Chapter title |
Clinical Outcome in Patients with Nosocomial COVID-19 Infection After Thoracic Surgery.
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Chapter number | 667 |
Book title |
Invasive Diagnostics and Therapy
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Published in |
Advances in experimental medicine and biology, September 2021
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DOI | 10.1007/5584_2021_667 |
Pubmed ID | |
Book ISBNs |
978-3-03-098856-2, 978-3-03-098857-9
|
Authors |
Al Masri, Eyad, Redwan, Bassam, Thiel, Burkhard, Ellger, Bjoern, Begher, Christian, Biancosino, Christian, Kösek, Volkan |
Abstract |
In the present study, we retrospectively evaluated outcomes in 8 patients (mean age 67 ± 7, range 55-77 years; male/female 7/1) who acquired nosocomial COVID-19 infection postoperatively out of the 39 adults who underwent elective thoracic surgery in November 2020. All patients were tested negative for COVID-19 on admission. The mortality rate in the eight patients was 25%. The surviving six patients were discharged in a good clinical condition. Fatal outcomes were due to the development of severe and unrelenting acute respiratory distress syndrome (ARDS) and were associated with preoperatively reduced serum albumin (<3 g/dL), an open surgical approach, oxygen saturation <90% at the time of COVID-19 diagnosis, and the real-time PCR cycle threshold (Ct) value <20. A high mortality rate indicates a need for systematic and frequent COVID-19 screening in patients scheduled for elective thoracic surgery and the use of minimally invasive procedures whenever feasible. |
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Mendeley readers
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Student > Bachelor | 2 | 15% |
Librarian | 1 | 8% |
Student > Ph. D. Student | 1 | 8% |
Professor | 1 | 8% |
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Unknown | 6 | 46% |
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Chemical Engineering | 1 | 8% |
Unknown | 6 | 46% |