Estudo comparativo de desfechos de pacientes cirúrgicos diagnosticados com COVID-19

Autores

DOI:

https://doi.org/10.5327/Z1414-4425202429912%20

Palavras-chave:

Enfermagem perioperatória, Infecções por coronavírus, Avaliação de resultados em cuidados de saúde

Resumo

Objective: To compare the outcomes of patients undergoing conventional gastrointestinal surgeries who developed COVID-19 to those who were not infected. Method: Descriptive comparative study. Data were collected from 142 medical records, during the period from March 2020 (beginning of the pandemic in Brazil) to December 2021. Study approved by the Research Ethics Committee (CAAE: 29473520.2.0000.5392). Results: The profile of the patients was mostly classified as ASA 2 and 3. There was the presence of at least one chronic disease in all patients with COVID-19 and in most patients without COVID-19. The mean BMI for patients with COVID-19 was type I obesity and overweight for the rest of the sample (p=0.043). There was a predominance of females among patients affected by COVID-19. Complications were longer postoperative hospital stay (p=0.015) and need for surgical approach (p=0.034). Conclusions: The profile of surgical patients with COVID-19 was linked to the presence of comorbidities, longer duration of the surgical procedure and high BMI. Complications associated with the presence of COVID-19 were longer postoperative hospital stays and surgical reoperation.

Biografia do Autor

Juliana Rizzo Gnatta, Universidade de São Paulo, Escola de Enfermagem – São Paulo (SP), Brazil.

Enfermeira; Mestre e Doutora em Ciências pela EEUSP. Especialista em CC, CME e RA pela SOBECC e em Controle de Infecção pela Unifesp; Professora Doutora da Escola de Enfermagem da Universidade de São Paulo, São Paulo, São Paulo,  Brasil. 

(11) 4371 3400

Camila Lima, Universidade de São Paulo, Escola de Enfermagem – São Paulo (SP), Brazil.

Enfermeira; Doutora em Ciências da Saúde pela Faculdade de Medicina da Universidade de São Paulo; Professora Doutora do Departamento de Enfermagem Médico Cirúrgica da Escola de Enfermagem da Universidade de São Paulo, São Paulo, São Paulo, Brasil.

 

Vanessa de Brito Poveda , Universidade de São Paulo, Escola de Enfermagem – São Paulo (SP), Brazil.

Enfermeira; Livre Docente, Pós- Doutora  pela EEUSP; Doutora e Mestre pela EERP, Professora associada do Departamento de Enfermagem Médico-Cirúrgica da Escola de Enfermagem da Universidade de São Paulo, São Paulo, São Paulo,  Brasil. Nurse; Free Lecturer, Post-Doctor by EEUSP; Doctor and Master from the EERP, Associate Professor at the Department of Medical-Surgical Nursing at the School of Nursing at the University of São Paulo, São Paulo, São Paulo, Brazil.

Referências

Hu B, Guo H, Zhou P, Shi ZL. Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol. 2021;19(3):141-54. https://doi.org/10.1038/s41579-020-00459-7

Uddin M, Mustafa F, Rizvi TA, Loney T, Al Suwaidi H, Al-Marzouqi AHH, et al. SARS-CoV-2/COVID-19: viral genomics, epidemiology, vaccines and therapeutic interventions. Viruses. 2020;10;12(5):526. https://doi.org/10.3390/v12050526

Brasil. Ministério da Saúde. Painel de casos de doença pelo coronavírus 2019 (COVID-19) no Brasil pelo Ministério da Saúde. [Internet]. 2022 [citado 2022 Ago 8]. Disponível em: https://covid.saude.gov.br/

Søreide K, Hallet J, Matthews JB, Schnitzbauer AA, Linha PD, Lai PBS, et al. Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services. Br J Surg. 2020;107(10):1250-61. https://doi.org/10.1002/bjs.11670

Aminian A, Safari S, Razeghian-Jahromi AR, Ghorbani M, Delaney CP. COVID-19 outbreak and surgical practice: unexpected fatality in perioperative period. Ann Surg. 2020;272(1):e27-9. https://doi.org/10.1097/SLA.0000000000003925

Falcão AS, Silva FF. Post-surgical complications in patients infected by COVID-19: integrative review. Rev Enferm Atual In Derme. 2021;95(36):e021164. https://doi.org/10.31011/reaid-2021-v.95-n.36-art.1227

Kuo S, Dhillon NK, Gewertz BL, Ley EJ. Surgical cases in the COVID-19 era: an early institutional experience. Am Surg. 2020;86(6):560-1. https://doi.org/10.1177/0003134820925025

Deng JZ, Chan JS, Potter AL, Chen YW, Sandhu HS, Panda N, et al. The risk of postoperative complications after major elective surgery in active or resolved COVID-19 in the United States. Ann Surg. 2022;275(2):242-6. https://doi.org/10.1097/SLA.0000000000005308

Assadian O, Golling M, Krüger CM, Leaper D, Mutters NT, Roth B, et al. Surgical site infections: guidance for elective surgery during the SARS-CoV-2 pandemic: international recommendations and clinical experience. J Hosp Infect. 2021;111:189-99. https://doi.org/10.1016/j.jhin.2021.02.011

Lei S, Jiang F, Su W, Chen C, Chen J, Mei W, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020;21:100331. https://doi.org/10.1016/j.eclinm.2020.100331

Agência Nacional de Vigilância Sanitária. Nota Técnica GVIMS/GGTES/ANVISA no 06/2020. Orientações para a prevenção e o controle das infecções pelo novo coronavírus (SARS-CoV-2) em procedimentos cirúrgicos – Revisão: 30/03/2021. (Complementar à Nota Técnica ANVISA no 04/2020) [Internet]. Brasília: ANVISA; 2021 [citado 2022 Ago 10]. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/notas-tecnicas/nota-tecnica-06-2020-gvims-ggtes-anvisa.pdf/view

World Health Organization. Infection prevention and control during health care when coronavirus disease (‎COVID-19)‎ is suspected or confirmed [Internet]. Geneva: WHO; 2021 [citado 2022 Ago 9]. Disponível em: https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-2021.1

Publicado

2024-06-05

Como Citar

Silva, L. E. da, Gnatta, J. R., Lima, C., & Poveda , V. de B. (2024). Estudo comparativo de desfechos de pacientes cirúrgicos diagnosticados com COVID-19. Revista SOBECC, 29. https://doi.org/10.5327/Z1414-4425202429912

Edição

Seção

Artigos Originais