NCT06197282

Brief Summary

Following the introduction of the COVID-19 vaccination, elective surgeries have resumed, allowing for greater insight into the postoperative period and outcomes aims on-going COVID-19 infections. This study aimed to evaluate risk factors of postoperative morbidity and mortality in patients who had surgery within one year of testing positive for COVID-19.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
7,696

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2020

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 5, 2020

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2022

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

January 5, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 9, 2024

Completed
Last Updated

January 18, 2024

Status Verified

January 1, 2024

Enrollment Period

2.6 years

First QC Date

January 5, 2024

Last Update Submit

January 14, 2024

Conditions

Keywords

Postoperative outcomesCOVID-19

Outcome Measures

Primary Outcomes (1)

  • Surgical complication rate

    Post operative morbidity and mortality rate

    05/05/2020-12/01/2022

Study Arms (3)

COVID-19 Positive, Symptomatic

Patients undergoing major surgery with a documented positive COVID19 test with in 1 year of surgery and were symptomatic for COVID19 at the time of testing.

Procedure: Major surgery involving general anesthesia

COVID-19 Positive, Asymptomatic

Patients undergoing major surgery with a documented positive COVID19 test with in 1 year of surgery and were asymptomatic for COVID19 at the time of testing as well as at the time of surgery.

Procedure: Major surgery involving general anesthesia

Control: COVID-19 Negative

Patients undergoing major surgery with documented COVID19 negative testing prior to procedure.

Procedure: Major surgery involving general anesthesia

Interventions

EHR documented SAR-CoV-2 PCR nasopharyngeal swab results confirming Covid-19 status within one year of undergoing surgical procedure at Kern Medical Center.

Also known as: Diagnostic Test: SAR-CoV-2 PCR nasopharyngeal swab
COVID-19 Positive, AsymptomaticCOVID-19 Positive, SymptomaticControl: COVID-19 Negative

Eligibility Criteria

Sexall
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants who presented to Kern Medical Center, a high-volume tertiary referral center and safety net hospital located in Bakersfield, California between May 2020 to December 2022, who underwent a surgical procedure requiring general anesthesia. Participants were required to have a EHR documented SAR-CoV-2 PCR nasopharyngeal swab within one preoperatively. Study excludes surgical procedures using only MAC or local anesthesia as well as percutaneous endoscopic gastrostomy tube placement. A total of 7,696 patients were included, 420 tested positive for COVID-19 (7.6% were symptomatic and 4.8% were asymptomatic) and 7,276 tested negative (10.9% qualified as control).

You may qualify if:

  • Documented SAR-CoV-2 PCR nasopharyngeal swab within 1 year of major surgical intervention requiring general anesthesia

You may not qualify if:

  • Surgical procedures using solely MAC and/or local anesthesia. Additionally, percutaneous endoscopic gastrostomy tube placements were omitted.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Kern Medical Center

Bakersfield, California, 93306, United States

Location

MeSH Terms

Conditions

COVID-19Postoperative Complications

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator, DO, MPH

Study Record Dates

First Submitted

January 5, 2024

First Posted

January 9, 2024

Study Start

May 5, 2020

Primary Completion

December 1, 2022

Study Completion

December 1, 2022

Last Updated

January 18, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will not share

Locations