The AAPS 101st Annual Meeting

Retrospective Review of Complications and Outcomes in COVID-19 Positive Comorbid Patients Undergoing Limb Salvage Procedures In A Tertiary Care Wound Center

•The severe acute respiratory syndrome coronavirus 2 (SARS-coV-2), the virus that causes coronavirus disease 2019 (COVID-19) has been associated with a hypercoagulable, hyperinflammatory state1-3

•In turn, COVID-19 is associated with increased operative risks, ranging from delayed wound healing and coagulopathy to increased risk of mortality3,4

•There is a paucity of literature describing the implications of a COVID-19-positive diagnosis on limb salvage procedures in patients with chronic wounds

•We sought to report our recent experiences with COVID-positive patients

•Retrospective review of patients who underwent lower extremity (LE) limb salvage procedures within 30 days of a positive COVID-19 diagnosis from February 2020 to March 2022

•Reviewed:

- Patient demographics

- Comorbidities

- Surgical factors

- Postoperative complications and

management

•597 patients screened à 67 (11.2%) diagnosed with COVID-19 à 17 within 30 days of surgery and thus included

•Patient Characteristics

- Predominantly male (n=12, 70.5%)

- Average age of 58.6 ± 17.8 years

- Median Charlson Comorbidity Index

(CCI) 5 (IQR: 6.5), reflecting

substantial comorbidity burden

•COVID-19 Characteristics

- Mean time from COVID-19 diagnosis to index procedure: 8.5 ± 15.2 days

- Five patients (29.4%) received at least one dose of the COVID-19

vaccine

- Asymptomatic infection in 10 cases

(58.8%), symptomatic in 7 (41.2%),

with one patient requiring treatment

with Remdesivir

The AAPS 101st Annual Meeting

Retrospective Review Of Complications And Outcomes In Covid-19 Positive Comorbid Patients Undergoing Limb Salvage Procedures In A Tertiary Care Wound Center

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