Bali Journal of Anesthesiology

REVIEW ARTICLE
Year
: 2022  |  Volume : 6  |  Issue : 4  |  Page : 201--209

Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis


I Made Gede Widnyana, Tjokorda Gde Agung Senapathi, Marilaeta Cindryani, Nova Juwita, Bianca Jeanne 
 Department of Anesthesiology and Intensive Care, Faculty of Medicine, University of Udayana, Bali, Indonesia

Correspondence Address:
Nova Juwita
Department of Anesthesiology and Intensive Care, Faculty of Medicine, University of Udayana, Jl. PB Sudirman, Denpasar 80232, Bali
Indonesia

Hundreds of surgeries are postponed every day during the global COVID -19 pandemic. The hospital and clinicians are in dilemma scheduling elective procedures during the pandemic. The current study was designed to evaluate postoperative pulmonary complications and mortality in COVID-19 patients in a systematic review and meta-analysis of globally published peer-reviewed literatures. A systematic literature search was conducted using the selection criteria in five databases. A quality assessment was made with a validated Newcastle-Ottawa Scale. The meta-analysis worked as a generic inverse variance meta-analysis. A total of 308 articles were identified from different databases and 5 articles with a total 1408 participants were selected for evaluation after successive screenings. The meta-analysis revealed a high global rate of postoperative mortality among COVID-19 patients, as high as 23% (95% CI: 15 to 26), and high postoperative pulmonary complications including pneumonia and acute respiratory distress syndrome. The 30-days mortality rate and prevalence of pulmonary complications were high. There was one death for every five COVID-19 patients undergoing surgical procedures, indicating the need for mitigating strategies to decrease perioperative mortality, transmission to healthcare workers, and non-COVID-19 patients. Larger samples and/or multicenter trials are needed to explore the perioperative mortality dan morbidity rate of patients with COVID-19 undergoing surgeries, and in particular, factors with the highest impact on perioperative mortality. There should be a clinical guideline to determine when to operate or not to operate on patients with COVID-19 for elective and emergency surgeries.


How to cite this article:
Widnyana I M, Senapathi TG, Cindryani M, Juwita N, Jeanne B. Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis.Bali J Anaesthesiol 2022;6:201-209


How to cite this URL:
Widnyana I M, Senapathi TG, Cindryani M, Juwita N, Jeanne B. Pulmonary complications and 30-day mortality rate in COVID-19 patients undergoing surgery: A systematic review and meta-analysis. Bali J Anaesthesiol [serial online] 2022 [cited 2022 Nov 26 ];6:201-209
Available from: https://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=201;epage=209;aulast=Widnyana;type=0