Covid 19 hastalığı sırasında yoğun bakıma yatış ile postoperatif yoğun bakım ünitesi yatışı arasında bir ilişki var mı: retrospektif çalışma

Year 2023, Volume: 14 Issue: 3, 544 - 549, 30.09.2023

Şenay Canikli Adıgüzel , Hatice Bahadır Altun , Dilan Akyurt , Gökçe Ültan Özgen , Mustafa Süren

https://doi.org/10.18663/tjcl.1279879

Abstract

Amaç: Çalışmamızda Covid-19 enfeksiyonu tedavisi olduktan sonra elektif ameliyat edilen hastaların postoperatif mortalite, morbidite ve yoğun bakım ünitesi (YBÜ) gereksinimlerini inceledik.
Gereç ve Yöntemler: Çalışmaya hastanemizde Temmuz 2020–Temmuz 2021 döneminde yatarak Covid-19 enfeksiyonu tedavisi olan ve sonrasında herhangi bir nedenle elektif ameliyat edilen 18 yaş üstü hastalar dahil edildi. Bu hastaların hastanemiz arşiv kayıtlarından dosyaları incelendi. Covid-19 tanısı için PCR test pozitifliği baz alındı. Hastalık sonrası PCR testi negatif olan elektif olarak ameliyat edilen hastalar incelendi.
Bulgular: Hastanemizde bu dönemde 38,136 hasta yatırılarak tedavi edilmiş ve bu hastaların 2,463’ü Covid-19 enfeksiyonu tanısı ile takip edilmişti. Hastanemizde ameliyat edilen hasta sayısı 24,375 iken; bu hastalardan 423’ü Covid-19 tanısıyla hastanemizde yatırılarak takip edilmiş hasta idi. 423 hastadan 102’si elektif, 321’i acil ameliyata alınmıştı. Elektif olarak ameliyat edilen ve PCR testi negatifleşen 30 hasta çalışmaya dahil edilerek kayıtları incelendi. Bu 30 hastadan 5’i (%16.6) postoperatif YBÜ’de takip edilmişti. Önceden Covid-19 nedeniyle YBÜ’de yatmış olan 2 hasta postoperatif dönemde de YBÜ’de takip edildi. Covid-19 YBÜ yatışı ile postoperatif YBÜ ihtiyacı arasında anlamlı bir ilişki bulundu (p<0.05).
Sonuç: Covid-19 enfeksiyonu sonrasında elektif olarak ameliyat edilen hastalarda, Covid 19 enfeksiyonu sırasında yoğun bakıma yatış ile postoperatif YBÜ yatışı arasında pozitif bir ilişki vardır.

Keywords

Post Covid-19, yoğun bakım ünitesi, elektif cerrahi, postoperatif, pandemi, perioperatif

Supporting Institution

Herhangi bir kurumdan destek alınmamıştır.

Project Number

Samsun Üniversitesi KAEK: GOKA/2021/14/7 Clinical Trials Number: NCT05372341

Is there a relationship between ıntensive care unit admission and postoperative ıntensive care unit admission during covid 19 disease: a retrospective study

Abstract

Aim: In our study, we examined the postoperative mortality, morbidity and intensive care unit (ICU) requirements of patients who underwent elective surgery after treatment for Covid-19 infection.
Materials and Methods: Patients over the age of 18 who were admission in our hospital during the period of July 2020-July 2021, treated for Covid-19 infection and subsequently underwent elective surgery for any reason were included in the study. The files of these patients from the archive records of our hospital were examined. The PCR test positivity was taken as the basis for the diagnosis of Covid-19. Electively operated patients with negative PCR test were examined.
Results: During this period, 2,463 of 38,136 patients who were hospitalized in our hospital were followed up with the diagnosis of Covid-19 infection. In the same period, 423 of 24,375 patients who underwent surgery had been hospitalized with the diagnosis of Covid-19 and followed up. Of 423 patients, 102 underwent elective surgery and 321 underwent emergency surgery. Thirty patients who underwent elective surgery and whose PCR test became negative were included in the study and their records were reviewed. It was determined that there were 5 patients (16.6%) who were taken to the intensive care unit after the operation, and 2 of these patients were hospitalized in the ICU due to Covid-19 in the preoperative period. A significant correlation was found between Covid-19 ICU admission and postoperative ICU requirement (p<0.05).
Conclusion: In patients who underwent elective surgery after Covid-19 infection, there is a positive relationship between hospitalization in ICU during Covid-19 infection and postoperative ICU admission.

