Evidence map›Paper›PMID 37875666›Full record

ArticleWorld journal of surgery2023

Lessons Learned in Elective Surgeries After 6 Pandemic Waves of SARS-CoV-2. A Single European Center Experience.

Alejandra García-Botella, Sofía De la Serna Esteban, Leyre López-Antoñanzas, Rocío Avellana-Moreno, Jana Dziakova, Oscar Cano Valderrama, Esteban Martín-Antona, Irene Serrano-García, Antonio José Torres García

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Alejandra García-BotellaSurgery Department (HepatoPancreatoBiliary Unit), Health Research Institute (IdISSC), Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040, Madrid, Spain. sandragbotella@hotmail.es.ORCID 0000-0003-4773-3810
Sofía De la Serna EstebanSurgery Department (HepatoPancreatoBiliary Unit), Health Research Institute (IdISSC), Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Leyre López-AntoñanzasSurgery Department (HepatoPancreatoBiliary Unit), Health Research Institute (IdISSC), Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Rocío Avellana-MorenoSurgery Department (HepatoPancreatoBiliary Unit), Health Research Institute (IdISSC), Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Jana DziakovaSurgery Department (HepatoPancreatoBiliary Unit), Health Research Institute (IdISSC), Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Oscar Cano ValderramaDepartment of Surgery, Vigo; Instituto de Investigaciones Sanitarias Galicia Sur, Complejo Hospitalario Universitario de Vigo, Vigo, Spain.
Esteban Martín-AntonaSurgery Department (HepatoPancreatoBiliary Unit), Health Research Institute (IdISSC), Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Irene Serrano-GarcíaIdISSC, Methodological Research Support Unit, Hospital Clínico San Carlos, Madrid, Spain.
Antonio José Torres GarcíaSurgery Department (HepatoPancreatoBiliary Unit), Health Research Institute (IdISSC), Hospital Clínico San Carlos, C/Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Hospital Clínico San Carlos · ESUniversidad Complutense de Madrid · ESUniversity Hospital Complex Of Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reported high surgical morbidity and mortality in patients with SARS-CoV-2 prompted preoperative screening and modification of surgical protocols. Although vaccination and treatment of COVID-19 have resulted in lower hospitalization rates and infection severity, publications on postoperative results have not been updated. The aim of the study was to analyze the outcomes of patients undergoing surgery in two periods with high incidence of SARS-CoV-2 infection, before and after vaccination. MATERIALS AND

methodsThis is a prospective cohort study of patients undergoing surgery in two periods: March-June 2020 (Group2020) and December 2021-February 2022 (Group2022) (after massive vaccination).

resultsIn total, 618 patients who underwent surgery were included in the analysis (Group2020: 343 vs. Group2022: 275). Significantly more oncological procedures were performed in Group2020, and there were no differences in postoperative complications. Nosocomial SARS-CoV-2 infection occurred in 4 patients in Group2020 and 1 patient in Group2022. In Group 2022, 70 patients (25.4%) had COVID-19 prior to surgery, and 68 (97.1%) were vaccinated. Comparative analysis between patients with past COVID-19 and those without showed no difference in postoperative morbidity and mortality. According to the time elapsed between SARS-CoV-2 infection and surgery (≤ 7 or > 7 weeks), comparative analysis showed no significant differences.

conclusionThe establishment of preoperative screening protocols for SARS-CoV-2 infection results in a low incidence of nosocomial infection and optimal postoperative outcomes. Preoperative SARS-CoV-2 infection in vaccinated patients was not associated with increased postoperative complications, even in shorter periods after infection. In surgical patients, individualized preoperative evaluation after SARS-CoV-2 infection may be more important than strict time limitation.

Indexed as

COVID-19SARS-CoV-2Elective Surgical ProceduresHumansPandemicsPostoperative ComplicationsProspective Studies

Identifiers

PMID37875666
OpenAlexW4387909715

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.