COVID-19 vaccine before surgery to reduce postoperative deaths: study

Researchers in a joint international study urged the government to prioritize vaccinated patients awaiting elective surgery for COVID-19.The· COVIDSurg International team of collaborators led by experts in University of Birmingham In the UK, vaccination of surgical patients ahead of the general population could avoid the postoperative deaths of thousands of virus-related people, he said.The· National Institute of Health-A funded study found that this was especially true for people over the age of 70 and those undergoing surgery for cancer.

Survey results published in BJS (Incorporate British Journal of Surgery And that European Journal of Surgery), This study examined data from 141,582 patients in 1667 hospitals in 116 countries, including Australia, Brazil, China, India, Japan, Nigeria, United Arab Emirates, the United Kingdom and the United States. Surgery.

0.6% to 1.6% of patients develop COVID-19 infection after elective surgery. Patients with COVID-19 infection have a 4- to 8-fold increased risk of death 30 days after surgery. Mortality in patients over the age of 70 who have undergone cancer surgery is usually 2.8%, but increases to 18.6% when COVID-19 develops.

Overall, scientists estimate that global prioritization of preoperative vaccination of selective patients can prevent an additional 58,687 COVID-19-related deaths in a year.

Aneel Changu, co-author of the University of Birmingham, said: Dead (number).

“Many countries, especially low- and middle-income countries, do not have wide access to COVID. [vaccines] For several years. Although vaccine supply is limited, the government prioritizes vaccination of groups at highest risk of death from COVID-19. Our work helps inform these decisions. “

“Resume elective surgery is a global priority,” said Dr. Dmitri Nepogodiev, co-author of the University of Birmingham. “More than 15,000 surgeons and anesthesiologists from 116 countries have contributed to this study and are the largest scientific collaboration to date. Using data collected by policy makers, elective surgery It is important to support safe resumption. COVID vaccination should be prioritized over elective surgery patients over the general population. “

During the first wave of the pandemic, up to 70% of selective surgery was postponed, resulting in an estimated 28 million procedures delayed or canceled. Surgical volumes are beginning to recover in many countries, but continued turmoil may continue throughout 2021, especially in countries with more COVID-19 waves.

Image credit: © / au / sudok1

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