Emergency surgery under Covid-19 pandemic and its influence on postoperative outcomes

Mozharovsky, V V; Kachalov, A Yu; Nikolaev, N V; Tarasov, A. A.; Mozharovskiy, K. V.

doi:10.17116/hirurgia202201154

Cited by 6 publications

(3 citation statements)

References 4 publications

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“… 49 An international cohort study across 40 countries observed a shorter hospital-LOS and higher mortality in elective colorectal cancer surgery during the COVID-19 pandemic. 54 Other studies in Greece, 13 the United Kingdom, 39 Russia, 55 and Italy 56 also observed increased mortality during COVID-19. In a scoping review, it was observed that there was a delay in patients seeking care in emergency general surgeries, but it was impossible to conclude that there were more complications or increased mortality during the pandemic.…”

Section: Discussionmentioning

confidence: 93%

“…8,13,41,49,[52][53][54] Similar to our findings, a study reported a decrease in elective and emergency cardiac surgeries in Sweden without a difference in mortality and postoperative complications. 55 In France, a national database study also showed that mortality following elective digestive resections remained stable during the COVID-19 pandemic. 41 Besides, a study performed in Spain showed no difference in mortality or reoperation rate during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

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Impact of the COVID-19 Pandemic on Elective and Emergency Surgeries, and Postoperative Mortality in a Brazilian Metropolitan Area: A Time-Series Cohort Study

Ferreira,

Bolognani,

Santana

et al. 2024

RMHP

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Elective and Emergency Surgeries, and Postoperative Mortality in a Brazilian Metropolitan Area: A Time-Series Cohort Study

Ferreira,

Bolognani,

Santana

et al. 2024

RMHP

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“…In a similar study from Russia with 48 COVID-19 patients with urgent and emergent surgical diseases (malignancies, trauma, acute abdomen, etc. ), a significantly increased in-hospital mortality by 8 times (31.3%) and postoperative mortality by 6.5 times (33.3%) were observed compared to the pre-pandemic period [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Postoperative Outcomes After Emergency Surgery in COVID-19 Patients: An Ambispective Matched Cohort Study

Karna,

Ahmad,

Thaware

et al. 2024

Cureus

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Purpose There is limited data from the Indian subcontinent regarding the surgical outcomes of coronavirus disease (COVID-19) patients. In this observational study, we aimed to evaluate the postoperative outcomes after emergency surgery in COVID-19 patients compared to concurrent age and gender-matched controls. We also sought to analyze the possible predictors of postoperative mortality in COVID-19 patients. Methods This matched cohort study was conducted in a tertiary care teaching hospital in central India, between 1st July 2021 and 30th June 2022. COVID-19-positive patients undergoing emergency surgery under anesthesia were recruited as cases. Age and gender-matched COVID-19-negative patients undergoing a similar nature of surgery in the same period served as concurrent controls. The cases and controls were compared for the 30-day mortality and perioperative complications. Results The COVID-19-positive surgical cohort had a 12.3 times greater 30-day postoperative overall mortality risk as compared to a matched cohort of patients with a negative COVID-19 test. A positive COVID-19 status was associated with more postoperative complications of acute respiratory distress syndrome (ARDS), sepsis, shock, and persistent hyperglycemia. On analysis of predictors of mortality, the presence of preoperative dyspnea, ARDS, American Society of Anesthesiologists Physical Status (ASA-PS) Class IIIE/IVE, increase in sequential organ failure assessment (SOFA) score, Quick SOFA>1, higher creatinine, bilirubin, and lower albumin were observed to be associated with increased mortality. Conclusions Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in patients undergoing emergency surgery is significantly associated with higher postoperative complications and increased 30-day postoperative mortality.

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Impact of late admission on mortality from acute abdominal diseases in the Central Federal District of the Russian Federation

Sazhin,

Panin,

Sazhin

et al. 2023

Khir. Z. im. N.I. Pirogova

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Emergency surgery under Covid-19 pandemic and its influence on postoperative outcomes

Cited by 6 publications

References 4 publications

Impact of the COVID-19 Pandemic on Elective and Emergency Surgeries, and Postoperative Mortality in a Brazilian Metropolitan Area: A Time-Series Cohort Study

Impact of the COVID-19 Pandemic on Elective and Emergency Surgeries, and Postoperative Mortality in a Brazilian Metropolitan Area: A Time-Series Cohort Study

Postoperative Outcomes After Emergency Surgery in COVID-19 Patients: An Ambispective Matched Cohort Study

Impact of late admission on mortality from acute abdominal diseases in the Central Federal District of the Russian Federation

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