Patient Outcome of Cardiac Surgery During the COVID-19 Pandemic

  • STATUS
    Recruiting
  • participants needed
    350
  • sponsor
    Nantes University Hospital
Updated on 16 February 2024

Summary

This study will describe the recovery process of patients undergoing cardiac surgery during the covid-19 pandemic. This will focus on hemodynamic failure and organ dysfunction after surgery.

Capturing real-world data and sharing international experience will inform the management of this complex group of patients who undergo surgery throughout the COVID-19 pandemic, improving their clinical care.

This investigator-led, non-commercial, non-interventional does not collect any patient identifiable information.

Description

Performing cardiac surgery in the context of SARS-CoV2 infection is potentially at risk of marked post-operative hemodynamic failure (shock) due to the inflammatory reaction generated by the surgery and the extracorporeal circulation associated with the viral infection. In addition, in the absence of infection, 30-50% of patients will experience acute post-operative respiratory failure due to the combined effects of extracorporeal circulation and general anesthesia. The pulmonary tropism of the virus therefore is susceptible to increase in post-operative respiratory impairment.

Thus, the infection is likely to favor the occurrence of post-operative shock but also to aggravate respiratory failure and other post-operative organ failures.

Therefore, the investigators designed an observational study that aims at comparing two groups of patients:

  • Cardiac or thoracic surgery patients with a negative Covid-19 PCR pre-operatively and in the 5 following days
  • Cardiac or thoracic surgery patients with a positive Covid-19 PCR in the 5 days before or after surgery

Details
Condition Patients Undergoing Cardiac or Thoracic Surgery
Age 18years - 100years
Treatment No intervention
Clinical Study IdentifierNCT04389463
SponsorNantes University Hospital
Last Modified on16 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Adults (age 18 years) undergoing cardiac or thoracic surgery
With positive PCR in the 5 days before or after cardiac/thoracic surgery

Exclusion Criteria

Minors
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