Study: At COVID-19 increased risk of death after operations
In mid-March, it was decided that all the planned operations in German hospitals, as far as this is medically reasonable, will be postponed for an indefinite period of time. This should be ensured sufficient capacity for the treatment of Coronavirus diseases to. This measure could have helped to save lives. Because a new study shows that COVID-19-Sufferers have an increased risk of heirs, to hide in connection with a SURGERY.
According to a recent communication of the University hospital in Tübingen, Germany patients suffering from COVID-19, have an increased risk of heirs, to hide in connection with an Operation. Prior to plan OPs should be excluded, therefore, an infection with the novel Coronavirus SARS-CoV-2 as much as possible. This was the conclusion of a worldwide investigation, the results of which was recently published by the research network CovidSurg Collaborative in the journal “The Lancet”.
Further analysis should clarify the Situation in Germany
Professor Dr. Alfred Königsrainer, clinical Director of the study in Tübingen, Germany, and Medical Director of the University clinic for General, visceral and transplantation surgery of the University hospital of tübingen, but well equipped.
“We have learned from the past few weeks, and we are well prepared. In the case of emergency surgery before planned operations, and we do everything in advance of a SARS-CoV-2 infection can be ruled out. This is us doing just that,“ said the medic.
Whether the Situation is in Germany as dramatic as it is, the study data can be assume to be soon clarified by further analysis. Currently, all the surgical clinics in Germany are called urgently, in the CovidSurg cohorts-to participate in the study.
Data from two dozen countries
To reach their conclusions, the researchers examined data by 1,128 patients from 235 hospitals in 24 countries. These represent mainly the Situation in Europe, some clinics in Africa, Asia, and North America were involved.
According to the now published results, which were evaluated under the direction of the NIHR Global Research Health Unit on Global Surgery at the University of Birmingham, have SARS-CoV-2-infected persons undergo a surgery, significantly worse postoperative outcomes than those without the infection.
Overall, the mortality during the first 30 days after SURGERY, 23.8 percent. The mortality was, according to the authors in all sub-groups to be disproportionately high.
According to the figures, in both elective surgical procedures (18.9 percent), emergency operations (25.6 percent), minor operations (16.3 percent), as well as major surgical interventions (26.9 per cent) related to this.
Older and men are more at risk
Furthermore, it was noted in the study that the mortality rate of men (28.4 percent) compared with the increases of women (18.2 percent) but also in older patients over 70 years of age (33.7 per cent) compared with younger Patients (13.9 percent) strongly.
Among the risk factors for postoperative mortality is also severe pre-existing diseases, such as cancer, major surgery, and emergency operations in addition to age and gender.
Mortality rate even increased in the case of routine operations much
The tübingen co-author of the study, Prof. Dr. Alfred Königsrainer, commented on the report: “Normally, we expect that the mortality rate of patients undergoing elective surgery is under one percent,” the expert said.
“This study shows that the mortality rate in patients infected with the Coronavirus SARS-CoV-2, is increased in the case of routine operations very much. In fact, the mortality rate is increased so strongly, that it is with the risk of mortality in high-risk patients before the pandemic comparable.“
Currently to be analyzed with additional data, the urgency is whether these Numbers also in the German transferred to hospitals. (ad)