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北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)

北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议多学科专家组

北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议多学科专家组. 北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2023-0048
引用本文: 北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议多学科专家组. 北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2023-0048
Multi-disciplinary Expert Team on Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection. Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection:Recommendations of Peking Union Medical College Hospital (2023)[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0048
Citation: Multi-disciplinary Expert Team on Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection. Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection:Recommendations of Peking Union Medical College Hospital (2023)[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0048

北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)

doi: 10.12290/xhyxzz.2023-0048
基金项目: 

中央高水平医院临床科研专项基金(2022-PUMCH-B-007)

详细信息
  • 中图分类号: R511

Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection:Recommendations of Peking Union Medical College Hospital (2023)

Funds: 

National High Level Hospital Clinical Research Funding (2022-PUMCH-B-007)

  • 摘要: 随着我国疫情防控措施的调整,新型冠状病毒感染患者的术前评估、手术时机选择已成为医患双方共同关注的焦点问题。为此,北京协和医院组织相关多学科专家,遵循简明、个体化、分层分型、临床可操作的原则,结合最新临床指南、国内外临床研究证据与经验,编写了《北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)》。本建议提出,成人新型冠状病毒感染患者术前评估需关注新型冠状病毒感染史、症状严重程度、康复情况等;综合考虑患者基础疾病、症状严重程度、手术麻醉等因素,进行全面、个体化的评估,从而为医务人员开展术前评估及手术时机选择提供决策支持,有助于加强围术期管理并提升术后康复质量。
  • [1] 国家卫生健康委办公厅, 国家中医药局综合司.新型冠状病毒感染诊疗方案(试行第十版)[EB/OL].(2023-01-06)[2023-01-20].http://www.nhc.gov.cn/ylyjs/pqt/202301/32de5b2ff9bf4eaa88e75bdf7223a65a.shtml.
    [2] 中华人民共和国国家卫生健康委员会. 医疗机构手术分级管理办法[EB/OL]. (2022-12-19)[2023-01-20]. http://www.nhc.gov.cn/yzygj/s7657/202212/5eb7ddbaa8004a4497c5f29d3a2a5b4d.shtml.
    [3] Collaborative CO. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection:an international cohort study[J]. Lancet, 2020, 396:27-38.
    [4] Collaborative CO. Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA:A Prospective Multicenter Study[J]. Ann Surg, 2022, 275:247-251.
    [5] Kiyatkin ME, Levine SP, Kimura A, et al. Increased inci-dence of post-operative respiratory failure in patients with pre-operative SARS-CoV-2 infection[J]. J Clin Anesth, 2021, 74:110409.
    [6] Collaborative CO, GlobalSurg C. Timing of surgery following SARS-CoV-2 infection:an international prospective cohort study[J]. Anaesthesia, 2021, 76:748-758.
    [7] Deng JZ, Chan JS, Potter AL, et al. The Risk of Postopera-tive Complications After Major Elective Surgery in Active or Resolved COVID-19 in the United States[J]. Ann Surg, 2022, 275:242-246.
    [8] Yilmaz S, Sapci I, Jia X, et al. Risk Factors Associated With Postoperative Mortality Among COVID-19 Positive Pa-tients:Results of 3027 Operations and Procedures[J]. Ann Surg, 2022, 276:969-974.
    [9] Bryant JM, Boncyk CS, Rengel KF, et al. Association of Time to Surgery After COVID-19 Infection With Risk of Postoperative Cardiovascular Morbidity[J]. JAMA Netw Open, 2022, 5:e2246922.
    [10] Anesthesia Patient Safety Foundation. American Society of Anesthesiologists and Anesthesia Patient Safety Foundation joint statement on elective surgery and anesthesia for patients after COVID-19 infection[EB/OL]. (2022-02-22)[2023-01-20]. https://www.apsf.org/news-updates/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection/.
    [11] El-Boghdadly K, Cook TM, Goodacre T, et al. Timing of elective surgery and risk assessment after SARS-CoV-2 infec-tion:an update:A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Centre for Periop-erative Care, Federation of Surgical Specialty Associations, Royal College of Anaesthetists, Royal College of Surgeons of England[J]. Anaesthesia, 2022, 77:580-587.
    [12] Australian and New Zealand College of Anaesthetists. Guide-line on surgical patient safety for SARS-CoV-2 infection and vaccination[EB/OL]. (2022-08-04)[2023-01-20]. https://www.anzca.edu.au/getattachment/af1fb728-5e87-413a-b006-c54cecf282b1/PG68(A)-Guideline-surgical-pa-tient-safety-SARS-CoV-2.
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出版历程
  • 收稿日期:  2023-01-31
  • 录用日期:  2023-01-31
  • 网络出版日期:  2023-02-03

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