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Death following pulmonary complications of surgery before and during the SARS-CoV-2 pandemic
BJS (British Journal of Surgery) Pub Date : 2021-09-10 , DOI: 10.1093/bjs/znab336 , K A McLean , S K Kamarajah , D Chaudhry , R R Gujjuri , K Raubenheimer , I Trout , E Al Ameer , B Creagh-Brown , E M Harrison , D Nepogodiev , A C Roslani , E Li , F Pata , A Ramos-De la Medina , G H van Ramshorst , R Sayyed , J Simoes , N Smart , A Bhangu , James C Glasbey , R A Khaw , W Ahmed , M Akhbari , D Baker , A Borakati , E Mills , V Murray , R Thavayogan , I Yasin , J Glasbey , W Ridley , M Sarrami , G Zhang , N Egoroff , P Pockney , T Richards , M Edwards , M Lee , T Pinkney , R Pearse , R Vohra , C Sohrabi , A Jamieson , M Nguyen , A Rahman , C English , L Tincknell , P Kakodkar , I Kwek , N Punjabi , J Burns , S Varghese , M Erotocritou , S McGuckin , S Vayalapra , E Dominguez , J Moneim , S Bhatia , O Kouli , M Salehi , H L Tan , A Yoong , L Zhu , B Seale , Z Nowinka , N Patel , B Chrisp , J Harris , I Maleyko , F Muneeb , M Gough , C E James , O Skan , A Chowdhury , N Rebuffa , H Khan , B Down , Hussain Q Fatimah , K Siaw-Acheampong , R A Benson , E Bywater , B E Dawson , J P Evans , E Heritage , C S Jones , C Khatri , J M Keatley , A Knight , S Lawday , H S Mann , E J Marson , S C Mckay , E C Mills , G Pellino , M Picciochi , E H Taylor , A Tiwari , J F F Simoes , I M Trout , M L Venn , R J W Wilkin , N J Smart , A Minaya-Bravo , G Gallo , S Moug , S Di Saverio , A Vallance , D Vimalchandran , E A Griffiths , R P T Evans , P Townend , K Roberts , S McKay , J Isaac , S Satoi , J Edwards , A S Coonar , A Marchbank , E J Caruana , G R Layton , A Patel , A Brunelli , S Ford , A Desai , A Gronchi , M Fiore , M Almond , F Tirotta , S Dumitra , A Kolias , S J Price , D M Fountain , M D Jenkinson , P Hutchinson , H J Marcus , R J Piper , L Lippa , F Servadei , I Esene , C Freyschlag , I Neville , G Rosseau , K Schaller , A K Demetriades , F Robertson , A Alamri , R Shaw , A G Schache , S C Winter , M Ho , P Nankivell , J Rey Biel , M Batstone , I Ganly , R Vidya , A Wilkins , J K Singh , D Thekinkattil , S Sundar , C Fotopoulou , E Leung , T Khan , L Chiva , J Sehouli , A Fagotti , P Cohen , M Gutelkin , R Ghebre , T Konney , R Pareja , R Bristow , S Dowdy , S T S Rajkumar , J Ng , K Fujiwara , G D Stewart , B Lamb , K Narahari , A McNeill , A Colquhoun , J McGrath , S Bromage , R Barod , V Kasivisvanathan , T Klatte , T E F Abbott , S Abukhalaf , M Adamina , A O Ademuyiwa , A Agarwal , M Akkulak , E Alameer , D Alderson , F Alakaloko , M Albertsmeiers , O Alser , M Alshaar , S Alshryda , A P Arnaud , K Magne Augestad , F Ayasra , J Azevedo , B K Bankhead-Kendall , E Barlow , D Beard , R Blanco-Colino , A Brar , K A Breen , C Bretherton , I Lima Buarque , J Burke , M Chaar , S Chakrabortee , P Christensen , D Cox , M Cukier , M F Cunha , G H Davidson , S Di Saverio , T M Drake , J G Edwards , M Elhadi , S Emile , S Farik , E J Fitzgerald , T Garmanova , D Ghosh , G Mendonça Ataíde Gomes , G Grecinos , M Gründl , C Halkias , I Hisham , P J Hutchinson , S 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NIgra , L Vargas , T Hovhannisyan , A Stepanyan , T Gould , R Gourlay , B Griffiths , S Gananadha , M McLaren , J Cecire , N Joshi , S Salindera , A Sutherland , J H Ahn , G Charlton , S Chen , N Gauri , R Hayhurst , S Jang , F Jia , C Mulligan , W Yang , G Ye , H Zhang , M Ballal , D Gibson , D Hayne , J Moss , P Viswambaram , U G Vo , J Bennetts , T Bright , M Brooke-Smith , R Fong , B Gricks , Y H Lam , B S Ong , M Szpytma , D Watson , K Bagraith , S Caird , E Chan , C Dawson , D Ho , E Jeyarajan , S Jordan , A Lim , G J Nolan , A Oar , D Parker , H Puhalla , A Quennell , L Rutherford , M Von Papen , M Wullschleger , A Blatt , D Cope , M Fenton , J Gani , N Lott , N Shugg , M Elliott , D Phung , D Phan , D Townend , C Bong , J Gundara , A Frankel , S Bowman , G R Guerra , J Bolt , K Buddingh , N N Dudi-Venkata , S Jog , H M Kroon , T Sammour , R Smith , C Stranz , K Lah , W McGahan , D Mitchell , A Morton , A Pearce , M Roberts , G Sheahan , B Swinson , N Alam , S Banting , L Chong , P Choong , S Clatworthy , D Foley , A Fox , M W Hii , B Knowles , J Mack , M Read , A Rowcroft , S Ward , G Wright , M Lanner , I Königsrainer , M Bauer , M Kafka , F Messner , D Öfner , I Tsibulak , K Emmanuel , M Grechenig , R Gruber , M Harald , L