Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19

Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19 Publisher Pubmed

Barkhordari K¹ ; Khajavi MR² ; Bagheri J³ ; Nikkhah S⁴ ; Shirzad M³ ; Barkhordari S⁵ ; Kharazmian K³ ; Nosrati M⁶

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1. Department of Anesthesiology and Critical Care, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
2. Department of Anesthesiology and Critical Care, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
3. Department of Cardiac Surgery, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
4. Food and Drug Bureau, Ministry of Health and Medical Education, Tehran, Iran
5. Department of Neurobiology Physiology and Behavior, College of Biological Sciences, University of California, Davis, CA, United States
6. Department of Disease Control, Tehran Heart Center, Tehran, Iran

Source: Journal of Cardiac Surgery Published:2020

Abstract

Background: Both coronavirus disease (COVID-19) and cardiac surgery have a negative impact on pulmonary function. This study aimed to determine the postoperative respiratory outcomes of patients with COVID-19 who underwent cardiac surgery. Methods: In this retrospective study, we reviewed and analyzed the patient characteristics and clinical data of 25 asymptomatic patients with COVID-19 who underwent urgent or emergency cardiac surgery at Tehran Heart Center Hospital, Iran, between 29 February and 10 April 2020. Results: The mean age, EuroSCORE, and body mass index were 57.3 ± 15.1 years, 6.65 ± 1.29, and 25.7 ± 3.7 kg/m2, respectively. Four patients underwent off-pump cardiac surgery and 21 underwent on-pump cardiac surgery with a median cardiopulmonary bypass time of 85 minutes (interquartile range (IQR, 50-147). The overall mortality rate and the length of stay in the intensive care unit (ICU) were higher compared to those of a propensity-matched group of patients who underwent cardiac surgery in the pre-COVID era. The median intubation time was 13 hours (IQR, 9.5-18), which was comparable to that of pre-COVID cardiac surgery patients. The readmission rate to the ICU was 16%. In this ICU readmitted group, the mean oxygen index, FiO2, and mortality rate were higher and the PaO2/FiO2 ratio was lower than those of the nonreadmitted patients. Conclusions: Although early respiratory outcomes of asymptomatic COVID-19 patients who underwent early cardiac surgery appeared to be satisfactory, compared to the propensity-scored matched non-COVID group, the postoperative outcomes were worse, especially in the ICU readmitted patients. We suggest postponing cardiac operations unless the patient requires emergency surgery. © 2020 Wiley Periodicals LLC

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Style	Citing Format
MLA	Barkhordari K, et al.. "Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19." Journal of Cardiac Surgery, vol. 35, no. 10, 2020, pp. 2479-2485.
APA	Barkhordari K, Khajavi MR, Bagheri J, Nikkhah S, Shirzad M, Barkhordari S, Kharazmian K, Nosrati M (2020). Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19. Journal of Cardiac Surgery, 35(10), 2479-2485.
Chicago	Barkhordari K, Khajavi MR, Bagheri J, Nikkhah S, Shirzad M, Barkhordari S, Kharazmian K, Nosrati M. "Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19." Journal of Cardiac Surgery 35, no. 10 (2020): 2479-2485.
Harvard	Barkhordari K et al. (2020) 'Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19', Journal of Cardiac Surgery, 35(10), pp. 2479-2485.
Vancouver	Barkhordari K, Khajavi MR, Bagheri J, Nikkhah S, Shirzad M, Barkhordari S, et al.. Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19. Journal of Cardiac Surgery. 2020;35(10):2479-2485.
BibTex	@article{ author = {Barkhordari K and Khajavi MR and Bagheri J and Nikkhah S and Shirzad M and Barkhordari S and Kharazmian K and Nosrati M}, title = {Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19}, journal = {Journal of Cardiac Surgery}, volume = {35}, number = {10}, pages = {2479-2485}, year = {2020} }
RIS	TY - JOUR AU - Barkhordari K AU - Khajavi MR AU - Bagheri J AU - Nikkhah S AU - Shirzad M AU - Barkhordari S AU - Kharazmian K AU - Nosrati M TI - Early Respiratory Outcomes Following Cardiac Surgery in Patients With Covid-19 JO - Journal of Cardiac Surgery VL - 35 IS - 10 SP - 2479 EP - 2485 PY - 2020 ER -

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