Nosocomial SARS-CoV-2 transmission in postoperative infection and mortality: analysis of 14 798 procedures

Br J Surg. 2020 Dec;107(13):1708-1712. doi: 10.1002/bjs.12053. Epub 2020 Oct 8.

Abstract

This study used a national administrative database to estimate perioperative SARS-CoV-2 infection risk, and associated mortality, relative to nosocomial transmission rates. The impact of nosocomial transmission was greatest after major emergency surgery, whereas laparoscopic surgery may be protective owing to reduced duration of hospital stay. Procedure-specific risk estimates are provided to facilitate surgical decision-making and informed consent. Estimated risks.

MeSH terms

  • COVID-19
  • Cause of Death
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Cross Infection / prevention & control
  • Cross Infection / transmission*
  • Databases, Factual
  • Elective Surgical Procedures / adverse effects*
  • Elective Surgical Procedures / methods
  • Emergencies
  • Female
  • Humans
  • Incidence
  • Infection Control / methods*
  • Length of Stay / statistics & numerical data*
  • Male
  • Pandemics / prevention & control
  • Pandemics / statistics & numerical data
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Prognosis
  • Risk Assessment
  • Surgical Wound Infection / mortality*
  • Surgical Wound Infection / prevention & control
  • Survival Analysis