Publicado ene 24, 2024



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Sandra Liliana Valderrama Beltrán https://orcid.org/0000-0003-1833-1599

Reinaldo Grueso Angulo https://orcid.org/0000-0001-7777-6630

Juan Sebastian Montealegre Diaz https://orcid.org/0000-0001-9839-4834

Marcela Bernal Gutiérrez https://orcid.org/0000-0003-3540-9845

Juan Guillermo Cataño Cataño https://orcid.org/0000-0001-8202-9744

Silvia Helena Galvis Navarrete https://orcid.org/0000-0001-5529-8279

Edgar Arturo Ramirez Schneider https://orcid.org/0000-0001-8030-4925

Maria Paula Torres Ortiz https://orcid.org/0000-0003-4930-5334

Esteban Portilla Rojas https://orcid.org/0000-0001-8451-5041

Lilian Torregrosa Almonacid https://orcid.org/0000-0002-5392-7083

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Resumen

Introducción: Durante la pandemia por SARS-CoV-2 se describió un aumento en la morbimortalidad perioperatoria en el periodo previo a la vacunación. Objetivo: Determinar en pacientes intervenidos quirúrgicamente la incidencia acumulada de covid-19 y la mortalidad global a los 30 días del procedimiento. Metodología: Cohorte retrospectiva de 314 pacientes intervenidos quirúrgicamente entre el 6 de marzo de 2020 y el 30 de junio de 2021, seleccionados aleatoriamente. Se tomó prequirúrgicamente RT-PCR para SARS-CoV-2 en todos los pacientes y en el postoperatorio a los pacientes con aparición de síntomas. Resultados: A los 30 días de la intervención quirúrgica se encontró una incidencia acumulada de covid-19 del 0,97 %, y una mortalidad global del 2,2 %. De los pacientes con SARS-CoV-2 perioperatorio, 3 de 7 tenían importantes comorbilidades y fallecieron a los 30 días con una mortalidad asociada con covid-19. Conclusión: La incidencia acumulada de covid-19 fue similar a la reportada en otras cohortes. Se observó una mortalidad elevada a los 30 días entre los pacientes con covid-19 perioperatorio. Estos hallazgos deben reforzar la necesidad en las instituciones de salud de fortalecer las medidas de prevención perioperatorias, la búsqueda activa de pacientes infectados, así como la priorización de procedimientos quirúrgicos para el afrontamiento de futuras pandemias.

Keywords

COVID-19, mortality, morbidity, Incidence, outcomes, Surgical proceduresCOVID-19, Mortalidad, morbilidad, Incidencia, desenlaces, procedimientos quirúrgicos

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Cómo citar
Valderrama Beltrán , S. L., Grueso Angulo , R., Montealegre Diaz, J. S., Bernal Gutiérrez, M., Cataño Cataño, J. G., Galvis Navarrete, S. H., Ramirez Schneider, E. A., Torres Ortiz, M. P., Portilla Rojas, E., & Torregrosa Almonacid, L. (2024). Morbilidad y mortalidad perioperatoria en pacientes llevados a cirugía electiva y de urgencia durante la pandemia por covid-19 en un hospital de cuarto nivel. Universitas Medica, 64(4). https://doi.org/10.11144/Javeriana.umed64-4.mmpc
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