Neuroanesthesia & neurocritical care

Association Between Coronavirus Disease 2019 Vaccination and Mortality After Major Operations

Ann SurgPublished Retrospective cohort study

Main findingResult — go to the resultAdjusted odds ratio 1.38 95% CI 0.70–2.72

Authors' conclusion

Contrary to risks observed among unvaccinated patients, postoperative mortality does not differ between patients with and without COVID-19 when vaccinated against the severe acute respiratory syndrome coronavirus 2 virus and receiving a high-risk operation within 8 weeks of the diagnosis, regardless of operation timing relative to diagnosis.

Study context

Population
Fully vaccinated patients undergoing high-risk general, vascular, orthopedic, neurosurgery or genitourinary surgery, US, July 2021 to October 2022fully vaccinated
Participants
3,401 participants
Exposure
COVID-19-positive vs COVID-19-negative
  • COVID-19-positiven = 437
Outcome
All-cause mortality
Follow-up
90 days
Methodological detailsmatched cohort, multicentre, national US, inverse probability treatment weighted propensity scores
  • Matched cohort
  • Multicentre
  • National US
  • Inverse probability treatment weighted propensity scores

Main finding

As reported in the abstract

Adjusted odds ratio

1.38

95% CI 0.70–2.72

Events by group

COVID-19-positive vs COVID-19-negative
aOR 1.38 (95% CI 0.70–2.72)

Observational data: associations, not effects.

Further findings

Proximity of COVID-19 diagnosis to operation

Did not confer added mortality risk in either comparison cohort

Original publication

Association Between Coronavirus Disease 2019 Vaccination and Mortality After Major Operations. Ann Surg. Published 27 July 2023. doi:10.1097/sla.0000000000006051

Composed by AI from the published abstract and checked against it. How Briefs are made →

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