Anesthetic drugs & techniques

Previous Coronavirus Disease-2019 Infection and Lung Mechanics in Surgical Patients: A Hospital Registry Study

Anesth AnalgPublished Retrospective cohort study

Main finding · Baseline respiratory system complianceResult — go to the resultAdjusted ratio of means 0.96 95% CI 0.94–0.97

Authors' conclusion

A history of COVID-19 infection during Alpha 1 , Alpha 2 , and Delta surges was associated with a measurably lower baseline respiratory system compliance.

Study context

Population
Adults undergoing GA, January 2020–March 2022, tertiary health care network in Massachusetts (excluding ASA >IV, laryngoscopic surgeries, arrived intubated)
Participants
19,921 adults
Exposure
History of COVID-19 vs no history of COVID-19
  • History of COVID-19n = 1,386
Outcome
Baseline respiratory system compliance (mL/cmH 2 O)
Methodological detailshospital registry
  • Hospital registry

Main finding

Baseline respiratory system compliance

Adjusted ratio of means

0.96

95% CI 0.94–0.97

P < 0.001

History of COVID-19 vs No COVID-19
adjusted ratio of means 0.96 (95% CI 0.94–0.97); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

Baseline respiratory system compliance, Delta surge, Hispanic ethnicity (subgroup)

Ratio of means adj (95% CI)P value
Delta surge effect magnified in Hispanic ethnicityAdjusted compliance difference: −4.6 mL/cmH 2 O0.83 (0.74–0.93)P = 0.001
  • Baseline respiratory system compliance, Delta surge, Hispanic ethnicity (subgroup): P -for-interaction = 0.003

Baseline respiratory system compliance by surge (Alpha 1, Alpha 2, Delta, Omicron)

Alpha 1, Alpha 2 and Delta surges, but not Omicron, led to lower baseline compliance
P < 0.001, P = .02, and P < .001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Previous Coronavirus Disease-2019 Infection and Lung Mechanics in Surgical Patients: A Hospital Registry Study. Anesth Analg. Published 26 July 2024. doi:10.1213/ane.0000000000007015

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

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