Öhlberger , J Presl , A Wimmer , İ Namazov , E Samadov , D Barker , R Boyce , S Corbin , A Doyle , A Eastmond , R Gill , A Haynes , S Millar , M O’Shea , G Padmore , N Paquette , E Phillips , John S St , K Walkes , N Flamey , P Pattyn , W Oosterlinck , J Van den Eynde , R Van den Eynde , A Gatti , C Nardi , R Oliva , R De Cicco , I Cecconello , P Gregorio , Lima L Pontual , Junior U Ribeiro , F Takeda , R M Terra , M Sokolov , B Kidane , S Srinathan , M Boutros , N Caminsky , G Ghitulescu , G Jamjoum , J Moon , J Pelletier , T Vanounou , S Wong , A Kouyoumdjian , B Johnston , C Russell , S Demyttenaere , R Garfinkle , J Abou-Khalil , C Nessim , J Stevenson , F Heredia , A Almeciga , A Fletcher , A Merchan , L O Puentes , Quevedo J 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Roche , R Sabnani , D Seligman , S Sharma , Z Stickney , H Suchy , R Tan , S Yordi , I Ahmed , M Aranha , D El Sabawy , P Garwood , M Harnett , R Holohan , R Howard , Y Kayyal , N Krakoski , M Lupo , W McGilberry , H Nepon , Y Scoleri , C Urbina , Fuad M F Ahmad , O Ahmed , D Jaswantlal , E Kelly , M H T Khan , D Naidu , W X Neo , M Sugrue , J D Abbas , S Abdul-Fattah , A Azlan , K Barry , N S Idris , N Kaka , D Mc Dermott , M N Mohammad Nasir , M Mozo , A Rehal , Yousef M Shaikh , R H Wong , E Curran , M Gardner , R Julka , G Lasser , Chorráin N Ní , J Ting , R Browne , S George , Z Janjua , Shing V Leung , M Megally , L Ravenscroft , A Vedadi , V Vyas , A Bryan , A Sheikh , J Ubhi , K Vannelli , A Vawda , L Adeusi , C Doherty , H Gallagher , P Gill , H Hamza , M Hogan , S Kelly , J Larry , P Lynch , N A Mazeni , R O’Connell , R O’Loghlin , K Singh , R Abbas Syed , A Ali , B Alkandari , A Arnold , E Arora , R Azam , C Breathnach , J Cheema , M Compton , S Curran , O Jayasamraj , N Mohammed , A Noone , A Pal , S Pandey , P Quinn , R Sheridan , L Siew , E P Tan , S W Tio , V T R Toh , M Walsh , C Yap , J Yassa , T Young , N Agarwal , S A Almoosawy , K Bowen , D Bruce , R Connachan , A Cook , A Daniell , H K F Fung , A Irving , S Laurie , Y J Lee , Z X Lim , S Maddineni , R E McClenaghan , V Muthuganesan , P Ravichandran , N Roberts , S Shaji , S Solt , E Toshney , C Arnold , F Belais , C Bojanic , C Y C Chau , S De Soysa , M Eldridge , M Fairey , N Fearnhead , A Guéroult , J S Y Ho , K Joshi , N Kadiyala , S Khalid , K Kumar , E Lewis , J Magee , D Manetta-Jones , S Mann , L McKeown , C Mitrofan , T Mohamed , A Monnickendam , A Y K C Ng , A Ortu , T Pope , S Pressling , K Purohit , S Saji , J Shah Foridi , R Shah , S S Siddiqui , K Surman , M Utukuri , A Varghese , C Y K Williams , J J Yang , E Billson , E Cheah , P Holmes , S Hussain , D Murdock , A Nicholls , G Ramana , M Saleki , H Spence , D Thomas , C Yu , M Abousamra , C Brown , I Conti , A Donnelly , M Durand , N French , R Goan , E O’Kane , P Rubinchik , H Gardiner , B Kempf , Y L Lai , H Matthews , E Minford , C Rafferty , C Reid , N Sheridan , T Al Bahri , N Bhoombla , B M Rao , L Titu , S Chatha , C Field , T Gandhi , R Gulati , R Jha , Sam M T Jones , S Karim , R Patel , M Saunders , K Sharma , S Abid , E Heath , D Kurup , B Cresswell , D Felstead , K Jennings , T Kaluarachchi , L Lazzereschi , H Mayson , J E Miah , B Reinders , A Rosser , C Thomas , H Williams , Z Al-Hamid , L Alsadoun , M Chlubek , P Fernando , E Gaunt , Y Gercek , R Maniar , R Ma , M Matson , S Moore , P G Nagappan , M Ratnayake , L Rockall , O Shallcross , A Sinha , K E Tan , S Virdee , R Wenlock , H A Donnelly , R Ghazal , I Hughes , X Liu , M McFadden , E Misbert , P Mogey , A O’Hara , C Peace , C Rainey , P Raja , J Salmon , C H Tan , D Alves , S Bahl , J Coulthurst , K Koysombat , T Linn , P Rai , A Shergill , M Ahmed , S Ahmed , L H Belk , H Choudhry , D Cummings , Y Dixon , C Dobinson , J Flint , C Da Silva Franco , R Gallie , M Gardener , T Glover , M Greasley , A Hatab , R Howells , T Hussey , A Mann , H Morrison , A Ng , R Osmond , N Padmakumar , F Pervaiz , R Prince , R Sawhney , B Sigurdson , L Stephenson , K Vora , A Zacken , P Cope , R Di Traglia , I Ferarrio , N Hackett , R Healicon , L Horseman , L I Lam , M Meerdink , D Menham , R Murphy , I Nimmo , A Ramaesh , J Rees , R Soame , N Dilaver , D Adebambo , E Brown , J Burt , K Foster , L Kaliyappan , P Knight , A Politis , E Richardson , J Townsend , M Abdi , M Ball , S Easby , N Gill , E Ho , H Iqbal , M Matthews , S Nubi , J O Nwokocha , I Okafor , G Perry , B Sinartio , N Vanukuru , D Walkley , T Welch , J Yates , N Yeshitila , K Bryans , B Campbell , C Gray , R Keys , M Macartney , G Chamberlain , A Khatri , A Kucheria , S T P Lee , G Reese , J Roy choudhury , W Y R Tan , J J Teh , A Ting , S Kazi , K Vutipongsatorn , T Amarnath , N Balasubramanian , E Bassett , P Gurung , J Lim , A Panjikkaran , A Sanalla , M Alkoot , V Bacigalupo , M Horton , A Hurry , C Isti , P Maskell , K Nursiah , G Punn , H Salih , E Epanomeritakis , A Foulkes , R Henderson , E Johnston , H McCullough , M McLarnon , E Morrison , A Cheung , S H Cho , F Eriksson , J Hedges , Z Low , C May , L Musto , S Nagi , S Nur , E Salau , S Shabbir , M C Thomas , L Uthayanan , S Vig , M Zaheer , G Zeng , S Ashcroft-Quinn , R Brown , J Hayes , R McConville , R French , A Gilliam , S Sheetal , M U Shehzad , W Bani , I Christie , J Franklyn , M Khan , J Russell , S Smolarek , R Varadarassou , S K Ahmed , S Narayanaswamy , J Sealy , M Shah , V Dodhia , A Manukyan , R O O’Hare , J Orbell , I Chung , K Forenc , A Al Dabbagh , R Bennewith , J Bottomley , T S M Chu , Y Y A Chu , W Doherty , B Evans , P Hainsworth , T Hosfield , C H Li , I McCullagh , A Mehta , A Thaker , B Thompson , A Virdi , H Walker , E Wilkins , C Dixon , M R Hassan , N Lotca , K S Tong , H Batchelor-Parry , S Chaudhari , T Harris , J Hooper , C Johnson , C Mulvihill , J Nayler , 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K O’Neill , I Onyemuchara , R Senior , A Shanahan , J Sherlock , A Spyridoulias , C Stavrou , D Stokes , R Tamang , E Taylor , C Trafford , C Uden , C Waddington , D Yassin , M Zaman , S Bangi , T Cheng , N Hussain , S Imani-Masouleh , G Mahasivam , G McKnight , H L Ng , H C Ota , T Pasha , W Ravindran , K S Vishnu , S Zaman , W Carr , S Cope , E J Eagles , M Howarth-Maddison , C Y Li , J Reed , A Ridge , T Stubbs , D Teasdaled , R Umar , J Worthington , A Dhebri , R Kalenderov , A Alattas , Z Arain , R Bhudia , D Chia , S Daniel , T Dar , H Garland , M Girish , A Hampson , K Lehovsky , W Mullins , N Omorphos , N Vasdev , A Venkatesh , W Waldock , A Bhandari , G Brown , G Choa , C E Eichenauer , K Ezennia , Z Kidwai , A Lloyd-Thomas , A Macaskill Stewart , C Massardi , E Sinclair , N Skajaa , M Smith , I Tan , N Afsheen , A Anuar , Z Azam , P Bhatia , N Davies-kelly , S Dickinson , M Elkawafi , M Ganapathy , S Gupta , E G Khoury , D Licudi , V Mehta , S Neequaye , G Nita , V L Tay , S 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Abstract Background This study aimed to determine the impact of pulmonary complications on death after surgery both before and during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Methods This was a patient-level, comparative analysis of two, international prospective cohort studies: one before the pandemic (January–October 2019) and the second during the SARS-CoV-2 pandemic (local emergence of COVID-19 up to 19 April 2020). Both included patients undergoing elective resection of an intra-abdominal cancer with curative intent across five surgical oncology disciplines. Patient selection and rates of 30-day postoperative pulmonary complications were compared. The primary outcome was 30-day postoperative mortality. Mediation analysis using a natural-effects model was used to estimate the proportion of deaths during the pandemic attributable to SARS-CoV-2 infection. Results This study included 7402 patients from 50 countries; 3031 (40.9 per cent) underwent surgery before and 4371 (59.1 per cent) during the pandemic. Overall, 4.3 per cent (187 of 4371) developed postoperative SARS-CoV-2 in the pandemic cohort. The pulmonary complication rate was similar (7.1 per cent (216 of 3031) versus 6.3 per cent (274 of 4371); P = 0.158) but the mortality rate was significantly higher (0.7 per cent (20 of 3031) versus 2.0 per cent (87 of 4371); P < 0.001) among patients who had surgery during the pandemic. The adjusted odds of death were higher during than before the pandemic (odds ratio (OR) 2.72, 95 per cent c.i. 1.58 to 4.67; P < 0.001). In mediation analysis, 54.8 per cent of excess postoperative deaths during the pandemic were estimated to be attributable to SARS-CoV-2 (OR 1.73, 1.40 to 2.13; P < 0.001). Conclusion Although providers may have selected patients with a lower risk profile for surgery during the pandemic, this did not mitigate the likelihood of death through SARS-CoV-2 infection. Care providers must act urgently to protect surgical patients from SARS-CoV-2 infection.
