Predictors of Postoperative Complications in COVID-19 Patients Undergoing Emergency Abdominal Surgery

Year 2024, , 77 - 83, 28.03.2024

Çağrı Büyükkasap , Mustafa Ünal Sayılır , Yunushan Furkan Aydoğdu , Aydın Yavuz , Hüseyin Göbüt , Kürşat Dikmen

https://doi.org/10.18663/tjcl.1409229

Abstract

Aim: The rapid spread of COVID-19 worldwide has also caused an increase in the incidence of postoperative complications in surgical patients. Clearly, COVID-19 positivity may affect postoperative complications in patients undergoing emergency surgeries. This study aimed to evaluate the factors predictive of postoperative complications in COVID-19 patients undergoing emergency abdominal surgeries.
Material and Methods: Fifty-two patients who underwent emergency abdominal surgeries and tested positive for COVID-19 via a Polymerase Chain Reaction (PCR) test within 72 hours of the perioperative period were evaluated retrospectively.
Results: The median age of the patients included in the study was 50.5 years (range: 18–83 years). The 30-day mortality rate was 15.4%, while the postoperative complication rate was 23.1%. A significant correlation was found between postoperative complication status and age (p = 0.003) and between postoperative complication status and preoperative hemoglobin levels (p = 0.001). The evaluation of age and hemoglobin together showed a sensitivity of 91.7% and a specificity of 87.5% for postoperative complications (p < 0.001, AUC: 0.867). In addition, a negative correlation was found between preoperative hemoglobin levels and length of hospital stay (p < 0.001).
Conclusion: COVID-19-positive patients who undergo emergency abdominal surgeries face a significant risk of postoperative complications. An advanced age and low hemoglobin levels may be predictors of postoperative complications in this group of patients.

Keywords

COVID-19; abdominal surgery, emergency surgery, postoperative complications

Acil Abdominal Cerrahi Yapılan COVID-19 Hastalarında Postoperatif Komplikasyonların Öngördürücüleri

Abstract

Amaç: COVID-19 dünya çapında hızla yayılması ve pandemi haline gelmesi, cerrahi hastalarda postoperatif komplikasyonların insidansında da artışa neden oldu. Acil ameliyata alınan hastalarda COVID-19 pozitifliğinin ameliyat sonrası komplikasyonları etkileyebileceği açıktır. Bu çalışmada acil abdominal cerrahi uygulanan COVID-19 hastalarında postoperatif komplikasyonlar için öngördürücü faktörlerin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu çalışmada acil abdominal cerrahi uygulanan ve perioperatif 72 saat içerisinde COVID-19 Polimeraz Zincir Reaksiyonu (PCR) testi pozitif sonuçlanan 52 hasta retrospektif olarak değerlendirildi.
Bulgular: Çalışmaya dahil edilen hastaların medyan yaşı 50.5’di (aralık: 18-83). 30 günlük mortalite oranı %15.4 olarak saptandı. Postoperatif komplikasyon oranı %23.1’di. Postoperatif komplikasyon durumu ile yaş (p=0.003) ve preoperatif hemoglobin değeri (p=0.001) arasında anlamlı bir ilişki saptandı. Yaş ve hemoglobinin birlikte değerlendirilmesinin postoperatif komplikasyonlar için sensivitesinin %91.7, spesifitesinin %87.5 olduğu görüldü (p<0.001, AUC: 0.867). Ayrıca ameliyat öncesi hemoglobin değeri ile hastanede kalış süresi arasında negatif korelasyon saptandı (p<0.001).
Sonuç: COVID-19 testi pozitif olan ve acil abdominal cerrahi uygulanan hastalar önemli bir postoperatif komplikasyon riski ile karşı karşıyadır. Bu hastalarda ileri yaş ve düşük hemoglobin düzeyleri postoperatif komplikasyonlar için öngördürücü olabilir.

Keywords

COVID-19; abdominal cerrahi, acil cerrahi, postoperatif komplikasyonlar

Ethical Statement

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and the 1964 Declaration of Helsinki and its subsequent amendments or similar ethical standards. No animal or human studies were performed by the authors for this article.

Supporting Institution

Funding: None

Thanks

There is no acknowledgments.

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