Impact of COVID-19 on Emergency General Surgery

Background There are limited data on emergency surgical practice during the covid-19 era. Objectives To evaluate the outcomes for emergency surgery before and during Covid-19. Methods This is a retrospective study of emergency admissions to one general surgery department during November 2019 (which...

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Autores principales:	Abdulzahra Hussain, Owais Manejula, Anngona Ghosh, Shariq Shuaib, Hesham Soliman, Rehana Hafeez, Shamsi EL-Hasani
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2020
Materias:	covid-19 emergency surgery complications Medicine R
Acceso en línea:	https://doaj.org/article/69b8d2eeff9444369f5c3c7513f4a37f
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spelling	oai:doaj.org-article:69b8d2eeff9444369f5c3c7513f4a37f2021-11-14T08:12:17ZImpact of COVID-19 on Emergency General Surgery2783-243010.30476/acrr.2020.88275.1064https://doaj.org/article/69b8d2eeff9444369f5c3c7513f4a37f2020-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_46974_faab7484cc0a5355cb99da191ead9b64.pdfhttps://doaj.org/toc/2783-2430Background There are limited data on emergency surgical practice during the covid-19 era. Objectives To evaluate the outcomes for emergency surgery before and during Covid-19. Methods This is a retrospective study of emergency admissions to one general surgery department during November 2019 (which is likely to represent our normal working pattern) and April 2020 (which was the peak of the Covid-19 crisis in our population). Data of each of these 2 months were collected separately. Patients demographic features, type of procedures, blood test results, procedure approach( open, laparoscopic), morbidities and mortality were reported. Statistical analysis using descriptive statistics, Chi-square, and Z -tests were used for statistical significance analysis value taken as The primary endpoints were Covid-19 diagnosis, the number and types of surgical admissions and procedures. The secondary endpoints were complications, mortality, laparoscopic and open approaches,CRP and white cell count, length of stay, age and gender. Results: 332 patients were admitted [146 patients during April 2020, and 177 patients during November 2019. There were 147 male and 176 female. The mean age was 51 year for November group and 49 years for April group. There were 146 procedures performed during November while 117 operations were conducted during April. Length of stay was 5.87 and 5.43 for November and April patients respectively. There were 7 patients tested +ve for Covid-19 and 3 mortality in each group. Acute cholecystitis, abscess, diverticulitis and CRP are showing significant differences between the two groups, P-value Conclusions The postoperative complications, mortality and acute cholecystitis are significantly higher while abscess and diverticulitis are significantly reducedAbdulzahra HussainOwais ManejulaAnngona GhoshShariq ShuaibHesham SolimanRehana HafeezShamsi EL-HasaniShiraz University of Medical Sciencesarticlecovid-19emergency surgerycomplicationsMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 3, Pp 120-124 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 emergency surgery complications Medicine R
spellingShingle	covid-19 emergency surgery complications Medicine R Abdulzahra Hussain Owais Manejula Anngona Ghosh Shariq Shuaib Hesham Soliman Rehana Hafeez Shamsi EL-Hasani Impact of COVID-19 on Emergency General Surgery
description	Background There are limited data on emergency surgical practice during the covid-19 era. Objectives To evaluate the outcomes for emergency surgery before and during Covid-19. Methods This is a retrospective study of emergency admissions to one general surgery department during November 2019 (which is likely to represent our normal working pattern) and April 2020 (which was the peak of the Covid-19 crisis in our population). Data of each of these 2 months were collected separately. Patients demographic features, type of procedures, blood test results, procedure approach( open, laparoscopic), morbidities and mortality were reported. Statistical analysis using descriptive statistics, Chi-square, and Z -tests were used for statistical significance analysis value taken as The primary endpoints were Covid-19 diagnosis, the number and types of surgical admissions and procedures. The secondary endpoints were complications, mortality, laparoscopic and open approaches,CRP and white cell count, length of stay, age and gender. Results: 332 patients were admitted [146 patients during April 2020, and 177 patients during November 2019. There were 147 male and 176 female. The mean age was 51 year for November group and 49 years for April group. There were 146 procedures performed during November while 117 operations were conducted during April. Length of stay was 5.87 and 5.43 for November and April patients respectively. There were 7 patients tested +ve for Covid-19 and 3 mortality in each group. Acute cholecystitis, abscess, diverticulitis and CRP are showing significant differences between the two groups, P-value Conclusions The postoperative complications, mortality and acute cholecystitis are significantly higher while abscess and diverticulitis are significantly reduced
format	article
author	Abdulzahra Hussain Owais Manejula Anngona Ghosh Shariq Shuaib Hesham Soliman Rehana Hafeez Shamsi EL-Hasani
author_facet	Abdulzahra Hussain Owais Manejula Anngona Ghosh Shariq Shuaib Hesham Soliman Rehana Hafeez Shamsi EL-Hasani
author_sort	Abdulzahra Hussain
title	Impact of COVID-19 on Emergency General Surgery
title_short	Impact of COVID-19 on Emergency General Surgery
title_full	Impact of COVID-19 on Emergency General Surgery
title_fullStr	Impact of COVID-19 on Emergency General Surgery
title_full_unstemmed	Impact of COVID-19 on Emergency General Surgery
title_sort	impact of covid-19 on emergency general surgery
publisher	Shiraz University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/69b8d2eeff9444369f5c3c7513f4a37f
work_keys_str_mv	AT abdulzahrahussain impactofcovid19onemergencygeneralsurgery AT owaismanejula impactofcovid19onemergencygeneralsurgery AT anngonaghosh impactofcovid19onemergencygeneralsurgery AT shariqshuaib impactofcovid19onemergencygeneralsurgery AT heshamsoliman impactofcovid19onemergencygeneralsurgery AT rehanahafeez impactofcovid19onemergencygeneralsurgery AT shamsielhasani impactofcovid19onemergencygeneralsurgery
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Impact of COVID-19 on Emergency General Surgery

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