1. Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil
- Author
-
Henrique Simonsen Lunardeli, Sérgio Henrique Bastos Damous, Roberto Rasslan, Jocielle dos Santos Miranda, Jones Pessoa Dos Santos, Edivaldo Massazo Utiyama, Alvaro Vicente Alvarez Pezzano, and Carlos Augusto Metidieri Menegozzo
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Pneumonia, Viral ,Abdominal surgery ,030230 surgery ,Acute abdomen ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Humans ,Laparoscopy ,APACHE ,Aged ,Retrospective Studies ,Mechanical ventilation ,Abdomen, Acute ,Aged, 80 and over ,APACHE II ,medicine.diagnostic_test ,business.industry ,SARS-CoV-2 ,Mortality rate ,COVID-19 ,Retrospective cohort study ,Perioperative ,Length of Stay ,Middle Aged ,Respiration, Artificial ,Surgery ,030220 oncology & carcinogenesis ,Emergency surgery ,Original Article ,Female ,medicine.symptom ,Emergencies ,business ,Brazil - Abstract
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 PaO2/FiO2 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. Supplementary Information The online version contains supplementary material available at 10.1007/s13304-021-01007-5.
- Published
- 2021