Department of Anesthesiology, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
Department of Hematology Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
J Card Surg. 2020 Dec;35(12):3650-3652. doi: 10.1111/jocs.14982. Epub 2020 Nov 1.
In this report we describe the clinical presentation, laboratory findings and outcomes of four patients that were referred for urgent cardiothoracic intervention and tested positive for COVID-19.
The St. Elizabeth's Medical Center Institutional Review Board exempted the study from review (waived review). In each case, verbal informed consent was obtained by the study participant or health care proxy.
The majority of the patients undergoing surgery had low Society of Thoracic Surgeons score and uneventful operating time. The mortality was very high and driven primarily by the viral syndrome. Laboratory markers that have been associated with disease severity in the general population were also prognostic in our population.
Our study shows that these patients have very high mortality, whereas prevention and preoperative screening is required in preventing nosocomial spreading of the disease.
在本报告中，我们描述了 4 名因紧急心胸干预而被转介并检测出 COVID-19 阳性的患者的临床表现、实验室结果和转归。
圣伊丽莎白医疗中心机构审查委员会豁免了该研究的审查（豁免审查）。在每种情况下，研究参与者或医疗保健代理人都通过口头同意。
大多数接受手术的患者的胸外科医生协会评分较低，手术时间无意外。死亡率非常高，主要是由病毒综合征引起的。与一般人群疾病严重程度相关的实验室标志物在我们的人群中也具有预后价值。
我们的研究表明，这些患者的死亡率非常高，因此需要预防和术前筛查，以防止医院内疾病的传播。
