Dataset Information

Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil.

ABSTRACT:

Purpose

COVID-19 is associated with high morbidity and mortality in patients undergoing surgery. Contrary to elective procedures, emergency operations should not be postponed. We aim to evaluate the profile and outcomes of COVID-19 patients who underwent emergency abdominal surgery.

Methods

We performed a retrospective analysis of perioperative data of COVID-19 patients undergoing emergency surgery from April 2020 to August 2020.

Results

Eighty-two patients were evaluated due to abdominal complaints, yielding 22 emergency surgeries. The mean APACHE II and SAPS were 18.7 and 68, respectively. Six patients had a PaO₂/FiO₂ lower than 200 and more than 50% of parenchymal compromise on chest tomography. The most common indications for emergency surgery were hernias (6; 27.2%). The median length of stay was 30 days, and only two patients required reoperation. Postoperatively, 10 (43.3%) patients needed mechanical ventilation for a mean of 6 days. The overall mortality rate was 31.8%.

Conclusion

Both postoperative morbidity and mortality are high in COVID-19 patients with respiratory compromise and abdominal emergencies.

SUBMITTER: Rasslan R

PROVIDER: S-EPMC7903871 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil.

Rasslan Roberto R Dos Santos Jones Pessoa JP Menegozzo Carlos Augusto Metidieri CAM Pezzano Alvaro Vicente Alvarez AVA Lunardeli Henrique Simonsen HS Dos Santos Miranda Jocielle J Utiyama Edivaldo Massazo EM Damous Sérgio Henrique Bastos SHB

Updates in surgery 20210224 2

<h4>Purpose</h4>COVID-19 is associated with high morbidity and mortality in patients undergoing surgery. Contrary to elective procedures, emergency operations should not be postponed. We aim to evaluate the profile and outcomes of COVID-19 patients who underwent emergency abdominal surgery.<h4>Methods</h4>We performed a retrospective analysis of perioperative data of COVID-19 patients undergoing emergency surgery from April 2020 to August 2020.<h4>Results</h4>Eighty-two patients were evaluated d ...[more]

PMID: 33625679

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Project description:BACKGROUND:Intra-abdominal emergency surgery is associated with high mortality risk and long length of hospital stay. The objective of this study was to explore variations in surgery rates, the relationship between admission source and discharge destination, and whether the postoperative length of stay was related to nursing home capacity in Irish counties. METHODS:Data on emergency hospital episodes for 2014-18 for patients aged over 65?years with a primary abdominal procedure code were obtained from the National Quality Assurance Improvement System. Data on population and nursing home capacity were obtained from the Central Statistics Office and the Health Information and Quality Authority. Episode rates per 100,000 were estimated for sex and age groups and compared between 26 Irish counties. The association between admission source and discharge destination was explored in terms episode numbers, length of stay and mortality. A negative binomial regression model estimated casemix adjusted excess post-operative length of stay. The correlation between excess post-operative length of stay and nursing home capacity was explored by linear regression. RESULTS:Overall, 4951 hospital episodes were included. The annual surgery rate ranged from 100 episodes per 100,000 65-69?years old to 250 per 100,000 85-89?year old men. 90% of the episodes were admitted from patients' home. Four in five of these patients returned to their home while 12.7% died at hospital. The proportion of episodes where patients returned to their home reduced to two in five for those aged 85-89?years. The post-operative length of stay was 13.6?days longer (p <?0.01) for episodes admitted from home and discharged to nursing home in comparison with episodes discharged home. A negative association (p =?0.08) was found between excess post-operative length of stay and county-level nursing home capacity. CONCLUSIONS:This study provides relevant information to support informed consent to surgery for patients and clinicians and to improve the provision of care to older patients presenting with intra-abdominal emergencies.

Dataset Information

Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil.

Purpose

Methods

Results

Conclusion

Publications

Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil.

Similar Datasets

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