Globalsurg Collaborative’s research while affiliated with Tamale Teaching Hospital and other places

... After surgery, we can also focus on the dynamic changes in these patients' indicators and provide early prevention of surgical site infections and high nutritional support. Malnutrition increases the incidence of postoperative complications and mortality [27]. Reasonable nutritional support can correct the abnormal metabolism of nutrients, promote wound healing, reduce tissue oxidative stress, regulate the body's inflammatory immune response, and enhance the mucosal barrier function of the intestine [28]. ...

Reference:

Immune-nutritional indicators predict short-term mortality in older patients after emergency gastrointestinal surgery: a retrospective study

... Furthermore, it studied the duration between COVID-19 infection and surgery as a discrete variable (weeks) without testing it as a continuous variable beforehand to look for any significance. Also, they did not consider delaying the surgery more than seven weeks, did not include procedure-specific analysis, and did not take the severity of the symptoms into account (4). ...

Reference:

The delaying of elective surgeries after COVID-19 infection decreases postoperative complications

... Published research indicates that older individuals and those with comorbidities are more severely affected. The virus has infected over 212 million people across 220 nations, resulting in over 4.4 million deaths (Petersen et al. 2010;COVIDSurg and GlobalSurg 2022). Since the start of the pandemic, there has been a warning that severe COVID-19 and chronic liver diseases (CLD) share risk factors, such as advanced age, diabetes, and obesity, which could result in poor outcomes after SARS-CoV-2 infection (Marjot et al. 2021a;Abdelgawad et al. 2022). ...

Reference:

Recent advances in COVID-19-induced liver injury: causes, diagnosis, and management

... 52 Further work is also needed to address the regional variation and stark geographic inequity in the study of 'rescue' from postoperative complications and to determine the structural and human resources needed to improve the 'rescue' of surgical patients in various healthcare systems. The largest burden of FTR occurs in low-middle income countries, 53,54 which were considerably under-represented in this review, highlighting the need for further targeted research to improve the 'capacity to rescue' and ensure global equity in surgical outcomes. ...

Reference:

Variation in the definition of 'failure to rescue' from postoperative complications: a systematic review and recommendations for outcome reporting

... All-cause mortality as the primary endpoint was met in 28% of patients in the peri-operative COVID-19 group compared to 4.3% in the controls (p < 0.01). The median time from surgery to death in the peri-operative COVID-19 group was 28 (22) days. The composite secondary endpoint was also significantly prevalent in the peri-operative COVID-19 group (52 vs 13.9%, p < 0.01). ...

Reference:

Impact of COVID-19 on cardiac surgery outcomes

... According to a recent study that involved 96,454 patients from 114 countries, pre-operative isolation is no longer favorable as it increases the risk of pulmonary complications. Hence, we recommend vaccination and nasopharyngeal swab prior to elective surgery without isolating the patient [18]. We found that 44.4% of the participants used one NP-PCR preoperatively and 48% test patients 48-72 hours before surgery. ...

Reference:

Perspectives on Return to Elective Surgeries in Kuwait and GCCC: A Cross-Sectional Survey

... There are several potential reasons for this rise. Primarily, this trend seems to align with an increase in migration flows from Africa to Italy, observed during the same period [31]. The challenges faced by immigrants arriving in a new country, such as unfamiliarity with local customs, language barriers, or adaptation to different traffic regulations, can contribute to an elevated risk of injuries. ...

Reference:

Changes in hospital admissions for facial fractures during and after COVID 19 pandemic: national multicentric epidemiological analysis on 2938 patients

... Thus, Fe limitation can limit the growth of Symbiodinium spp. (Rodriguez and Ho, 2018) as well as of marine phytoplankton (Sunda & Huntsman, 1997), as observed in our experiment for cells grown in depleted iron conditions (0 nM). An increase in the volume of Symbiodinium sp. cells was observed at the 10 nM Fe condition, indicating that lower Fe concentrations may facilitate cellular expansion. ...

Reference:

Moderate levels of dissolved iron stimulate cellular growth and increase lipid storage in Symbiodinium sp

... 33,34 Moreover, the rate of postoperative pulmonary complications was reported to increase with periods of isolation longer than 3 days and longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. 35 Kovoor et al. proposed that minor surgery should be delayed for at least 4 weeks and major surgery for 8-12 weeks, if patient outcome is not compromised. 36 However, cancer surgery, and especially oncologic HPB surgery, is not always amenable to delays, and is not considered elective surgery per se. ...

Reference:

International Hepato-Pancreato-Billiary Association (IHPBA) registry study on COVID-19 infections in HPB surgery patients

... In urgent cases, the rate may reach 3.3% [16]. Consequently, these patients are at a higher risk of postoperative pulmonary complications, thromboembolic events, and mortality [17][18][19]. ...

Reference:

COVID-19 Infection Risk Following Elective Arthroplasty and Surgical Complications in COVID-19-vaccinated Patients: A Multicenter Comparative Cohort Study