Article ; Online: Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period.
2020 Volume 17, Issue 2, Page(s) 275–278
Abstract: Aim The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a world-wide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and ... ...
| Abstract | Aim The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a world-wide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and mortality following emergency gastrointestinal surgery. Herein, we present our relevant experience over a 3-month period of uninterrupted provision of emergency general surgery services in George Eliot Hospital NHS Trust, the United Kingdom. Methods We performed a retrospective analysis of a prospective institutional database, which included the operation types, paraclinical investigations and postoperative complications of all patients undergoing emergency general surgery operations between March - May 2020. Results The occurrence of a 5% overall respiratory complication rate postoperatively, with 3% infection rate for COVID-19 was found; no patient had unplanned return to intensive care for ventilator support and there was no mortality related to COVID-19 infection. Conclusion When indicated, emergency surgery should not be delayed in favour of expectant/conservative management in fear of COVID-19-related morbidity or mortality risks. |
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| MeSH term(s) | Abscess/surgery ; Acute Coronary Syndrome/drug therapy ; Acute Coronary Syndrome/epidemiology ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Appendectomy ; Betacoronavirus ; COVID-19 ; Cholecystectomy, Laparoscopic ; Comorbidity ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Digestive System Surgical Procedures ; Disease Outbreaks ; Drainage ; Emergencies ; Female ; Herniorrhaphy ; Humans ; Laparoscopy ; Length of Stay ; Male ; Middle Aged ; Mortality ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Postoperative Complications/epidemiology ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Embolism/drug therapy ; Pulmonary Embolism/epidemiology ; Respiratory Insufficiency/epidemiology ; Respiratory Insufficiency/therapy ; Respiratory Tract Infections/epidemiology ; Respiratory Tract Infections/therapy ; Retrospective Studies ; SARS-CoV-2 ; Surgical Wound Infection/drug therapy ; Surgical Wound Infection/epidemiology ; United Kingdom/epidemiology ; Young Adult |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-07-14 |
| Publishing country | Bosnia and Herzegovina |
| Document type | Journal Article |
| ZDB-ID | 2378942-6 |
| ISSN | 1840-2445 ; 1840-0132 |
| ISSN (online) | 1840-2445 |
| ISSN | 1840-0132 |
| DOI | 10.17392/1229-20 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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