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Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period.
Seretis, Charalampos; Archer, Lucy; Lalou, Lida; Yahia, Shuker; Katz, Christian; Parwaiz, Iram; Haji, Altaf; Selvam, Lourdusamy.
  • Seretis C; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
  • Archer L; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
  • Lalou L; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
  • Yahia S; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
  • Katz C; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
  • Parwaiz I; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
  • Haji A; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
  • Selvam L; Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.
Med Glas (Zenica) ; 17(2): 275-278, 2020 Aug 01.
Article in English | MEDLINE | ID: covidwho-646934
ABSTRACT
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Postoperative Complications / Respiratory Insufficiency / Respiratory Tract Infections / Digestive System Surgical Procedures / Mortality / Coronavirus Infections / Emergencies Type of study: Experimental Studies / Observational study / Prognostic study Country/Region as subject: Europa Language: English Journal: Med Glas (Zenica) Journal subject: Nutritional Sciences / Medicine Year: 2020 Document Type: Article Affiliation country: 1229-20

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Postoperative Complications / Respiratory Insufficiency / Respiratory Tract Infections / Digestive System Surgical Procedures / Mortality / Coronavirus Infections / Emergencies Type of study: Experimental Studies / Observational study / Prognostic study Country/Region as subject: Europa Language: English Journal: Med Glas (Zenica) Journal subject: Nutritional Sciences / Medicine Year: 2020 Document Type: Article Affiliation country: 1229-20