Previous Coronavirus Disease-2019 Infection and Lung Mechanics in Surgical Patients: A Hospital Registry Study

被引:0
作者
Suleiman, Aiman [1 ,2 ,3 ]
Munoz-Acuna, Ricardo [1 ,2 ]
Redaelli, Simone [1 ,2 ,4 ]
Ahrens, Elena [1 ,2 ]
Tartler, Tim M. [1 ,2 ]
Ashrafian, Sarah [1 ,2 ]
Hashish, May M. [1 ,2 ]
Santarisi, Abeer [1 ,2 ]
Chen, Guanqing [1 ,2 ]
Riedel, Stefan [5 ]
Talmor, Daniel [1 ]
Kassis, Elias N. Baedorf [1 ,6 ]
Schaefer, Maximilian S. [1 ,2 ,7 ]
Goodspeed, Valerie [1 ,2 ]
机构
[1] Beth Israel Deaconess Med Ctr, Ctr Anesthesia Res Excellence CARE, Boston, MA USA
[2] Beth Israel Deaconess Med Ctr, Dept Anesthesia Crit Care & Pain Med, Boston, MA USA
[3] Univ Jordan, Fac Med, Dept Anesthesia & Intens Care, Amman, Jordan
[4] Univ Milano Bicocca, Sch Med & Surg, Dept Anesthesia, Milan, Italy
[5] Beth Israel Deaconess Med Ctr, Dept Pathol, Boston, MA USA
[6] Beth Israel Deaconess Med Ctr, Dept Pulm Crit Care & Sleep Med, Boston, MA USA
[7] Univ Klinikum Dusseldorf, Dept Anesthesiol, Dusseldorf, Germany
基金
美国国家卫生研究院;
关键词
RESPIRATORY MECHANICS; GENERAL-ANESTHESIA; FOLLOW-UP; COVID-19; COMPLICATIONS; ASSOCIATION;
D O I
10.1213/ANE.0000000000007015
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
BACKGROUND:Long-term pulmonary complications have been reported after a coronavirus disease-2019 (COVID-19). We hypothesized that a history of COVID-19 is associated with a measurable decrease in baseline respiratory system compliance in patients undergoing general anesthesia. METHODS:In this hospital registry study, we included adult patients undergoing general anesthesia between January 2020 and March 2022 at a tertiary health care network in Massachusetts. We excluded patients with an American Society of Anesthesiologists physical status >IV, laryngoscopic surgeries, and patients who arrived intubated. The primary exposure was a history of COVID-19. The primary outcome was baseline respiratory system compliance (mL/cmH(2)O). Effects of severity of infection, surges (Alpha(1), Alpha(2), Delta, and Omicron), patient demographics, and time between infection and assessment of compliance were investigated. RESULTS:A total of 19,921 patients were included. Approximately 1386 (7.0%) patients had a history of COVID-19. A history of COVID-19 at any time before surgery was associated with a measurably lower baseline respiratory system compliance (ratio of means(adj) = 0.96; 95% confidence interval [CI], 0.94-0.97; P < .001; adjusted compliance difference: -1.6 mL/cmH(2)O). The association was more pronounced in patients with a severe form of COVID-19 (ratio of means(adj) = 0.95; 95% CI, 0.90-0.99; P = .02, adjusted compliance difference: -2 mL/cmH(2)O). Alpha(1), Alpha(2), and Delta surges, but not Omicron, led to a lower baseline respiratory system compliance (P < .001, P = .02, and P < .001). The Delta surge effect was magnified in Hispanic ethnicity (P-for-interaction = 0.003; ratio of means(adj) = 0.83; 95% CI, 0.74-0.93; P = .001; adjusted compliance difference: -4.6 mL/cmH(2)O). CONCLUSIONS:A history of COVID-19 infection during Alpha1, Alpha2, and Delta surges was associated with a measurably lower baseline respiratory system compliance.
引用
收藏
页码:997 / 1005
页数:9
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