU LOS and LOS were greater in patients aged 60 and older.Conclusions Most patients can safely undergo elective on-pump cardiac surgery after COVID-19 infection.COVID-19 infection within 8 weeks may be associated with patient extended ICU LOS and LOS.
Keywords：COVID-19 infectionCardiac surgeryCardiopulmonary bypassPrognosisTiming of surgery
Publication Date：2024-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 13-18 )