Evaluation of the Post-COVID Patient Prior to Elective Plastic Surgery: Developing an Evidence-Based Framework.
Thomas FialaJames FernauRobert SingerPublished in: Aesthetic surgery journal (2021)
Preoperative assessment of a potential surgical patient has long been a cornerstone of patient safety. As more patients get, and recover from, COVID-19, plastic surgeons will be faced with the challenge of evaluating the health status and operative risk of convalescent COVID patients who now desire elective surgery. A significant fraction of these patients, however, can have new or persistent health issues as a result of COVID-19, which can affect surgical safety. This paper briefly examines the current relevant literature regarding the post-COVID patient, reviews the waiting period for adequate recovery, and suggests an evidence-based framework for preoperative assessment, based on the severity of the prior COVID-19 episode, ongoing symptoms, and basic screening tests.
Keyphrases
- coronavirus disease
- sars cov
- patient safety
- end stage renal disease
- patients undergoing
- ejection fraction
- newly diagnosed
- chronic kidney disease
- respiratory syndrome coronavirus
- healthcare
- quality improvement
- public health
- mental health
- depressive symptoms
- acute coronary syndrome
- coronary artery disease
- physical activity
- patient reported outcomes
- climate change
- social media
- percutaneous coronary intervention
- surgical site infection