Emergency Surgical Management of Lumbar Burst Fracture in a Patient with COVID-19: A Case Report

Hachiya, Kurenai; Kawabata, Soya; Nagai, Sumiaki; Takeda, Hiroyuki; Ikeda, Daiki; Iwata, Mitsunaga; Kaneko, Shinjiro; Fujita, Nobuyuki

doi:10.22603/ssrr.2021-0201

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…COVID-19 infection can trigger an inflammatory response in the body [4], and the inflammation triggered by acute surgery can lead to multiple organ failure, increased mortality, and morbidity in COVID-19-positive patients [5]. For this reason, many studies have been conducted on perioperative morbidity and mortality in this group of patients [5,6]. Studies including patients requiring emergency surgeries have found that individuals with an ongoing COVID-19 infection requiring surgeries have a higher risk of mortality and postoperative complications [3,7].…”

Section: Introductionmentioning

confidence: 99%

Acil Abdominal Cerrahi Yapılan COVID-19 Hastalarında Postoperatif Komplikasyonların Öngördürücüleri

Büyükkasap,

Sayılır,

Aydoğdu

et al. 2024

Turkish Journal of Clinics and Laboratory

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Aim: The rapid spread of COVID-19 worldwide has also caused an increase in the incidence of postoperative complications in surgical patients. Clearly, COVID-19 positivity may affect postoperative complications in patients undergoing emergency surgeries. This study aimed to evaluate the factors predictive of postoperative complications in COVID-19 patients undergoing emergency abdominal surgeries. Material and Methods: Fifty-two patients who underwent emergency abdominal surgeries and were positive for COVID-19 via a Polymerase Chain Reaction (PCR) test within 72 h of the perioperative period were evaluated retrospectively. Results: The median age of the patients included in the study was 50.5 years (range: 18–83 years). The 30-day mortality rate was 15.4%, while the postoperative complication rate was 23.1%. A significant correlation was found between postoperative complication status and age (p = 0.003) and between postoperative complication status and preoperative hemoglobin levels (p = 0.001). The evaluation of age and hemoglobin together showed a sensitivity of 91.7% and a specificity of 87.5% for postoperative complications (p < 0.001, AUC: 0.867). In addition, a negative correlation was found between preoperative hemoglobin levels and length of hospital stay (p < 0.001). Conclusion: COVID-19-positive patients who undergo emergency abdominal surgeries face a significant risk of postoperative complications. An advanced age and low hemoglobin levels may be predictors of postoperative complications in this group of patients.

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