Journal of the Practice of Cardiovascular Sciences

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 8  |  Issue : 1  |  Page : 22--29

Postoperative outcomes of cardio-thoracic surgery in post-COVID versus non-COVID patients - Single-center experience


Jeevesh John Thomas, Simon Philipose, Aswathy Vijayan, Yumna Pareekutty Mohammed, Murukan Padmanabhan, Antony George, Job Wilson, Grace Maria George, Jacob Abraham, GS Sunil, Bhaskar Ranganathan, Jose Chacko Periappuram 
 Department of Cardiothoracic and Vascular Surgery, Lisie Heart Institute, Kochi, Kerala, India

Correspondence Address:
Jose Chacko Periappuram
Department of Cardiothoracic and Vascular Surgery, Lisie Heart Institute, Kochi, Kerala
India

Objective: The aim of this study is to investigate the postoperative outcomes in post COVID versus non-COVID patients undergone cardiac surgery. Materials and Methods: A retrospective cohort study to analyze the impact of COVID-19 in patients undergoing elective or emergency cardiac surgeries. A total of 512 patients were included in the study over a period of 6 months. The study consists of 35 post-COVID patients and 477 non-COVID patients. All data were collected from previous medical records and hospital database. The clinical outcomes and mortality of post-COVID patients were compared with a cohort of non-COVID patients. The endpoints were compared using t-test or Chi-squared test. Results: Among the post-COVID patients, 54.3% (19) of the post-COVID patients were under COVID category A followed by category B 28.6% (10) and category C 17.1% (6). About 50% of post-COVID patients had complications, especially pneumonia and myocardial infarction following COVID-19. Around 43% of patients showed fibrotic changes in computed tomography (CT) Thorax at the time of admission for surgery. 63% showed CT score in between 1 and 5. The mean COVID antibody titer was 158 U/ml. Majority of the surgeries were coronary artery bypass graft and significant difference was observed in the requirement of intra-aortic balloon pump in post-COVID patients (P < 0.0001). No postoperative mortality reported in post-COVID patients. The postoperative outcomes and survival rates were almost similar in both groups. Conclusion: In our study, the post-COVID patients were recover in a similar way as non-COVID patients after cardiac surgery.


How to cite this article:
Thomas JJ, Philipose S, Vijayan A, Mohammed YP, Padmanabhan M, George A, Wilson J, George GM, Abraham J, Sunil G S, Ranganathan B, Periappuram JC. Postoperative outcomes of cardio-thoracic surgery in post-COVID versus non-COVID patients - Single-center experience.J Pract Cardiovasc Sci 2022;8:22-29


How to cite this URL:
Thomas JJ, Philipose S, Vijayan A, Mohammed YP, Padmanabhan M, George A, Wilson J, George GM, Abraham J, Sunil G S, Ranganathan B, Periappuram JC. Postoperative outcomes of cardio-thoracic surgery in post-COVID versus non-COVID patients - Single-center experience. J Pract Cardiovasc Sci [serial online] 2022 [cited 2022 Jul 4 ];8:22-29
Available from: https://www.j-pcs.org/article.asp?issn=2395-5414;year=2022;volume=8;issue=1;spage=22;epage=29;aulast=Thomas;type=0