中文翻译：
SARS-CoV-2 大流行之前和期间因手术肺部并发症死亡
摘要 背景 本研究旨在确定严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 大流行之前和期间肺部并发症对术后死亡的影响。 方法 这是对两项国际前瞻性队列研究进行的患者层面的比较分析：一项是在大流行之前（2019 年 1 月至 10 月），第二项是在 SARS-CoV-2 大流行期间（截至 2020 年 4 月 19 日当地出现了 COVID-19） ）。两者都包括在五个肿瘤外科学科中接受腹内癌症选择性切除术的患者，以达到治愈目的。比较患者选择和术后 30 天肺部并发症的发生率。主要结局是术后 30 天死亡率。使用自然效应模型的中介分析用于估计大流行期间因 SARS-CoV-2 感染而死亡的比例。 结果 这项研究纳入了来自 50 个国家的 7402 名患者；3031 人（40.9%）在疫情前接受过手术，4371 人（59.1%）在疫情期间接受过手术。总体而言，4.3%（4371 人中的 187 人）在大流行队列中术后感染了 SARS-CoV-2。肺部并发症发生率相似（7.1%（3031 人中的 216 人）与 6.3%（4371 人中的 274 人）；P = 0.158），但死亡率显着更高（0.7%（3031 人中的 20 人）与 2.0%（3031 人中的 20 人） 87 of 4371）；P < 0.001）在大流行期间接受手术的患者中。调整后的死亡几率比大流行之前更高（优势比 (OR) 2.72，95% CI 1.58 至 4.67；P < 0.001）。在中介分析中，估计大流行期间 54.8% 的术后超额死亡可归因于 SARS-CoV-2（OR 1.73、1.40 至 2.13；P < 0.001）。 结论 尽管医疗服务提供者可能在大流行期间选择了风险较低的患者进行手术，但这并没有降低因 SARS-CoV-2 感染而死亡的可能性。护理人员必须紧急采取行动，保护手术患者免受 SARS-CoV-2 感染。
更新日期：2021-09-10
BJS (British Journal of Surgery) Pub Date : 2021-09-10 , DOI: 10.1093/bjs/znab336 , K A McLean , S K Kamarajah , D Chaudhry , R R Gujjuri , K Raubenheimer , I Trout , E Al Ameer , B Creagh-Brown , E M Harrison , D Nepogodiev , A C Roslani , E Li , F Pata , A Ramos-De la Medina , G H van Ramshorst , R Sayyed , J Simoes , N Smart , A Bhangu , James C Glasbey , R A Khaw , W Ahmed , M Akhbari , D Baker , A Borakati , E Mills , V Murray , R Thavayogan , I Yasin , J Glasbey , W Ridley , M Sarrami , G Zhang , N Egoroff , P Pockney , T Richards , M Edwards , M Lee , T Pinkney , R Pearse , R Vohra , C Sohrabi , A Jamieson , M Nguyen , A Rahman , C English , L Tincknell , P Kakodkar , I Kwek , N Punjabi , J Burns , S Varghese , M Erotocritou , S McGuckin , S Vayalapra , E Dominguez , J Moneim , S Bhatia , O Kouli , M Salehi , H L Tan , A Yoong , L Zhu , B Seale , Z Nowinka , N Patel , B Chrisp , J Harris , I Maleyko , F Muneeb , M Gough , C E James , O Skan , A Chowdhury , N Rebuffa , H Khan , B 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Szatmary , J R Tan , A Thomas , P Whelan , A Anzak , A Banerjee , O Fuwa , F Hughes , J D Jayasinghe , C Knowles , H Kocher , Silva I Leal , F S Ledesma , A Minicozzi , L Navaratne , R Rahman , R Ramamoorthy , M Thaha , B Thakur , M Venn , V Yip , R Baumber , J Parry , S Evans , L Jeys , G Morris , M Parry , N Ahmadi , G Aresu , Z M Barrett-Brown , Yates H Durio , D Gearon , J Hogan , M King , A Peryt , I S Pradeep , M Adishesh , R Atherton , K Baxter , M Brocklehurst , M Chaudhury , N Krishnamohan , J McAleer , G Owens , E Parkin , P Patkar , I Phang , A Aladeojebi , M Ali , B Barmayehvar , A Gaunt , M Gowda , E Halliday , M Kitchen , F Mansour , M Thomas , D Zakai , N Abbassi-Ghadi , H Assalaarachchi , A Currie , M Flavin , A Frampton , M Hague , C Hammer , J Hopper , J Horsnell , S Humphries , A Kamocka , T K Madhuri , S Preston , P Singh , J Stebbing , A Tailor , D Walker , F Aljanadi , M Jones , P Mhandu , C O’Donnell , R Turkington , Z Al-Ishaq , S Bhasin , A S Bodla , A Burahee , A Crichton , R Fossett , N Pigadas , S Pickford , E Rahman , D Snee , N Yassin , D Fountain , M T Hasan , K Karabatsou , R Laurente , O Pathmanaban , A Al-mukhtar , A Giblin , C Kelty , G Lye , T Newman , A Sharkey , C Steele , N Sureshkumar Shah , E Whitehall , R Athwal , A Baker , L Jones , C Konstantinou , S Ramcharan , J Vatish , R Wilkin , M Ethunandan , G K Sekhon , H Shields , R Singh , F Wensley , A Lyons , T Abbott , S Anwar , K Ghufoor , E Chung , R Hagger , A Hainsworth , A Karim , H Owen , A Ramwell , K Williams , C Baker , A Davies , J Gossage , M Kelly , W Knight , J Hall , G Harris , G James , C Kang , D J Lin , A D Rajgor , T Royle , R Scurrah , B Steel , L J Watson , D Choi , R Hutchison , A Jain , V Luoma , H Marcus , R May , A Menon , B Pramodana , L Webber , I A Aneke , P Asaad , B Brown , J Collis , S Duff , A Khan , F Moura , B Wadham , H Warburton , T Elmoslemany , M Jenkinson , C Millward , R Zakaria , S Mccluney , C Parmar , S Shah , J Allison , M S Babar , B Collard , S Goodrum , K Lau , R Scott , E Thomas , H Whitmore , D Balasubramaniam , B Jayasankar , S Kapoor , A Ramachandran , A Elhamshary , S M B Imam , K Kapriniotis , J Lindsay , S Rakhshani-Moghadam , N Beech , M Chand , L Green , N Kalavrezos , H Kiconco , R McEwen , C Schilling , D Sinha , J Pereca , S Chopra , D Egbeare , R Thomas , T Combellack , S E F Jones , M Kornaszewska , M Mohammed , A Sharma , G Tahhan , V Valtzoglou , J Williams , P Eskander , K Gash , L Gourbault , M Hanna , T Maccabe , C Newton , J Olivier , S Rozwadowski , E Teh , D West , H Al-omishy , M Baig , H Bates , G Di Taranto , K Dickson , N Dunne , C Gill , D Howe , D Jeevan , A Khajuria , A Martin-Ucar , K McEvoy , P Naredla , S Robertson , M Sait , D R Sarma , S Shanbhag , T Shortland , S Simmonds , J Skillman , N Tewari , G Walton , M A Akhtar , A Brunt , J McIntyre , K Milne , M M Rashid , A Sgrò , K E Stewart , A Turnbull , M Aguilar Gonzalez , S Talukder , C Boyle , D Fernando , K Gallagher , A Laird , D Tham , M Bath , P Patki , C Tanabalan , T Arif , C Magee , T Nambirajan , S Powell , R Vinayagam , I Flindall , A Hanson , V Mahendran , S Green , M Lim , L MacDonald , V Miu , L Onos , K Sheridan , R Young , F Alam , O Griffiths , C Houlden , R Jones , V S Kolli , A K Lala , S Leeson , R Peevor , Z Seymour , L Chen , E Henderson , K Brown , D Fleming , C Heron , C Hill , H Kay , E Leede , K McElhinney , K Olson , E C Osterberg , C Riley , P Srikanth , M Thornhill , D Blazer , G DiLalla , E S Hwang , W Lee , M Lidsky , J Plichta , L Rosenberger , R Scheri , K Turnage , J Visgauss , S Zani , J Farma , J Clark , D Kwon , E Etchill , A Gabre-Kidan , H E Jenny , A Kent , M Ladd , C Long , H Malapati , A Margalit , S Rapaport , J Rose , K Stevens , L Tsai , D Vervoort , P Yesantharao , A Dehal , D Klaristenfeld , K Huynh , L Brown , J Mullinax , N Gusani , J Hazelton , J Maines , J S Oh , A Ssentongo , P Ssentongo , M Azam , A Choudhry , W Marx , J Fleming , A Fuson , J Gigliotti , A 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Roche , R Sabnani , D Seligman , S Sharma , Z Stickney , H Suchy , R Tan , S Yordi , I Ahmed , M Aranha , D El Sabawy , P Garwood , M Harnett , R Holohan , R Howard , Y Kayyal , N Krakoski , M Lupo , W McGilberry , H Nepon , Y Scoleri , C Urbina , Fuad M F Ahmad , O Ahmed , D Jaswantlal , E Kelly , M H T Khan , D Naidu , W X Neo , M Sugrue , J D Abbas , S Abdul-Fattah , A Azlan , K Barry , N S Idris , N Kaka , D Mc Dermott , M N Mohammad Nasir , M Mozo , A Rehal , Yousef M Shaikh , R H Wong , E Curran , M Gardner , R Julka , G Lasser , Chorráin N Ní , J Ting , R Browne , S George , Z Janjua , Shing V Leung , M Megally , L Ravenscroft , A Vedadi , V Vyas , A Bryan , A Sheikh , J Ubhi , K Vannelli , A Vawda , L Adeusi , C Doherty , H Gallagher , P Gill , H Hamza , M Hogan , S Kelly , J Larry , P Lynch , N A Mazeni , R O’Connell , R O’Loghlin , K Singh , R Abbas Syed , A Ali , B Alkandari , A Arnold , E Arora , R Azam , C Breathnach , J Cheema , M Compton , S Curran , O Jayasamraj , N Mohammed , A Noone , A Pal , S Pandey , P Quinn , R Sheridan , L Siew , E P Tan , S W Tio , V T R Toh , M Walsh , C Yap , J Yassa , T Young , N Agarwal , S A Almoosawy , K Bowen , D Bruce , R Connachan , A Cook , A Daniell , H K F Fung , A Irving , S Laurie , Y J Lee , Z X Lim , S Maddineni , R E McClenaghan , V Muthuganesan , P Ravichandran , N Roberts , S Shaji , S Solt , E Toshney , C Arnold , F Belais , C Bojanic , C Y C Chau , S De Soysa , M Eldridge , M Fairey , N Fearnhead , A Guéroult , J S Y Ho , K Joshi , N Kadiyala , S Khalid , K Kumar , E Lewis , J Magee , D Manetta-Jones , S Mann , L McKeown , C Mitrofan , T Mohamed , A Monnickendam , A Y K C Ng , A Ortu , T Pope , S Pressling , K Purohit , S Saji , J Shah Foridi , R Shah , S S Siddiqui , K Surman , M Utukuri , A Varghese , C Y K Williams , J J Yang , E Billson , E Cheah , P Holmes , S Hussain , D Murdock , A Nicholls , G Ramana , M Saleki , H Spence , D Thomas , C Yu , M Abousamra , C Brown , I Conti , A Donnelly , M Durand , N French , R Goan , E O’Kane , P Rubinchik , H Gardiner , B Kempf , Y L Lai , H Matthews , E Minford , C Rafferty , C Reid , N Sheridan , T Al Bahri , N Bhoombla , B M Rao , L Titu , S Chatha , C Field , T Gandhi , R Gulati , R Jha , Sam M T Jones , S Karim , R Patel , M Saunders , K Sharma , S Abid , E Heath , D Kurup , B Cresswell , D Felstead , K Jennings , T Kaluarachchi , L Lazzereschi , H Mayson , J E Miah , B Reinders , A Rosser , C Thomas , H Williams , Z Al-Hamid , L Alsadoun , M Chlubek , P Fernando , E Gaunt , Y Gercek , R Maniar , R Ma , M Matson , S Moore , P G Nagappan , M Ratnayake , L Rockall , O Shallcross , A Sinha , K E Tan , S Virdee , R Wenlock , H A Donnelly , R Ghazal , I Hughes , X Liu , M McFadden , E Misbert , P Mogey , A O’Hara , C Peace , C Rainey , P Raja , J Salmon , C H Tan , D Alves , S Bahl , J Coulthurst , K Koysombat , T Linn , P Rai , A Shergill , M Ahmed , S Ahmed , L H Belk , H Choudhry , D Cummings , Y Dixon , C Dobinson , J Flint , C Da Silva Franco , R Gallie , M Gardener , T Glover , M Greasley , A Hatab , R Howells , T Hussey , A Mann , H Morrison , A Ng , R Osmond , N Padmakumar , F Pervaiz , R Prince , R Sawhney , B Sigurdson , L Stephenson , K Vora , A Zacken , P Cope , R Di Traglia , I Ferarrio , N Hackett , R Healicon , L Horseman , L I Lam , M Meerdink , D Menham , R Murphy , I Nimmo , A Ramaesh , J Rees , R Soame , N Dilaver , D Adebambo , E Brown , J Burt , K Foster , L Kaliyappan , P Knight , A Politis , E Richardson , J Townsend , M Abdi , M Ball , S Easby , N Gill , E Ho , H Iqbal , M Matthews , S Nubi , J O Nwokocha , I Okafor , G Perry , B Sinartio , N Vanukuru , D Walkley , T Welch , J Yates , N Yeshitila , K Bryans , B Campbell , C Gray , R Keys , M Macartney , G Chamberlain , A Khatri , A Kucheria , S T P Lee , G Reese , J Roy choudhury , W Y R Tan , J J Teh , A Ting , S Kazi , K Vutipongsatorn , T Amarnath , N Balasubramanian , E Bassett , P Gurung , J Lim , A Panjikkaran , A Sanalla , M Alkoot , V Bacigalupo , M Horton , A Hurry , C Isti , P Maskell , K Nursiah , G Punn , H Salih , E Epanomeritakis , A Foulkes , R Henderson , E Johnston , H McCullough , M McLarnon , E Morrison , A Cheung , S H Cho , F Eriksson , J Hedges , Z Low , C May , L Musto , S Nagi , S Nur , E Salau , S Shabbir , M C Thomas , L Uthayanan , S Vig , M Zaheer , G Zeng , S Ashcroft-Quinn , R Brown , J Hayes , R McConville , R French , A Gilliam , S Sheetal , M U Shehzad , W Bani , I Christie , J Franklyn , M Khan , J Russell , S Smolarek , R Varadarassou , S K Ahmed , S Narayanaswamy , J Sealy , M Shah , V Dodhia , A Manukyan , R O O’Hare , J Orbell , I Chung , K Forenc , A Al Dabbagh , R Bennewith , J Bottomley , T S M Chu , Y Y A Chu , W Doherty , B Evans , P Hainsworth , T Hosfield , C H Li , I McCullagh , A Mehta , A Thaker , B Thompson , A Virdi , H Walker , E Wilkins , C Dixon , M R Hassan , N Lotca , K S Tong , H Batchelor-Parry , S Chaudhari , T Harris , J Hooper , C Johnson , C Mulvihill , J Nayler , O Olutobi , B Piramanayagam , K Stones , M Sussman , C Weaver , M Al Rawi , F Andrew , A Arrayeh , N Azizan , A Hassan , Z Iqbal , I John , O Kalake , M Keast , J Nicholas , A Patil , K Powell , P Roberts , A Sabri , A K Segue , A Shah , S A Mohamed Shaik , A Shehadeh , S Shenoy , A Tong , M Upcott , D Vijayasingam , S Anarfi , J Dauncey , A Devindaran , P Havalda , E Mwendwa , C Norman , J Richards , A Urquhart , J Allan , E Cahya , H Hunt , C McWhirter , R Norton , C Roxburgh , J Y Tan , Butt S Ali , S Hansdot , I Haq , A Mootien , I Sanchez , T Vainas , E Deliyannis , M Tan , M Vipond , Satish NN Chittoor , A Dattani , L De Carvalho , M Gaston-Grubb , L Karunanithy , B Lowe , C Pace , K Raju , J Roope , C Taylor , H Youssef , T Munro , C Thorn , K H F Wong , A Yunus , S Chawla , A Datta , A A Dinesh , D Field , T Georgi , A Gwozdz , E Hamstead , N Howard , N Isleyen , N Jackson , J Kingdon , K S Sagoo , A Schizas , L Yin , E Aung , Y Y Aung , S Franklin , S M Han , W C Kim , Segura A Martin , M Rossi , T Ross , R Tirimanna , B Wang , O Zakieh , H Ben-Arzi , A Flach , E Jackson , S Magers , abara C Olu , E Rogers , K Sugden , H Tan , S Veliah , U Walton , A Asif , Y Bharwada , D Bowley , A Broekhuizen , L Cooper , N Evans , H Girdlestone , C Ling , H Mann , N Mehmood , C L Mulvenna , N Rainer , R Gujjuri , D Jeyaraman , E Leong , D Singh , E Smith , J Anderton , M Barabas , S Goyal , D Howard , T Weatherby , R Badminton , R Bird , D Burtle , N Y Choi , K Devalia , E Farr , F Fischer , J Fish , F Gunn , D Jacobs , P Johnston , A Kalakoutas , E Lau , Y N A F Loo , H Louden , N Makariou , K Mohammadi , Y Nayab , S Ruhomaun , R Ryliskyte , M Saeed , P Shinde , M Sudul , K Theodoropoulou , J Valadao-Spoorenberg , F Vlachou , S R Arshad , A M Janmohamed , M Noor , O Oyerinde , A Saha , Y Syed , W Watkinson , H Ahmadi , A Akintunde , A Alsaady , J Bradley , D Brothwood , M Burton , M Higgs , C Hoyle , C Katsura , R Lathan , A Louani , R Mandalia , A S Prihartadi , B Qaddoura , L Sandland-Taylor , S Thadani , J Walshaw , S Teo , J H Bawa , S Fox , K Gargan , S A Haider , N Hanna , A Hatoum , Z Khan , A M Krzak , T Li , J Pitt , G J S Tan , Z Ullah , E Wilson , J Cleaver , J Colman , L Copeland , A Coulson , P Davis , H Faisal , F Hassan , J T Hughes , Y Jabr , Z N Nahaboo Solim , A Sangheli , S Shaya , R Thompson , H Cornwall , M De Andres Crespo , E Fay , J Findlay , E Groves , O Jones , A Killen , J Millo , S Thomas , J Ward , M Wilkins , F Zaki , E Zilber , K Bhavra , A Bilolikar , M Charalambous , A Eleni , R Fawdon , A Gibbins , D Livingstone , D Mala , S E Oke , D Padmakumar , M A Patsalides , D Payne , C Ralphs , A Roney , N Sardar , K Stefanova , F Surti , R Timms , G Tosney , J Bannister , N S Clement , V Cullimore , F Kamal , J Lendor , J McKay , J Mcswiggan , N Minhas , K Seneviratne , S Simeen , J Valverde , I Bloom , T H Dinh , J Hirniak , R Joseph , M Kansagra , C K N Lai , N Melamed , J Patel , J Randev , T Sedighi , B Shurovi , J Sodhi , N Vadgama , S Abdulla , B Adabavazeh , A Champion , R Chennupati , K Chu , S Devi , A Haji , J Schulz , F Testa , P Davies , B Gurung , S Howell , P Modi , A Pervaiz , M Zahid , S Abdolrazaghi , Aoun R Abi , Z Anjum , G Bawa , R Bhardwaj , M Enver , D Gill , D Gopikrishna , D Gurung , A Kanwal , P Kaushal , A Khanna , E Lovell , C McEvoy , M Mirza , S Nabeel , S Naseem , K Pandya , R Perkins , R Pulakal , M Ray , C Reay , S Reilly , A Round , J Seehra , N M Shakeel , B Singh , Sukhnani M Vijay , B Desai , H Elzanati , J Godhaniya , E Kavanagh , J Kent , A Kishor , A Liu , M Norwood , N Shaari , C Wood , M Wood , A Brown , A Chellapuri , A Ferriman , I Ghosh , N Kulkarni , T Noton , A Pinto , S Rajesh , B Varghese , C Wenban , R Aly , C Barciela , T Brookes , E Corrin , M Goldsworthy , M S Mohamed Azhar , J Moore , S Nakhuda , D Ng , S Pillay , S Port , M Abdullah , J Akinyemi , S Islam , A Kale , A Lewis , T Manjunath , H McCabe , S Misra , T Stubley , J P Tam , N Waraich , T Chaora , C Ford , I Osinkolu , G Pong , J Rai , R Risquet , J Ainsworth , P Ayandokun , E Barham , G Barrett , J Barry , E Bisson , I Bridges , D Burke , J Cann , M Cloney , S Coates , P Cripps , C Davies , N Francis , G Handley , D Hathaway , L Hurt , S Jenkins , C Johnston , A Khadka , U McGee , D Morris , R Murray , C Norbury , Z Pierrepont , C Richards , O Ross , A Ruddy , C Salmon , M Shield , K Soanes , S Taverner , C Williams , W Wills-Wood , S Woodward , J Chow , J Fan , O Guest , I Hunter , W Y Moon , S Arthur-Quarm , P Edwards , V Hamlyn , L McEneaney , D G N, S Pranoy , M Ting , S Abada , L H Alawattegama , A Ashok , C Carey , A Gogna , C Haglund , P Hurley , N Leelo , B Liu , F Mannan , K Paramjothy , K Ramlogan , O Raymond-Hayling , A Shanmugarajah , D Solichan , B Wilkinson , N A Ahmad , D Allan , A Amin , C Bakina , F Burns , F Cameron , A Campbell , S Cavanagh , S M Z Chan , S Chapman , V Chong , E Edelsten , O Ekpete , M El Sheikh , R Ghose , A Hassane , C Henderson , S Hilton-Christie , M Husain , H Hussain , Z Javid , J Johnson-Ogbuneke , A Johnston , M Khalil , T C C Leung , I Makin , V Muralidharan , M Naeem , P Patil , S Ravichandran , D Saraeva , S Shafi , W Shankey-Smith , R Swan , R Waudby-West , A Wilkinson , K Wright , A Balasubramanian , S Bhatti , M Chalkley , W K Chou , M Dixon , L Evans , K Fisher , P Gandhi , S Ho , Y B Lau , S Lowe , C Meechan , N Murali , C Musonda , P Njoku , L Ochieng , M U Pervez , M A Sikder , R Vanker , J Alom , V Bajaj , O Coleman , G Finch , J Goss , C Jenkins , A Kontothanassis , M S Liew , K Ng , M Outram , M M Shakeel , J Tawn , S Zuhairy , K Chapple , A Cinnamond , S Coleman , H A George , L Goulder , N Hare , J Hawksley , A Kret , A Luesley , L Mecia , H Porter , E Puddy , G Richardson , B Sohail , V Srikaran , D Tadross , J Tobin , E Tokidis , L Young , T Ashdown , S Bratsos , A Koomson , A Kufuor , M Q Lim , E P C Thorne , J Warusavitarne , S Xu , S Abigail , A Ahmed , J Ahmed , A Akmal , M Al-Khafaji , B Amini , M Arshad , E Bogie , M Brazkiewicz , M Carroll , A Chandegra , C Cirelli , A Deng , S Fairclough , Y J Fung , C Gornell , R L Green , S V Green , A H M Gulamhussein , A G Isaac , R Jan , L Jegatheeswaran , M Knee , J Kotecha , S Kotecha , C Maxwell-Armstrong , C McIntyre , N Mendis , T K P Naing , J Oberman , Z X Ong , A Ramalingam , Adam A Saeed , L L Tan , S Towell , J Yadav , R Anandampillai , S Chung , A Hounat , B Ibrahim , G Jeyakumar , A Khalil , U A Khan , G Nair , M Owusu-Ayim , A Kanani , B Kilkelly , I Ogunmwonyi , L Ong , B Samra , L Schomerus , J Shea , O Turner , Y Yang , M Amin , N Blott , A Clark , A Feather , M Forrest , S Hague , K Hamilton , G Higginbotham , E Hope , S Karimian , K Loveday , H Malik , O McKenna , A Noor , C Onsiong , B Patel , N Radcliffe , P Shah , L Tye , K Verma , R Walford , U Yusufi , M Zachariah , A Casey , C Doré , V Fludder , L Fortescue , S S Kalapu , E Karel , G Khera , B Appleton , A Ashaye , E Boggon , A Evans , H Mahmood Faris , Z Hinchcliffe , O Marei , I Silva , C Spooner , G Thomas , M Timlin , J Wellington , S L Yao , M Abdelrazek , Y Abdelrazik , F Bee , A Joseph , A Mounce , G Parry , N Vignarajah , D Biddles , A Creissen , S Kolhe , A Lea , V Ledda , P O’Loughlin , J Scanlon , N Shetty , C Weller , A Adeoye , M Bhatti , K R Chadda , J Chu , H Elhakim , H Foster-Davies , M Rabie , B Tailor , S Webb , A S A Abdelrahim , S Y Choo , A Jiwa , S Mangam , S Murray , A Shandramohan , O Aghanenu , W Budd , J Hayre , S Khanom , Z Y Liew , N Moody , H Muhammad-Kamal , J Odogwu , D Patel , Z Sattar , N Shahrokhi , I Sinha , E Thomson , L Wonga , J Bain , J Khan , D Ricardo , R Bevis , C Cherry , S Darkwa , W Drew , N Konda , D Madani , B Meda , U Odunukwe , G Preest , F Raheel , A Rajaseharan , A Ramgopal , C Risbrooke , K Selvaratnam , G Sethunath , R Tabassum , J Taylor , A Thakker , N Wijesingha , R Wybrew , T Yasin , Osman A Ahmed , S Alfadhel , E Carberry , J Y Chen , I Drake , P Glen , N Jayasuriya , L Kawar , L O H Sinan , S S Y Siu , V Tjen , O Adeboyejo , H Bacon , R Barnes , C Birnie , Kamath A D’Cunha , E Hughes , S Middleton , R Owen , E Schofield , C Short , H Wang , M Willett , M Zimmerman , J Balfour , T Chadwick , M Coombe-Jones , Le H P Do , K Hobson , Z Shehata , M Beattie , G Chmielewski , C Chong , B Donnelly , B Drusch , J Ellis , C Farrelly , J Feyi-Waboso , I Hibell , L Hoade , C Ho , H Jones , B Kodiatt , P Lidder , L Ni Cheallaigh , R Norman , I Patabendi , H Penfold , M Playfair , S Pomeroy , C Ralph , H Rottenburg , J Sebastian , M Sheehan , V Stanley , J Welchman , D Ajdarpasic , A Antypas , O Azouaghe , S Basi , G Bettoli , S Bhattarai , L Bommireddy , K Bourne , J Budding , R Cookey-Bresi , T Cummins , G Davies , C Fabelurin , R Gwilliam , J Hanley , A Hird , A Kruczynska , B Langhorne , J Lund , I Lutchman , R McGuinness , M Neary , S Pampapathi , E Pang , S Podbicanin , N Rai , White G Redhouse , J Sujith , P Thomas , I Walker , R Winterton , P Anderson , 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Iakovou , D Iakovou , E Ismail , S Jefferson , Y Khouli , J Mason , R McCaughan , J Moffatt , A Morawala , H Nadir , F Neyroud , Y Nikookam , A Parmar , L Pinto , E Richards , S Thomson , C Trainer , A Valetopoulou , A Vassiliou , A Wantman , S Wilde , M Dickinson , T Rockall , D Senn , K Wcislo , P Zalmay , K Adelekan , K Allen , M Bajaj , P Gatumbu , S Hang , Y Hashmi , T Kaur , A Kawesha , M Woodmass , T Adelowo , D Ahari , K Alhwaishel , B Clayton , A Cockroft , C Curtis Lopez , M Hilton , N Ismail , M Kouadria , L Lee , A MacConnachie , F Monks , S Mungroo , C Nikoletopoulou , X Sara , A Shahid , G Suresh , R Wilcha , A Atiyah , A Dermanis , H Gibbons , A Hyde , A Lawson , C Lee , M Leung-Tack , Saw Hee , J Li , O Mostafa , D Nair , N Pattani , J Plumbley-Jones , K Pufal , J Sanghera , S Saram , S Scadding , S See , H Stringer , A Torrance , H Vardon , F Wyn-Griffiths , A Brew , G Kaur , D Soni , A Tickle , Z Akbar , T Appleyard , K Figg , P Jayawardena , A Johnson , Siddiqui Z 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Zhao , E Botsa , H Cuthbert , J Elliott , M Furlepa , J Lehmann , A Mangtani , A Narayan , S Nazarian , D Shah , C Shaw , Z Zhao , C Beck , S Caldwell , J M Clements , B French , R Kenny , S Kirk , A McClung , N McLaughlin , S Watson , E Whiteside , S Alyacoubi , V Arumugam , R Beg , K Dawas , S Garg , E R Lloyd , Y Mahfouz , N Manobharath , R Moonesinghe , N Morka , J Prashar , S Yip , E S Adeeko , F Ajekigbe , A Bhat , A Farrugia , C Gurung , T Long , B Malik , S Manirajan , D Newport , J Rayer , A Ridha , T Saran , A Sinker , D Waruingi , R Allen , Y Al Sadek , H Alves do Canto Brum , H Asharaf , M Ashman , V Balakumar , J Barrington , R Baskaran , A Berry , H Bhachoo , A Bilal , L Boaden , W L Chia , G Covell , D Crook , F Dadnam , L Davis , H De Berker , C Doyle , C Fox , M Gruffydd-Davies , Y Hafouda , A Hill , E Hubbard , A Hunter , V Inpadhas , M Jamshaid , G Jandu , M Jeyanthi , C Kantor , S Y Kwak , N Malik , R Matt , P McNulty , C Miles , A Mohomed , P Myat , J Niharika , A Nixon , D O’Reilly , K Parmar , S Pengelly , L Price , M Ramsden , R Turnor , E Wales , H Waring , M Wu , T Yang , T T S Ye , A Zander , C Zeicu , S Bellam , J Francombe , N Kawamoto , M R Rahman , A Sathyanarayana , H T Tang , J Cheung , J Hollingshead , V Page , J Sugarman , E Wong , J Chiong , E Fung , S Y Kan , J Kiang , J Kok , O Krahelski , M Y Liew , B Lyell , Z Sharif , D Speake , L Alim , N Y Amakye , J Chandrasekaran , N Chandratreya , J Drake , T Owoso , Y M Thu , B Abou El Ela Bourquin , J Alberts , D Chapman , N Rehnnuma , K Ainsworth , H Carpenter , T Emmanuel , T Fisher , M Gabrel , Z Guan , S Hollows , A Hotouras , Chun N Ip Fung , S Jaffer , G Kallikas , B Lewinsohn , F Y Liu , S Mohammed , A Rutherfurd , T Situ , A Stammer , F Taylor , N Thin , E Urgesi , N Zhang , M A Ahmad , A Bishop , A Bowes , A Dixit , R Glasson , S Hatta , K Hatt , S Larcombe , J Preece , E Riordan , D Fegredo , M Z Haq , C Li , G McCann , D Stewart , W Baraza , D Bhullar , G Burt , J Coyle , J Deans , A Devine , R Hird , O Ikotun , G Manchip , C Ross , L Storey , W W L Tan , C Tse , C Warner , M Whitehead , F Wu , E L Court , E Crisp , M Huttman , F Mayes , H Robertson , H Rosen , C Sandberg , M Al Bakry , W Ashwell , S Bajaj , D Bandyopadhyay , O Browlee , S Burway , C P Chand , K Elsayeh , A Elsharkawi , E Evans , S Ferrin , A Fort-Schaale , M Iacob , K I Licastro , G Impelliziere , A S Mankoo , T Olaniyan , J Otun , R Reddy , D Saeed , O Simmonds , G Singhal , K Tron , C Wickstone , R Williams , E Bradshaw , V De Kock Jewell , C Knight , H Metezai , A Mirza-Davies , D Spink , S Wischhusen
中文翻译：
SARS-CoV-2 大流行之前和期间因手术肺部并发症死亡
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