Evidence map›Paper›PMID 32720012›Full record

ArticleLangenbeck's archives of surgery2020

Acute abdomen in patients with SARS-CoV-2 infection or co-infection.

Barbara Seeliger, Guillaume Philouze, Zineb Cherkaoui, Emanuele Felli, Didier Mutter, Patrick Pessaux

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04323644 (Outcomes of Surgery in COVID-19 Infection), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04323644 unknown statusnot on this map

Outcomes of Surgery in COVID-19 Infection: International Cohort Study (CovidSurg)

TypeobservationalSponsorUniversity of BirminghamRan2020 to 2020Enrolled1,000ConditionsCOVID-19, Coronavirus, SurgeryArmsSurgery
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Acute abdomen in patients with covid-19: an integrative review.Revista do Colegio Brasileiro de Cirurgioes · 2023
    Review
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  10. Meckel's diverticulitis in a COVID-19 adult.Journal of surgical case reports · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Barbara SeeligerIHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.ORCID https://orcid.org/0000-0001-7451-7545
Guillaume PhilouzeDepartment of Visceral and Digestive Surgery, Nouvel Hopital Civil, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67091, Strasbourg Cedex, France.ORCID https://orcid.org/0000-0001-8209-3682
Zineb CherkaouiIHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.ORCID https://orcid.org/0000-0003-3237-7286
Emanuele FelliDepartment of Visceral and Digestive Surgery, Nouvel Hopital Civil, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67091, Strasbourg Cedex, France.ORCID https://orcid.org/0000-0002-6510-1457
Didier MutterIHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.ORCID https://orcid.org/0000-0002-7559-3328
Patrick PessauxIHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France. patrick.pessaux@chru-strasbourg.fr.ORCID https://orcid.org/0000-0001-5635-7437
Hôpitaux Universitaires de Strasbourg · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients.

methodsPerioperative data for COVID-19 patients undergoing emergency surgery from March 1, 2020, to May 23, 2020 were collected prospectively (NCT04323644).

resultsDuring this period, 215 patients underwent surgery, including 127 patients in an emergency setting, of whom 13 (10.2%) had COVID-19. Two scenarios were identified: (a) patients who were admitted to a hospital for an acute surgical condition with a concomitant diagnosis of COVID-19, and (b) patients with severe COVID-19 developing acute abdominal pathologies during their hospital stay. When compared with those in group B, patients in group A globally recovered better, with a lower mortality rate (14.3% vs. 33.3%), lower ARDS rate (28.5% vs. 50.0%), less rates of preoperative invasive ventilation (14.3% vs. 50.0%) and postoperative invasive ventilation (28.5% vs. 100.0%), and a shorter duration of invasive ventilation. No causality between SARS-CoV-2 infection and gastrointestinal affliction was found.

conclusionOur observations underline that mild co-infection with COVID-19 did not result in more complications for emergency abdominal surgery. Howe, an acute abdomen during severe COVID-19 infection was part of an unfavorable prognosis.

Indexed as

BetacoronavirusAbdomen, AcuteAdultAgedAged, 80 and overCohort StudiesCoinfectionCoronavirus InfectionsCOVID-19FemaleHospitalizationHumansMaleMiddle AgedPandemicsPneumonia, ViralAbdominal surgeryAcute abdomenCOVID-19LaparoscopySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Identifiers

PMID32720012
PMCPMC7384558
OpenAlexW3045553719

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.