TABLE 3.

Clinical Course and Surgical Characteristics of Patients Acquiring Symptomatic Perioperative COVID-19 Infection

Case Number	Date of Surgery	Surgery	Urgency	Comorbidities	Chance Serious Complication	Mortality Risk	Clinical Summary
41	3/17/20	Laparoscopic cholecystectomy	Emergent	None	1.7%	0.0%	44F. Uncomplicated procedure for gallstone pancreatitis. Discharged POD0. POD7: outpatient fever and sore throat. No further sequalae.
42	3/17/20	Deceased donor kidney transplant	Urgent	DM, ESRD, HTN, CVD, heart transplant	N/A	N/A	61M. Uncomplicated procedure. POD5: inpatient respiratory decompensation. Admitted to the ICU POD8 with course complicated by mechanical ventilation, sepsis requiring pressors, renal failure, and UTI. Died POD19.
56	3/17/20	Partial hepatectomy for live donor liver transplant	Urgent	None	5.8%	0.0%	25F. Uncomplicated procedure. POD3: inpatient sore throat and positive test. No further sequalae.
92	3/18/20	Coronary artery bypass graft	Urgent	DM, HTN, CVD	12.5%	0.7%	57M. Triple-vessel CABG complicated by intraoperative MI. Postoperative ICU course complicated by ischemic stroke and COVID pneumonia (POD6), leading to respiratory decompensation and death POD20.
144	3/20/20	Uterine dilation and curettage	Emergent	DM, Obesity, HTN, CVD	5.7%	0.2%	74F. Uncomplicated procedure for bleeding. Discharged POD1. POD10: outpatient shortness of breath, nausea, vomiting, and fatigue. Presented to outside ED POD11 where COVID was confirmed, with no further respiratory sequalae.
170	3/23/20	Transphenoidal excision of pituitary neoplasm	Emergent	Obesity, HTN	6.3%	0.1%	66M. Uncomplicated procedure for pituitary macroadenoma. POD2: febrile, chills, fatigue and positive test. Discharged POD7 with no further sequalae.
239	3/31/20	Chemotherapy port placement	Urgent	DM, HTN, Liver disease	12.0%	0.8%	75M. Uncomplicated ambulatory procedure. POD10: outpatient fatigue. POD13: outside hospital positive test and bacteremia with unclear length of stay, but discharged with repeat negative testing POD29. Improved clinically, and was able to resume chemotherapy treatment.
259	4/1/20	Creation of arteriovenous fistula	Urgent	DM, Obesity, HTN	10.5%	1.0%	49M with new ESRD and volume overload, requiring fistula for urgent hemodialysis. Uncomplicated course. POD8: presented to the ED with fever, cough, and shortness of breath Prolonged hospitalization due to cardiac, renal, and neurologic complications. Discharged POD22.
277	4/4/20	Uterine dilation and evacuation	Emergent	Chronic lung disease, sickle cell disease	3.4%	0.0%	33F, 14-wk gravid, requiring surgical abortion for high-risk pregnancy. Uncomplicated procedure. Overnight POD1 hypotensive and chest X-ray concerning for pneumonia. Confirmed COVID POD2. Discharged POD10 with no further sequalae.

Chance serious complication and mortality risk are derived from the ACS NSQIP surgical risk calculator.

CVD indicates cardiovascular disease; DM, diabetes mellitus; F, female; HTN, hypertension; ICU, intensive care unit; M, male; POD, postoperative day; UTI, urinary tract infection.