key: cord-0978792-jximqppk
authors: Gao, Yuan; Wang, He; Wu, Jianhong; Jia, Qingzhu; Chu, Qian
title: Prevention, susceptibility, and clinical features of coronavirus disease 2019 in postoperative patients
date: 2020-10-16
journal: Asian J Surg
DOI: 10.1016/j.asjsur.2020.09.017
sha: 1e199203a0e4ad1ad7d771688278be5f4d98d54e
doc_id: 978792
cord_uid: jximqppk

nan

To the editor, The coronavirus disease 2019 (COVID-19) has rapidly spread worldwide and is now a global pandemic. Surgeries were curtailed in many hospitals during the pandemic, and the recommendation to delay all elective surgeries was issued in account of the increased mortality rate in peri-operative patients with COVID-19. 1, 2 Before Tongji Hospital of Tongji Medical College, in Wuhan, China was designated to treat patients with COVID-19 and canceled all elective surgeries, few procedural measures were adopted to prevent the spread of SARS-CoV-2 infection form December 15, 2019, to February 15, 2020 in our center. We reviewed 37,783 inpatients with accessible medical documents. The incidence of COVID-19 was 0.028% (7/25,135 patients) among non-surgical patients and 0.158% (20/12,648 patients) among postoperative patients, with a relative risk of 5.685 (P < 0.001; 95% confidence interval, 2.403-13.449) when compared to the non-surgical inpatient counterparts. Anatomically, patients who underwent thoracic operation showed the highest incidence of the infection, with 9 out of 575 patients (1.56%) diagnosed with COVID-19 during the post-surgical periods. And we found a significant increase in neutrophils (P < 0.001), decreased lymphocytes (P < 0.001), and dramatically greater In conclusion, this study presents the clinical characteristics and severity of COVID-19 of perioperative case series. The learning experiences from managing these patients, some strategies adopted. And we provided practices to prevent COVID-19 among perioperative patients in hospital after resuming surgery.

The authors declare no conflict of interest. 

The incidence of COVID-19 in surgical patients before and after taking prevention managements. J o u r n a l P r e -p r o o f Measurement data was presented as mean ± standard deviation. a Three mild patients were followed up in out-patient department and symptoms, lab tests and chest images of COVID-19 among these three patients were missing. b P values indicate differences between severe patients and mild patients. P < 0.05 was considered statistically significant. J o u r n a l P r e -p r o o f

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