Correspondence  |   September 2020
Perioperative Care for Patients with COVID-19: Reply
Author Notes
  • Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, China (W.M.). wwdd1962@aliyun.com
  • (Accepted for publication June 9, 2020. Published online first on July 13, 2020.)
    (Accepted for publication June 9, 2020. Published online first on July 13, 2020.)×
Article Information
Correspondence
Correspondence   |   September 2020
Perioperative Care for Patients with COVID-19: Reply
Anesthesiology 9 2020, Vol.133, 680-681. doi:https://doi.org/10.1097/ALN.0000000000003449
Anesthesiology 9 2020, Vol.133, 680-681. doi:https://doi.org/10.1097/ALN.0000000000003449
We sincerely thank Dr. Williams1  for his interest in our article2  and for his provocative question. As the world passes five million recorded cases of coronavirus disease 2019 (COVID-19) and the number is still rising, we also recognize the importance of developing management strategies for COVID-19 patients after the initial discharge home. As of May 25, 2020, more than 79,000 patients, or 94% of all registered cases in China, have been discharged home from either designated facilities or hospitals. The discharge criteria for COVID-19 patients include (1) body temperature return to normal for more than 3 days, (2) oxygen saturation measured by pulse oximetry (Spo2) at or greater than 94% on room air, and (3) two consecutive negative nucleic acid tests.3  However, data have shown that with the current discharge criteria, 38 (29%) of 131 discharged patients, half of whom were severe cases of COVID-19, still had one or more symptoms including cough, fatigue, expectoration, and chest tightness in the second week after discharge.4  There is no significant difference in the profile and severity of the symptoms between the patients in severe and nonsevere COVID-19 categories.4  It had been reported that several cases whose nucleic acid test was negative at discharge had reappeared positive afterward.4,5  Therefore, we routinely follow up on these patients 2 to 4 weeks after discharge, and quarantine either at home or a designated facility is often required during the follow-up.