Health Condition 1: B972- Coronavirus as the cause of diseases classified elsewhere Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 16 years and over. 2. Planned to undergo any type of elective or emergency inpatient surgery requiring general or regional anaesthesia (such as vulnerable patients undergoing surgery for a fractured neck of femur). 3. Asymptomatic of COVID-19, including patients with: those not tested, negative test results, positive test but no symptoms 4. Informed patient consent.
Exclusion criteria
Exclusion criteria: 1. Procedures under local anaesthesia. 2. Symptomatic COVID-19 infection (by confirmed COVID-19 test or a clinical diagnosis) 3. Existing regular preoperative treatment with trial drugs. 4. Known history of adverse reaction/contraindication to trial drugs. 5.Pregnancy (including caesarean section). • Actively breastfeeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| One of the following COVID-19 specific, inpatient, postoperative pulmonary complications: Pneumonia, Acute respiratory distress syndrome, Death Timepoint: All randomised participants will be followed up until death, discharge from hospital, or 30 days post-randomisation (whichever is sooner). Longer-term follow-up (e.g. 5 years) will be sought as appropriate to each participating countryâ??s settings. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pneumonia, ARDS, and death will be presented and analysed separately as secondary outcomes. Unexpected ventilation Postoperative diagnosis of proven COVID-19 pulmonary complications Overall SARS-CoV-2 infected rate Duration of hospital stay (including time spent in intensive care, time ventilated) Pulmonary function in keeping with the WHO Solidarity Trial outcome scaleTimepoint: Secondary outcome measures will be recorded on the index hospital admission up to 30 days following surgery | — |
Countries
Benin, Ghana, India, Italy, Mexico, Nigeria, Rwanda, South Africa, United Kingdom
Contacts
Christian Medical College Ludhiana