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Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection: Recommendations of Peking Union Medical College Hospital (2023)
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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。Abstract: With the adjustment of China's epidemic prevention and control guidelines regarding coronavirus disease of 2019(COVID-19), the preoperative evaluation and timing of surgery for patients after COVID-19 infection have become the focus of attention for both healthcare workers and patients. Based on the latest study and related clinical experience, Peking Union Medical College Hospital (PUMCH) has therefore compiled this multidisciplinary, evidence-based recommendation for concise, individualized, and practical preoperative evaluation and timing of surgery for patients after COVID-19 infection. The recommendations emphasize patients' COVID-19 infection history, the severity of symptoms, and medical/physiologic recovery status during preoperative evaluation. The determination of appropriate length of time between recovery from COVID-19 and surgery/procedure should take into account of patients' underlying health conditions, the severity of the COVID-19 infection course, and the types of surgery and anesthesia scheduled, to minimize postoperative complications. The recommendations are intended to aid healthcare workers in evaluating these patients, scheduling them for the optimal timing of surgery, and optimizing perioperative management and postoperative recovery.
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Key words:
- COVID-19 /
- preoperative evaluation /
- timing of surgery
作者贡献：本建议由北京协和医院医务处组织麻醉科、外科学系、内科学系、感染内科、呼吸内科、心内科、重症医学科、内科ICU等多学科专家共同讨论发起并完成，张抒扬、吴沛新牵头并指导该建议编写工作；申乐、黄宇光负责制定建议框架并进行最终审校后形成终稿；编写工作组成员负责查阅文献，收集数据，提供建议；树茜、许力、谭刚、裴丽坚共同起草初稿；申乐、何小东、李太生、王孟昭、荆志成、隆云、翁利、许力、谭刚、裴丽坚在马小军、黄宇光的组织下对本建议进行讨论和修订。利益冲突：所有参与本建议制定的人员均声明不存在利益冲突编写专家组：顾问：张抒扬(中国医学科学院北京协和医院心内科/疑难重症及罕见病国家重点实验室)，吴沛新(中国医学科学院北京协和医院)组长：申乐(中国医学科学院北京协和医院麻醉科)成员 (按姓氏首字母排序)：何小东(中国医学科学院北京协和医院外科学系)，黄宇光(中国医学科学院北京协和医院麻醉科)，荆志成(中国医学科学院北京协和医院心内科)，李太生(中国医学科学院北京协和医院感染内科)，隆云(中国医学科学院北京协和医院重症医学科)，马小军(中国医学科学院北京协和医院感染内科/医务处)，裴丽坚(中国医学科学院北京协和医院麻醉科)，谭刚(中国医学科学院北京协和医院麻醉科)，王孟昭(中国医学科学院北京协和医院呼吸与危重症医学科)，翁利(中国医学科学院北京协和医院内科ICU)，许力(中国医学科学院北京协和医院麻醉科)编写工作组 (按姓氏首字母排序)：崔秋菊(中国医学科学院北京协和医院手术室)，陈唯韫(中国医学科学院北京协和医院麻醉科)，高海燕(中国医学科学院北京协和医院手术室)，刘紫薇(中国医学科学院北京协和医院内科学系)，宋锴澄(中国医学科学院北京协和医院麻醉科)，滕菲(中国医学科学院北京协和医院内科学系)，谭林娟(中国医学科学院北京协和医院手术室)，王惠珍(中国医学科学院北京协和医院手术室)，吴颜延(中国医学科学院北京协和医院内科学系)，郑华(中国医学科学院北京协和医院内科学系)，张圣洁(中国医学科学院北京协和医院手术室)执笔人：树茜，许力，谭刚，裴丽坚(中国医学科学院北京协和医院麻醉科) -
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