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Clinical features and outcomes of thoracic surgery patients during the COVID-19 pandemic.

Identifieur interne : 000748 ( Main/Exploration ); précédent : 000747; suivant : 000749

Clinical features and outcomes of thoracic surgery patients during the COVID-19 pandemic.

Auteurs : María Salmer N Jiménez [Espagne] ; Fátima Hermoso Alarza [Espagne] ; Ivan Martínez Serna [Espagne] ; Carmen Marr N Fernández [Espagne] ; José Carlos Meneses Pardo [Espagne] ; José Alberto García Salcedo [Espagne] ; Alejandro Torres Serna [Espagne] ; Mario Gustavo Manama Gama [Espagne] ; Oscar Enrique Colmenares Mendoza [Espagne] ; Vicente Diaz-Hellín Gude [Espagne] ; Antonio Pablo Gamez García [Espagne]

Source :

RBID : pubmed:32951033

Descripteurs français

English descriptors

Abstract

OBJECTIVES

The goal of this study was to describe the clinical features and outcomes of thoracic surgery patients during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS

Thirty-five patients were treated at the 12 de Octubre University Hospital in Madrid between 1 March 2020 and 24 April 2020 during the COVID-19 pandemic. Patient demographics, surgical procedures, complications, COVID-19 symptoms and outcomes were recorded. A protocol was introduced to reduce the risk of operating on patients with COVID-19, including symptom screening, a polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 and computed tomography scans of the chest. Surgical activity changed significantly during this time, from an initial period of near-normal activity, through an emergency-only period and finally a recovery period when some oncological surgical cases were restarted. Selection criteria for surgical patients are also described.

RESULTS

A total of 34 patients underwent surgery during the pandemic period. We performed 22 lung resections (11 lobectomies and 11 sublobar resections). No hospital deaths were recorded. An elective surgery patient and an emergency surgery patient were diagnosed with COVID-19 (5.88%). The former died within 30 days after surgery.

CONCLUSIONS

Severe acute respiratory syndrome coronavirus 2 represents a tremendous limitation for thoracic surgical practice. Preoperative practices to exclude asymptomatic cases infected with the virus allowed us to perform thoracic surgical procedures.


DOI: 10.1093/ejcts/ezaa287
PubMed: 32951033
PubMed Central: PMC7543325


Affiliations:


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<b>OBJECTIVES</b>
</p>
<p>The goal of this study was to describe the clinical features and outcomes of thoracic surgery patients during the coronavirus disease 2019 (COVID-19) pandemic.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Thirty-five patients were treated at the 12 de Octubre University Hospital in Madrid between 1 March 2020 and 24 April 2020 during the COVID-19 pandemic. Patient demographics, surgical procedures, complications, COVID-19 symptoms and outcomes were recorded. A protocol was introduced to reduce the risk of operating on patients with COVID-19, including symptom screening, a polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 and computed tomography scans of the chest. Surgical activity changed significantly during this time, from an initial period of near-normal activity, through an emergency-only period and finally a recovery period when some oncological surgical cases were restarted. Selection criteria for surgical patients are also described.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>A total of 34 patients underwent surgery during the pandemic period. We performed 22 lung resections (11 lobectomies and 11 sublobar resections). No hospital deaths were recorded. An elective surgery patient and an emergency surgery patient were diagnosed with COVID-19 (5.88%). The former died within 30 days after surgery.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Severe acute respiratory syndrome coronavirus 2 represents a tremendous limitation for thoracic surgical practice. Preoperative practices to exclude asymptomatic cases infected with the virus allowed us to perform thoracic surgical procedures.</p>
</div>
</front>
</TEI>
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<DateCompleted>
<Year>2020</Year>
<Month>10</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>10</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1873-734X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>58</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2020</Year>
<Month>Oct</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery</Title>
<ISOAbbreviation>Eur J Cardiothorac Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical features and outcomes of thoracic surgery patients during the COVID-19 pandemic.</ArticleTitle>
<Pagination>
<MedlinePgn>738-744</MedlinePgn>
</Pagination>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The goal of this study was to describe the clinical features and outcomes of thoracic surgery patients during the coronavirus disease 2019 (COVID-19) pandemic.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirty-five patients were treated at the 12 de Octubre University Hospital in Madrid between 1 March 2020 and 24 April 2020 during the COVID-19 pandemic. Patient demographics, surgical procedures, complications, COVID-19 symptoms and outcomes were recorded. A protocol was introduced to reduce the risk of operating on patients with COVID-19, including symptom screening, a polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 and computed tomography scans of the chest. Surgical activity changed significantly during this time, from an initial period of near-normal activity, through an emergency-only period and finally a recovery period when some oncological surgical cases were restarted. Selection criteria for surgical patients are also described.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 34 patients underwent surgery during the pandemic period. We performed 22 lung resections (11 lobectomies and 11 sublobar resections). No hospital deaths were recorded. An elective surgery patient and an emergency surgery patient were diagnosed with COVID-19 (5.88%). The former died within 30 days after surgery.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Severe acute respiratory syndrome coronavirus 2 represents a tremendous limitation for thoracic surgical practice. Preoperative practices to exclude asymptomatic cases infected with the virus allowed us to perform thoracic surgical procedures.</AbstractText>
<CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Salmerón Jiménez</LastName>
<ForeName>María</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hermoso Alarza</LastName>
<ForeName>Fátima</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Martínez Serna</LastName>
<ForeName>Ivan</ForeName>
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<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Marrón Fernández</LastName>
<ForeName>Carmen</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Meneses Pardo</LastName>
<ForeName>José Carlos</ForeName>
<Initials>JC</Initials>
<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>García Salcedo</LastName>
<ForeName>José Alberto</ForeName>
<Initials>JA</Initials>
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<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Torres Serna</LastName>
<ForeName>Alejandro</ForeName>
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<LastName>Manama Gama</LastName>
<ForeName>Mario Gustavo</ForeName>
<Initials>MG</Initials>
<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Colmenares Mendoza</LastName>
<ForeName>Oscar Enrique</ForeName>
<Initials>OE</Initials>
<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Diaz-Hellín Gude</LastName>
<ForeName>Vicente</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Gamez García</LastName>
<ForeName>Antonio Pablo</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, 12 de Octubre University Hospital, Universidad Complutense de Madrid, Madrid, Spain.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<NlmUniqueID>8804069</NlmUniqueID>
<ISSNLinking>1010-7940</ISSNLinking>
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<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
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</MeshHeading>
<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002985" MajorTopicYN="N">Clinical Protocols</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
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<MeshHeading>
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