ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Overall management of emergency general surgery patients during the surge of the COVID-19 pandemic: an analysis of procedures and outcomes from a teaching hospital at the worst hit area in Spain.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Mild acute biliary pancreatitis: still a surgical disease. A post-hoc analysis of the MANCTRA-1 international study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- The association of closed-collaborative SICU modeling on emergency general surgery patient outcomes.Surgery in practice and science · 2023Article
- Evolutionary analysis of patient's morbidity and mortality in emergency surgical care during the pandemic: Retrospective comparison between first and second waves of COVID-19.Cirugia espanola · 2023Article
- Emergencies do not shut down during a pandemic: COVID pandemic impact on Acute Care Surgery volume and mortality at a level I trauma center.American journal of surgery · 2022Article
- [Evolutionary analysis of patient´s morbidity and mortality in emergency surgical care during the pandemic: retrospective comparison between the first and second waves of COVID-19.]Cirugia espanola · 2022Article
- [Impact on the incidence of gastrointestinal perforation during the COVID-19 pandemic in theRevista de gastroenterologia de Mexico · 2022Article
- Applications of laboratory findings in the prevention, diagnosis, treatment, and monitoring of COVID-19.Signal transduction and targeted therapy · 2021Review
- Massive late postoperative bleeding after abdominal surgery in a haematologic patient with postoperative CoV-2 infection.BMJ case reports · 2021Article
- Emergency surgery and trauma during COVID-19 pandemic: safe, smart and kind!European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Effects of COVID-19 lockdown measures on emergency plastic and reconstructive surgery presentations.ANZ journal of surgery · 2021Article
- Efficacy of a four-tier infection response system in the emergency department during the coronavirus disease-2019 outbreak.PloS one · 2021Observational
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6 authors.
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Abstract
objectiveTo assess how the COVID-19 outbreak has affected emergency general surgery (EGS) care during the pandemic, indications for surgery, types of procedures, perioperative course, and final outcomes.
methodsThis is a retrospective study of EGS patients during the pandemic period. The main outcome was 30-day morbidity and mortality according to severity and COVID-19 infection status. Secondary outcomes were changes in overall management. A logistic regression analysis was done to assess factors predictive of mortality.
resultsOne hundred and fifty-three patients were included. Half of the patients with an abdominal ultrasound and/or CT scan had signs of severity at diagnosis, four times higher than the previous year. Non-COVID patients underwent surgery more often than the COVID group. Over 1/3 of 100 operated patients had postoperative morbidity, versus only 15% the previous year. The most common complications were septic shock, pneumonia, and ARDS. ICU care was required in 17% of patients, and was most often required in the SARS-CoV-2-infected group, which also had a higher morbidity and mortality. The 30-day mortality in the surgical series was of 7%, with no differences with the previous year. The strongest independent predictors of overall mortality were age > 70 years, ASA III-IV, ESS > 9, and SARS-CoV-2 infection.
conclusionsNon-operative management (NOM) was undertaken in a third of patients, and only 14% of operated patients had a perioperative confirmation of -CoV-2 infection. The severity and morbidity of COVID-19-infected patients was much higher. Late presentations for medical care may have added to the high morbidity of the series.
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