Postoperative Outcomes of Emergent Gastrointestinal Surgical Interventions in COVID-19 Positive versus COVID-19 Negative Patients: A retrospective Study | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 17, Issue 2, April 2024, Page 125-132 PDF (364.53 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2024.351433 | ||||
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| Authors | ||||
Mohamed Mahmoud Abouzeid; Ramez Mounir Wahba; Ayman Hossameldin Abdulmonem; Mohamed Hosny Ibrahim Mohamed Abdullah; Kareem Ahmed Kamel; Ahmed Sayed Mourad; Ahmed Magdy Youssef; Mostafa Omar Abdelrahman
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| Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||||
| Abstract | ||||
| Introdution: The worldwide spread of Corona Virus-19 (COVID-19) since 2020 has affected healthcare systems around the world, this study discusses the postoperative outcomes of emergent alimentary tract interventions in COVID-19 positive and COVID-19 negative patients at the same center receiving the same standard postoperative surgical care during the pandemic era. Aim of work: To compare the postoperative outcomes for emergent gastrointestinal surgeries in patients who tested positive for COVID-19 with those patients who tested negative for the virus and to identify the most significant predictors of morbidity and mortality in COVID-19 positive patients undergoing such procedures. Patients and methods: A total of 100 patient were enrolled. Preoperative data included PCR test result, CO-RAD score, pre-existed comorbidities; intraoperative data included pathologic findings and operation type; and postoperative outcomes included hospital stay, ICU admission, sepsis, pulmonary complications, hospital mortality that occurred during the patient’s hospital stay and discharge mortality. Results: Respiratory failure was the most common cause of death, occurring in 15 cases; hospital mortality was significantly higher among COVID-19 positive group of 19 (38.0%) vs. 1 (2.0%) and overall mortality rate was 21 (42.0%) vs. 1 (2.0%). Furthermore, it was found that the hospital stay was statistically longer in the COVID-19 negative group. Conclusion: Compared to recent patients without COVID-19 infection, patients with COVID-19 infection who had emergent gastrointestinal surgical interventions had higher hospital mortality and overall death rates. Compared to prepandemic controls, COVID-19-negative patients who had surgery during the COVID-19 pandemic stayed in the hospital for a longer period. | ||||
| Keywords | ||||
| COVID-19; emergent gastrointestinal surgeries; CO-RAD score; respiratory failure | ||||
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