Retrospective analysis of outcome of COVID positive patients undergoing emergency surgeries for acute general surgical conditions

Authors

  • Anantha Ramani Pratha Department of General Surgery, Guntur Medical College, Guntur, Andhra Pradesh, India
  • Mahesh Kumar Pustela Department of General Surgery, Guntur Medical College, Guntur, Andhra Pradesh, India
  • Vamsi Krishna Kaniti Department of General Surgery, Guntur Medical College, Guntur, Andhra Pradesh, India
  • Salma Begum Shaik Department of General Surgery, Guntur Medical College, Guntur, Andhra Pradesh, India
  • Tanmayi Pecheti Department of General Surgery, Guntur Medical College, Guntur, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20230496

Keywords:

Mortality, Morbidity, Complications, Hospital stay, Multiorgan failure

Abstract

Background: There is a significant impact of COVID-19 disease on medical and surgical community. Acute surgical emergencies had to be addressed inspite of several hardships to save the lives of patients. There is a need to understand the impact of COVID-19 disease on outcome of surgical emergencies. This study aimed to analyse the outcomes of COVID-19 patients with general surgical emergencies.

Methods: This retrospective study was conducted on 50 patients undergoing emergency surgeries for acute general surgical pathologies in department of general surgery, Government General Hospital, Guntur from January 2021 to October 2021. Patients were divided into two groups, 25 patients who were COVID positive and 25 patients who were COVID negative. The outcomes assessed were mortality, multi organ dysfunction syndrome, surgery related complications and number of days of hospital stay.

Results: Mortality was higher in COVID group when compared to non COVID group (32% vs. 8%). Average number of hospital stay was higher in COVID group than non Covid group (11.78 days vs. 8.43 days). COVID-19 patients developed MODS 2.88 times greater than non COVID patients (20% vs. 8%). Surgery related complications were higher in COVID-19 patients (28% vs. 8%).

Conclusions: COVID positivity was associated with higher complications rate, higher mortality and increased duration of hospital stay.

References

Haleem A, Javaid M, Vaishya R. Effects of COVID-19 pandemic in daily life. Curr Med Res Pract. 2020;10(2):78-9.

Prasad NK, Englum BR, Turner DJ, Lake R, Siddiqui T, Mayorga-Carlin M, et al. A nation-wide review of elective surgery and COVID-surge capacity. J Surg Res. 2021;267:211-6.

Andrews MA, Areekal B, Rajesh KR, Krishnan J, Suryakala R, Krishnan B, et al. First confirmed case of COVID-19 infection in India: a case report. Indian J Med Res. 2020;151(5):490-2.

Venkata-Subramani M, Roman J. The coronavirus response in India-world's largest lockdown. Am J Med Sci. 2020;360(6):742-8.

Carrier FM, Amzallag É, Lecluyse V, Côté G, Couture EJ, D'Aragon F, et al. Postoperative outcomes in surgical COVID-19 patients: a multicenter cohort study. BMC Anesthesiol. 2021;21(1):15.

Choi H, Shin EC. Hyper-inflammatory responses in COVID-19 and anti-inflammatory therapeutic approaches. BMB Rep. 2022;55(1):11-9.

Arias JI, Aller MA, Arias J. Surgical inflammation: a pathophysiological rainbow. J Transl Med. 2009;7:19.

Osorio J, Madrazo Z, Videla S, Sainz B, Rodríguez-González A, Campos A, et al. Analysis of outcomes of emergency general and gastrointestinal surgery during the COVID-19 pandemic. Br J Surg. 2021;108(12):1438-47.

Doglietto F, Vezzoli M, Gheza F, Lussardi GL, Domenicucci M, Vecchiarelli L, et al. Factors associated with surgical mortality and complications among patients with and without coronavirus disease 2019 (COVID-19) in Italy. JAMA Surg. 2020;155(8):691-702.

Knisely A, Zhou ZN, Wu J. Perioperative morbidity and mortality of patients with COVID-19 who undergo urgent and emergent surgical procedures. Ann Surg. 2021;273(1):34-40.

COVID Surg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international COHORT study. Lancet. 2020;396(10243):27-38.

NELA Project Team. The impact of COVID-19 on emergency laparotomy-an interim report of the national emergency laparotomy audit, 23 March 2020-30 September 2020. London: Royal College of Anaesthetists; 2021.

Downloads

Published

2023-02-24

Issue

Section

Original Research Articles