Retrospective review of complications and outcomes in COVID-19-positive patients with comorbidities undergoing limb salvage procedures in a tertiary care wound center.
Retrospective review of complications and outcomes in COVID-19-positive patients with comorbidities undergoing limb salvage procedures in a tertiary care wound center.
- 2023
CONCLUSION: COVID-19 may negatively affect the wound healing process while increasing the mortality rate amongst patients with multiple or severe comorbidities undergoing limb salvage procedures. Medical providers need to be aware of the complexity of these patients and apply a multi-disciplinary protocol to obtain successful outcomes. INTRODUCTION: COVID-19 illness is associated with increased operative risks, ranging from delayed wound healing and coagulopathy to increased risk of mortality. MATERIALS AND METHODS: Patients who underwent LE limb salvage procedures within 30 days of a positive COVID-19 diagnosis were retrospectively reviewed. Patient demographics, comorbidities, surgical factors, postoperative complications, and management were collected. OBJECTIVE: This article describes the authors' recent experience of the implications of COVID-19 on limb salvage procedures. RESULTS: Of 597 patients screened from February 2020 to March 2022, a total of 67 (11.2%) were diagnosed with COVID-19, of which 17 received the diagnosis within 30 days of surgery and were thus included. Average follow-up was 43 +/- 3.2 months, at which point 6 (35.3%) were fully healed. The mortality rate at the most recent follow-up visit was 29.4% of patients (n = 5). Two patients required admission to the SICU following index procedure, and 1 necessitated a return to the operating room.
English
1044-7946
*COVID-19
*Limb Salvage
COVID-19 Testing
COVID-19/ep [Epidemiology]
Humans
Ischemia/su [Surgery]
Limb Salvage/mt [Methods]
Retrospective Studies
Risk Factors
Tertiary Healthcare
Treatment Outcome--Automated
MedStar General Surgery Residency
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Journal Article
CONCLUSION: COVID-19 may negatively affect the wound healing process while increasing the mortality rate amongst patients with multiple or severe comorbidities undergoing limb salvage procedures. Medical providers need to be aware of the complexity of these patients and apply a multi-disciplinary protocol to obtain successful outcomes. INTRODUCTION: COVID-19 illness is associated with increased operative risks, ranging from delayed wound healing and coagulopathy to increased risk of mortality. MATERIALS AND METHODS: Patients who underwent LE limb salvage procedures within 30 days of a positive COVID-19 diagnosis were retrospectively reviewed. Patient demographics, comorbidities, surgical factors, postoperative complications, and management were collected. OBJECTIVE: This article describes the authors' recent experience of the implications of COVID-19 on limb salvage procedures. RESULTS: Of 597 patients screened from February 2020 to March 2022, a total of 67 (11.2%) were diagnosed with COVID-19, of which 17 received the diagnosis within 30 days of surgery and were thus included. Average follow-up was 43 +/- 3.2 months, at which point 6 (35.3%) were fully healed. The mortality rate at the most recent follow-up visit was 29.4% of patients (n = 5). Two patients required admission to the SICU following index procedure, and 1 necessitated a return to the operating room.
English
1044-7946
*COVID-19
*Limb Salvage
COVID-19 Testing
COVID-19/ep [Epidemiology]
Humans
Ischemia/su [Surgery]
Limb Salvage/mt [Methods]
Retrospective Studies
Risk Factors
Tertiary Healthcare
Treatment Outcome--Automated
MedStar General Surgery Residency
MedStar Georgetown University Hospital/MedStar Washington Hospital Center
Journal Article