Significant evidence base demonstrates an increased risk of perioperative mortality in COVID positive surgical patients
Based on previous knowledge of preoperative pulmonary infections, as well as early clinical data, most professional associations recommend a deferral of at least 7 weeks from symptom onset or positive test to elective surgery
New evidence in light of the existing surgical backlogs indicates that those with asymptomatic or mild infections can proceed to minor, low-risk elective surgeries 4 weeks after symptom onset or positive test
Guidelines and frameworks indicate that timelines are only recommendations and individuals need to be assessed objectively for preoperative fitness, that the risks and benefits of both surgery and delay be discussed, and that shared decision making used between multidisciplinary care teams and patients
Badea, A; Groot, G; Reeder, B; Fox, L; Young, C. What is the evidence on timing and outcomes of elective surgery after a COVID infection? 2022 May 27, Document no.: EOC220504 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. 11 p. (CEST rapid review report).