{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T09:50:18Z","timestamp":1773913818477,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>The impact of vaccination and new SARS\u2010CoV\u20102 variants on peri\u2010operative outcomes is unclear. We aimed to update previously published consensus recommendations on timing of elective surgery after SARS\u2010CoV\u20102 infection to assist policymakers, administrative staff, clinicians and patients. The guidance remains that patients should avoid elective surgery within 7\u2009weeks of infection, unless the benefits of doing so exceed the risk of waiting. We recommend individualised multidisciplinary risk assessment for patients requiring elective surgery within 7\u2009weeks of SARS\u2010CoV\u20102 infection. This should include baseline mortality risk calculation and assessment of risk modifiers (patient factors; SARS\u2010CoV\u20102 infection; surgical factors). Asymptomatic SARS\u2010CoV\u20102 infection with previous variants increased peri\u2010operative mortality risk three\u2010fold throughout the 6\u2009weeks after infection, and assumptions that asymptomatic or mildly symptomatic omicron SARS\u2010CoV\u20102 infection does not add risk are currently unfounded. Patients with persistent symptoms and those with moderate\u2010to\u2010severe COVID\u201019 may require a longer delay than 7\u2009weeks. Elective surgery should not take place within 10\u2009days of diagnosis of SARS\u2010CoV\u20102 infection, predominantly because the patient may be infectious, which is a risk to surgical pathways, staff and other patients. We now emphasise that timing of surgery should include the assessment of baseline and increased risk, optimising vaccination and functional status, and shared decision\u2010making. While these recommendations focus on the omicron variant and current evidence, the principles may also be of relevance to future variants. As further data emerge, these recommendations may be revised.<\/jats:p>","DOI":"10.1111\/anae.15699","type":"journal-article","created":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T22:55:57Z","timestamp":1645570557000},"page":"580-587","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Timing of elective surgery and risk assessment after\n                    <scp>SARS\u2010CoV<\/scp>\n                    \u20102 infection: an update"],"prefix":"10.1111","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9912-717X","authenticated-orcid":false,"given":"K.","family":"El\u2010Boghdadly","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Peri\u2010operative Medicine Guy's and St Thomas' NHS Foundation Trust London UK"},{"name":"King's College London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3654-497X","authenticated-orcid":false,"given":"T. M.","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"},{"name":"University of Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Goodacre","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Manor Hospital Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5741-2300","authenticated-orcid":false,"given":"J.","family":"Kua","sequence":"additional","affiliation":[{"name":"Health Services Research Centre London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Denmark","sequence":"additional","affiliation":[{"name":"Patient and Public Group, Royal College of Surgeons of England UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"McNally","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Eastbourne Hospital Eastbourne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Mercer","sequence":"additional","affiliation":[{"name":"Cleft Unit of the South West of England, Bristol Dental School Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. R.","family":"Moonesinghe","sequence":"additional","affiliation":[{"name":"Centre for Peri\u2010operative Medicine University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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