1. Recent COVID-19 infection is associated with increased mortality in the ambulatory surgery population.
- Author
-
Williams, George W., Mubashir, Talha, Balogh, Julius, Rezapour, Mohsen, Hu, Jingfan, Dominique, Biai, Gautam, Nischal K., Lai, Hongyin, Ahmad, Hunza S., Li, Xiaojin, Huang, Yan, Zhang, Guo-Qiang, and Maroufy, Vahed
- Subjects
- *
AMBULATORY surgery , *COVID-19 , *ORTHOPEDIC surgery , *PLASTIC surgery , *COVID-19 testing , *ELECTIVE surgery , *AMBULATORY blood pressure monitoring - Abstract
The effect of COVID-19 infection on post-operative mortality and the optimal timing to perform ambulatory surgery from diagnosis date remains unclear in this population. Our study was to determine whether a history of COVID-19 diagnosis leads to a higher risk of all-cause mortality following ambulatory surgery. This cohort constitutes retrospective data obtained from the Optum dataset containing 44,976 US adults who were tested for COVID-19 up to 6 months before surgery and underwent ambulatory surgery between March 2020 to March 2021. The primary outcome was the risk of all-cause mortality between the COVID-19 positive and negative patients grouped according to the time interval from COVID-19 testing to ambulatory surgery, called the Testing to Surgery Interval Mortality (TSIM) of up to 6 months. Secondary outcome included determining all-cause mortality (TSIM) in time intervals of 0–15 days, 16–30 days, 31–45 days, and 46–180 days in COVID-19 positive and negative patients. 44,934 patients (4297 COVID-19 positive, 40,637 COVID-19 negative) were included in our analysis. COVID-19 positive patients undergoing ambulatory surgery had higher risk of all-cause mortality compared to COVID-19 negative patients (OR = 2.51, p < 0.001). The increased risk of mortality in COVID-19 positive patients remained high amongst patients who had surgery 0–45 days from date of COVID-19 testing. In addition, COVID-19 positive patients who underwent colonoscopy (OR = 0.21, p = 0.01) and plastic and orthopedic surgery (OR = 0.27, p = 0.01) had lower mortality than those underwent other surgeries. A COVID-19 positive diagnosis is associated with significantly higher risk of all-cause mortality following ambulatory surgery. This mortality risk is greatest in patients that undergo ambulatory surgery within 45 days of testing positive for COVID-19. Postponing elective ambulatory surgeries in patients that test positive for COVID-19 infection within 45 days of surgery date should be considered, although prospective studies are needed to assess this. • Positive testing for COVID-19 is associated with a higher risk of all-cause mortality following ambulatory surgery. • This mortality risk is greatest in patients that undergo ambulatory surgery within 45 days of testing positive for COVID-19. • Postponing ambulatory surgeries in patients testing positive for COVID-19 within 45 days of surgery date should be considered. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF