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

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

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 perfo...

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Bibliographic Details
Published in:Updates in surgery Vol. 73; no. 2; pp. 763 - 768
Main Authors: Rasslan, Roberto, dos Santos, Jones Pessoa, Menegozzo, Carlos Augusto Metidieri, Pezzano, Alvaro Vicente Alvarez, Lunardeli, Henrique Simonsen, dos Santos Miranda, Jocielle, Utiyama, Edivaldo Massazo, Damous, Sérgio Henrique Bastos
Format: Journal Article
Language:English
Published: Cham Springer International Publishing 01-04-2021
Subjects:
Abdomen, Acute - mortality
Abdomen, Acute - surgery
Adolescent
Adult
Aged
Aged, 80 and over
APACHE
Brazil - epidemiology
COVID-19 - complications
COVID-19 - mortality
Emergencies
Female
Humans
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Original
Original Article
Pneumonia, Viral - complications
Pneumonia, Viral - mortality
Pneumonia, Viral - virology
Respiration, Artificial
Retrospective Studies
SARS-CoV-2
Surgery
Brazil
COVID-19
Abdominal surgery
Acute abdomen
SARS-CoV-2
Laparoscopy
Emergency surgery
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Summary: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 PaO 2 /FiO 2 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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2038-131X
2038-3312
DOI:10.1007/s13304-021-01007-5