Outcomes after emergency abdominal surgery in COVID-19 patients at a referral center in Brazil
Open accessAbstract
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.
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Many studies reported poor outcomes in COVID-19 patients that underwent abdominal surgery.
“Moreover, many studies reported poor outcomes in COVID-19 patients that underwent abdominal surgery [61,62].”
From Acute mesenteric ischemia in COVID-19 patients (2021) · cites this paper as [61]
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- Authors
- Rasslan, R., dos Santos, J. P., Menegozzo, C. A. M., Pezzano, A. V. A., Lunardeli, H. S., dos Santos Miranda, J., Utiyama, E. M., & Damous, S. H. B.
- Affiliations
- Universidade de São Paulo (BR)
- Corresponding author
- Menegozzo, Carlos Augusto Metidieri
- ORCID
- Venue
- Updates in Surgery
- Published
- 2021-02-24
- Volume
- 73
- Issue
- 2
- Pages
- 763-768
- ISSN
- 2038-131X (ISSN-L)
- 2038-3312
- PMC
- PMC7903871
- OpenAlex
- W3130987757
- Cited by
- 20
- References
- 27
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 6
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Updates in Surgery (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
- Keywords
- COVID-19 pandemic, emergency abdominal surgery, postoperative outcomes, postoperative mortality, mechanical ventilation, hernia repair, respiratory compromise, length of hospital stay, reoperation
- MeSH terms
- Abdomen, Acute, COVID-19, SARS-CoV-2, Adolescent, Adult, Aged, Aged, 80 and over, Brazil, Emergencies, Female, Humans, Length of Stay, Male, Middle Aged, Pneumonia, Viral, Respiration, Artificial, Retrospective Studies, APACHE
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