COVID-19 status |
Swab test negative, no symptoms of COVID-19 |
COVID-19 negative throughout initial hospital admission, including operation. Discharged home and later re-admitted, with subsequent COVID-positive swab test (day-10 post-operatively) |
Age |
>65 years old |
>65 years old |
ASA grade |
IV |
III |
Urgency of surgery |
NHS England priority level 2 |
NHS England priority level 2 |
Complexity of surgery |
Neurosurgical resection, neck dissection and free flap reconstruction |
Coronary artery bypass grafts complicated by sternal dehiscence and sternal osteomyelitis, requiring multiple repeat debridements and omental flap reconstruction through laparotomy |
Surgical time |
17.8 h |
2.1 h |
Post-operative complications |
Clavien-Dindo grade 4 and 5 (stroke, respiratory failure requiring ventilation and death) |
Clavien-Dindo grade 4 and 5 (COVID pneumonia, respiratory failure and death) |
Death |
Day 7 post-operatively |
Day 31 post-operatively |
Mortality rate |
0.2% 30-day mortality rate |
0.4% overall mortality rate |