Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period

Aim The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a world-wide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and mortality following emergency gastrointestinal sur...

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Main Authors: Charalampos Seretis, Lucy Archer, Lida Lalou, Shuker Yahia, Christian Katz, Iram Parwaiz, Altaf Haji, Lourdusamy Selvam
Format: Article
Language:English
Published: Medical Association of Zenica-Doboj Canton 2020-08-01
Series:Medicinski Glasnik
Subjects:
Online Access:http://ljkzedo.ba/mgpdf/mg33/47_Seretis_1229_A.pdf
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author Charalampos Seretis
Lucy Archer
Lida Lalou
Shuker Yahia
Christian Katz
Iram Parwaiz
Altaf Haji
Lourdusamy Selvam
author_facet Charalampos Seretis
Lucy Archer
Lida Lalou
Shuker Yahia
Christian Katz
Iram Parwaiz
Altaf Haji
Lourdusamy Selvam
author_sort Charalampos Seretis
collection DOAJ
description Aim The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a world-wide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and mortality following emergency gastrointestinal surgery. Herein, we present our relevant experience over a 3-month period of uninterrupted provision of emergency general surgery services in George Eliot Hospital NHS Trust, the United Kingdom. Methods We performed a retrospective analysis of a prospective institutional database, which included the operation types, paraclinical investigations and postoperative complications of all patients undergoing emergency general surgery operations between March –May 2020. Results The occurrence of a 5% overall respiratory complication rate postoperatively, with 3% infection rate for COVID-19 was found; no patient had unplanned return to intensive care for ventilator support and there was no mortality related to COVID-19 infection. Conclusion When indicated, emergency surgery should not be delayed in favour of expectant/conservative management in fear of COVID-19-related morbidity or mortality risks.
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spelling doaj.art-0db1a7538f46479a95895e2f945186a12022-12-21T21:03:53ZengMedical Association of Zenica-Doboj CantonMedicinski Glasnik1840-01321840-24452020-08-0117227527810.17392/1229-20Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational periodCharalampos Seretis0Lucy Archer1Lida Lalou2Shuker Yahia3Christian Katz4Iram Parwaiz5Altaf Haji6Lourdusamy Selvam7Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomDepartment of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomDepartment of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomDepartment of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomDepartment of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomDepartment of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomDepartment of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomDepartment of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United KingdomAim The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a world-wide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and mortality following emergency gastrointestinal surgery. Herein, we present our relevant experience over a 3-month period of uninterrupted provision of emergency general surgery services in George Eliot Hospital NHS Trust, the United Kingdom. Methods We performed a retrospective analysis of a prospective institutional database, which included the operation types, paraclinical investigations and postoperative complications of all patients undergoing emergency general surgery operations between March –May 2020. Results The occurrence of a 5% overall respiratory complication rate postoperatively, with 3% infection rate for COVID-19 was found; no patient had unplanned return to intensive care for ventilator support and there was no mortality related to COVID-19 infection. Conclusion When indicated, emergency surgery should not be delayed in favour of expectant/conservative management in fear of COVID-19-related morbidity or mortality risks.http://ljkzedo.ba/mgpdf/mg33/47_Seretis_1229_A.pdfemergencysars-cov-2surgery
spellingShingle Charalampos Seretis
Lucy Archer
Lida Lalou
Shuker Yahia
Christian Katz
Iram Parwaiz
Altaf Haji
Lourdusamy Selvam
Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period
Medicinski Glasnik
emergency
sars-cov-2
surgery
title Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period
title_full Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period
title_fullStr Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period
title_full_unstemmed Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period
title_short Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period
title_sort minimal impact of covid 19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures results from a 3 month observational period
topic emergency
sars-cov-2
surgery
url http://ljkzedo.ba/mgpdf/mg33/47_Seretis_1229_A.pdf
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