中国体外循环杂志2024，Vol.22Issue(1)：13-18,6.DOI:10.13498/j.cnki.chin.j.ecc.2024.01.04
新型冠状病毒感染后择期心脏外科手术时机的选择:单中心回顾性队列研究
Timing of elective cardiac surgery following recent COVID-19 infection:a single-center retrospective cohort study
摘要
Abstract
Objective This study aimed to evaluate the safety of elective on-pump cardiac surgery after COVID-19 infection and explore the optimal timing for the procedure.Methods A retrospective cohort study was conducted in adult patients who underwent elective on-pump cardiac surgery between February 7th,2023,and March 9th,2023.Patients who had preoperatively infected with COVID-19 were included.Patients were categorized into preoperative COVID-19≤8 weeks and>8 weeks groups.Surgical parameters and postoperative outcomes were compared.Multiple linear regression and subgroup analysis were used to determine the associated factors of patients'outcomes.Results A total of 415 patients were included,with 79(19.0%)having a preoperative COVID-19 diagnosis≤8 weeks.In preoperative COVID-19≤8 weeks group,patients exhibited longer mechanical ventilation(MV)time(7(5,11)h vs.6(5,8)h,P = 0.02),increased postoperative drainage volume(961(680,1405)ml vs.800(533,1102)mL,P = 0.003),longer length of stay in the intensive care unit(LOS ICU)(48(24,72)h vs.24(24,48)h,P = 0.012)and LOS(13(10,15)d vs.11(9,14)d,P = 0.041)compared to preoperative COVID-19>8 weeks group.The effects of preoperative COVID-19 infection≤8 weeks on ICU LOS and LOS were greater in patients aged 60 and older.Conclusions Most patients can safely undergo elective on-pump cardiac surgery after COVID-19 infection.COVID-19 infection within 8 weeks may be associated with patient extended ICU LOS and LOS.关键词
冠状病毒感染/心脏外科手术/体外循环/预后/手术时机Key words
COVID-19 infection/Cardiac surgery/Cardiopulmonary bypass/Prognosis/Timing of surgery引用本文复制引用
王靖,于坤,吉冰洋,王建,王添隆,滕媛,刘刚,王茜,楼松,胡强,高国栋..新型冠状病毒感染后择期心脏外科手术时机的选择:单中心回顾性队列研究[J].中国体外循环杂志,2024,22(1):13-18,6.基金项目
中国心胸血管麻醉学会资助项目(阜外医院批号T2023-ZX001) （阜外医院批号T2023-ZX001）
