Incursiones en los Alrededores de Álvaro Pombo

Ce travail analyse l’œuvre d’Alvaro Pombo, Alrededores, carrefour de différents discours, genres et formes: portraits d’écrivains et de penseurs proches de lui (Alrededor de los parecidos), récits de voyage (Alrededor del mundo), textes de caractère philosofico-essayistique (Alrededor de la gravedad) et articles de presse (Alrededor de la comicidad). Ce livre, œuvre d’un profond métissage, n’entre pas seulement en résonance avec le questionnement actuel des frontières génériques, mais offre un condensé de la poétique de l’auteur natif de Santander.This paper aims at analysing Alvaro Pombo’s “Alrededores”, a work at the crossroads of different discourses, genres and forms: portraits of close writers and intellectuals (“Alrededor de los parecidos”), travel texts (“Alrededor del mundo”), philosophical and essayistic texts (“Alrededor de la gravedad”), press articles (“Alrededor de la comicidad”). This hybrid work does not only enlighten the present question of frontiers in literary canon genders, but also offers a concentrate of the Santander-born author’s poetics.Este trabajo analiza la obra de Álvaro Pombo, Alrededores, en la que se dan cita diferentes discursos, géneros y formas: retratos de escritores y pensadores afines a él (Alrededor de los parecidos), relatos de viaje (Alrededor del mundo), textos de carácter filosófico-ensayístico (Alrededor de la gravedad) y artículos periodísticos (Alrededor de la comicidad). Dicho libro, de carácter mestizo, no sólo está en consonancia con el actual cuestionamiento de las fronteras genéricas canónicas, sino que constituye todo un compendio de la poética del autor santanderino

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care

Delaying surgery for patients with a previous SARS-CoV-2 infection

Not availabl