• BMC anesthesiology · Feb 2022

    Multicenter Study Observational Study

    Characteristics and outcomes of patients undergoing anesthesia while SARS-CoV-2 infected or suspected: a multicenter register of consecutive patients.

    • Arthur James, Audrey De Jong, Thomas Jeanmougin, Antonia Blanie, Samy Figueiredo, Pierre Goffin, Morgan Le Guen, Elie Kantor, Flora Cipriani, Sébastien Campion, Mathieu Raux, Samir Jaber, Emmanuel Futier, Jean-Michel Constantin, and Société Française d’Anesthésie Réanimation (SFAR) Research Network.
    • Département d'Anesthésie Réanimation, Sorbonne Université, GRC 29, AP-HP, DMU DREAM, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Site Pitié-Salpêtrière, 75013, Paris, France. arthur.james@aphp.fr.
    • BMC Anesthesiol. 2022 Feb 14; 22 (1): 46.

    BackgroundThere are limited data to detail the perioperative anesthetic management and the incidence of postoperative respiratory complications among patients requiring an anesthetic procedure while being SARS-CoV-2 positive or suspected.MethodsAn observational multicenter cohort study was performed including consecutive patients who were SARS-CoV-2 confirmed or suspected and who underwent scheduled and emergency anesthesia between March 17 and May 26, 2020.ResultsA total of 187 patients underwent anesthesia with SARS-CoV-2 confirmed or suspected, with ultimately 135 (72.2%) patients positive and 52 (27.8%) negative. The median SOFA score was 2 [0; 5], and the median ARISCAT score was 49 [36; 67]. The major respiratory complications rate was 48.7% (n = 91) with 40.4% (n = 21) and 51.9% (n = 70) in the SARS-CoV-2-negative and -positive groups, respectively (p = 0.21). Among both positive and negative groups, patients with a high ARISCAT risk score (> 44) had a higher risk of presenting major respiratory complications (p < 0.01 and p = 0.1, respectively).DiscussionWhen comparing SARS-COV-2-positive and -negative patients, no significant difference was found regarding the rate of postoperative complications, while baseline characteristics strongly impact these outcomes. This finding suggests that patients should be scheduled for anesthetic procedures based on their overall risk of postoperative complication, and not just based on their SARS-CoV-2 status.© 2022. The Author(s).

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