Keywords

Covid-19; elective surger; intensive care unit; peritoperative; postoperative

Project Number

Samsun Üniversitesi KAEK: GOKA/2021/14/7 Clinical Trials Number: NCT05372341

References

• 1. Karadağ Erkoç S, Ceran AC: The Effect of Previous COVID-19 Infection on Patient Outcomes After Colorectal Surgery: A Retrospective Cohort Study. JARSS 2022, 30(2):112-119.
• 2. Nalbandian A, Sehgal K, Gupta A, Madhavan MV, McGroder C, Stevens JS, Cook JR, Nordvig AS, Shalev D, Sehrawat TS: Post-acute COVID-19 syndrome. Nature medicine 2021, 27(4):601-615.
• 3. Asly M, Hazim A: Rehabilitation of post-COVID-19 patients. Pan African Medical Journal 2020, 36(1).
• 4. Tunescu M, Christodorescu R, Sharma A, Barsac C, Rogobete A, Crisan D, Popovici S, Kundnani N, Sandesc D, Bedreag O: The preoperative evaluation of post-COVID-19 patients scheduled for elective surgery: what is important not to miss. Eur Rev Med Pharmacol Sci 2021, 25(23):7607-7615.
• 5. Ramadan MS, Bertolino L, Zampino R, Durante-Mangoni E, Iossa D, Ursi MP, D'Amico F, Karruli A, Ramadan M, Andini R: Cardiac sequelae after coronavirus disease 2019 recovery: a systematic review. Clinical Microbiology and Infection 2021, 27(9):1250-1261.
• 6. Lei S, Jiang F, Su W, Chen C, Chen J, Mei W, Zhan L-Y, Jia Y, Zhang L, Liu D: Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine 2020, 21:100331.
• 7. Carrier FM, Amzallag É, Lecluyse V, Côté G, Couture ÉJ, D’Aragon F, Kandelman S, Turgeon AF, Deschamps A, Nitulescu R: Postoperative outcomes in surgical COVID-19 patients: a multicenter cohort study. BMC anesthesiology 2021, 21(1):1-
• 8. Tosun Y, Akıncı O, Akdoğan O: Is Surgery a Risk in Recovered COVID-19 Patients? Age 2021, 53:30-75.
• 9. Haffner MR, Le HV, Saiz AM, Han G, Fine J, Wolinsky P, Klineberg EO: Postoperative in-hospital morbidity and mortality of patients with COVID-19 infection compared with patients without COVID-19 infection. JAMA Network Open 2021, 4(4):e215697-e215697.
• 10. Jacques Hernigou JV, Adonis Safar, Mohamed Amine Ferchichi, Esfandiar Chahidi, Harold Jennart & Philippe Hernigou: Post-COVID-19 return to elective orthopaedic surgery—is rescheduling just a reboot process? Which timing for tests? Is chest CT scan still useful? Safety of the first hundred elective cases? How to explain the “new normality health organization” to patients? International Orthopaedics 19 July 2020, 44:1905–1913.
• 11. Maldonado-Marcos E, Caula-Freixa C, Planellas-Giné P, Rodríguez-Hermosa JI, López-Ben S, Delisau-Puig O, Cazador AC: Impact of SARS-COV-2 pandemic on elective and emergency surgery in a university hospital. Cirugía Española (English Edition) 2021, 99(5):368-373.
• 12. Bui N, Coetzer M, Schenning KJ, O’Glasser AY: Preparing previously COVID-19-positive patients for elective surgery: a framework for preoperative evaluation. Perioperative Medicine 2021, 10(1):1-4.
• 13. ASA and APSF Joint Statement on Elective Surgery and Anesthesia for Patients after COVID-19 Infection (https://www.asahq.org/about-asa/newsroom/news-releases/2021/03/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection-rv)
• 14. Esendağli D, Yilmaz A, AKÇAY MŞ, Özlü T: Post-COVID syndrome: pulmonary complications. Turkish journal of medical sciences 2021, 51(7):3359-3371.
• 15. Kuyubaşı SN, Demirkiran ND, Kozlu S, Öner SK: Covid-19 Pozitif Kalça Kırığı Olan Hastalarda Cerrahi Sonrası Mortalite Artar. Turk J Hip Surg 2021, 1(3):78-83.