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- Title
Nosocomial SARS‐CoV‐2 transmission in postoperative infection and mortality: analysis of 14 798 procedures.
- Authors
Elliott, J. A.; Kenyon, R.; Kelliher, G.; Gillis, A. E.; Tierney, S.; Ridgway, P. F.
- Abstract
This study used a national administrative database to estimate perioperative SARS-CoV-2 infection risk, and associated mortality, relative to nosocomial transmission rates. SARS-CoV-2 infection risk and operative approach Operative approach was associated with estimated postoperative SARS-CoV-2 infection risk, with patients undergoing laparoscopic procedures at reduced risk ( I P = i 0-011) ( I Fig. Procedure-specific risk Procedure-specific risk estimates for nosocomial SARS-CoV-2 infection were generated for general, colorectal and upper GI/HPB procedures ( I Tables S2-S4 i , supporting information). The nosocomial transmission rate is an important determinant of surgical outcome, and the impact of nosocomial transmission is greatest after major, complex major and emergency surgery, whereas laparoscopic surgery may be protective as a result of reduced LOS.
- Subjects
SARS-CoV-2; INFECTIOUS disease transmission; COVID-19; MINIMALLY invasive procedures; LENGTH of stay in hospitals
- Publication
British Journal of Surgery, 2020, Vol 107, Issue 13, p1708
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.12053