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Impact of COVID-19 in Emergency Digestive Surgery

Received: 2 November 2022     Accepted: 22 November 2022     Published: 15 December 2022
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Abstract

Introduction: The COVID-19 pandemic caused a global shift in health care management strategies. Emergency surgery remained a priority regardless of the patient's CoViD status. However, the balance between the delay in surgical management and this unprecedented pandemic situation posed a problem regarding the postoperative prognosis of patients. The main objective of our study was to investigate the outcome of patients with COVID-19 undergoing emergency digestive surgery. Patients and Method: In a prospective, cross-sectional, observational study, over a period of three months (from April 1, 2021 to July 1, 2021) in the surgical resuscitation and visceral surgery departments of the Joseph Ravoahangy Andrianavalona Hospital, patients “data” who underwent emergency digestive surgery with or without COVID-19. The CoViD-19 was diagnosed by a positive PCR (Polymerase Chain Reaction) result, the presence of anti-SARS-Cov-2 antibodies (IgM positive), and a chest CT scan in favor of COVID-19 pneumopathy. The Chi2 or Fisher test was used to measure the association of the different variables. Results: Of the 322 patients hospitalized, thirty-two patients had undergone emergency digestive surgery, twenty-two of whom stayed in the Surgical Intensive Care Unit. The median age was 40 [19-95] years. Twelve patients were infected with COVID-19. Traumatic indications occupied the first place. The time to surgery as well as the duration of surgery were significantly associated with COVID-19 infection (p=0.039; p=0.05 respectively). Ten patients died, half of them within the first 48 hours. Conclusion: COVID-19 was associated with a longer time to surgery and a longer hospital stay. High mortality was recorded. An update of the patients' vaccination status would be recommended to improve the postoperative prognosis.

Published in European Journal of Clinical and Biomedical Sciences (Volume 8, Issue 5)
DOI 10.11648/j.ejcbs.20220805.12
Page(s) 75-79
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

COVID-19, Digestive Surgery, Emergency Treatment, Madagascar, Mortality, SARS-CoV-2

References
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[4] Palese A, Brugnolli A, Achil I, Mattiussi E, Fabris S. The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study. BMC Nurs. 2022 May 3; 21 (1): 101.
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[9] Lee M, Kang BA, You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. Santé publique BMC. 2021; 21 (1): 1–10. doi: 10.1186/s12889-021-10285-y. - DOI - PMC – PubMed.
[10] Van Halem K, Bruyndonckx R, van der Hilst J. Risk factors for mortality in hospitalized patients with COVID-19 at the beginning of the pandemic in Belgium: a retrospective cohort study. BMC Infect Dis. 2020; 20: 897. doi: 10.1186/s12879-020- 05605-3. - DOI - PMC – PubMed.
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  • APA Style

    Rahantasoa Finaritra Casimir Fleur Prudence, Andrianjafiarivony Carol, Tofotranjara Aldino, Rakoto Ratsimba Hery Nirina, Rakotoarison Cathérine Nicole, et al. (2022). Impact of COVID-19 in Emergency Digestive Surgery. European Journal of Clinical and Biomedical Sciences, 8(5), 75-79. https://doi.org/10.11648/j.ejcbs.20220805.12

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    ACS Style

    Rahantasoa Finaritra Casimir Fleur Prudence; Andrianjafiarivony Carol; Tofotranjara Aldino; Rakoto Ratsimba Hery Nirina; Rakotoarison Cathérine Nicole, et al. Impact of COVID-19 in Emergency Digestive Surgery. Eur. J. Clin. Biomed. Sci. 2022, 8(5), 75-79. doi: 10.11648/j.ejcbs.20220805.12

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    AMA Style

    Rahantasoa Finaritra Casimir Fleur Prudence, Andrianjafiarivony Carol, Tofotranjara Aldino, Rakoto Ratsimba Hery Nirina, Rakotoarison Cathérine Nicole, et al. Impact of COVID-19 in Emergency Digestive Surgery. Eur J Clin Biomed Sci. 2022;8(5):75-79. doi: 10.11648/j.ejcbs.20220805.12

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  • @article{10.11648/j.ejcbs.20220805.12,
      author = {Rahantasoa Finaritra Casimir Fleur Prudence and Andrianjafiarivony Carol and Tofotranjara Aldino and Rakoto Ratsimba Hery Nirina and Rakotoarison Cathérine Nicole and Rajaonera Andriambelo Tovohery and Samison Luc Herve and Rakotondrainibe Aurélia},
      title = {Impact of COVID-19 in Emergency Digestive Surgery},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {8},
      number = {5},
      pages = {75-79},
      doi = {10.11648/j.ejcbs.20220805.12},
      url = {https://doi.org/10.11648/j.ejcbs.20220805.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20220805.12},
      abstract = {Introduction: The COVID-19 pandemic caused a global shift in health care management strategies. Emergency surgery remained a priority regardless of the patient's CoViD status. However, the balance between the delay in surgical management and this unprecedented pandemic situation posed a problem regarding the postoperative prognosis of patients. The main objective of our study was to investigate the outcome of patients with COVID-19 undergoing emergency digestive surgery. Patients and Method: In a prospective, cross-sectional, observational study, over a period of three months (from April 1, 2021 to July 1, 2021) in the surgical resuscitation and visceral surgery departments of the Joseph Ravoahangy Andrianavalona Hospital, patients “data” who underwent emergency digestive surgery with or without COVID-19. The CoViD-19 was diagnosed by a positive PCR (Polymerase Chain Reaction) result, the presence of anti-SARS-Cov-2 antibodies (IgM positive), and a chest CT scan in favor of COVID-19 pneumopathy. The Chi2 or Fisher test was used to measure the association of the different variables. Results: Of the 322 patients hospitalized, thirty-two patients had undergone emergency digestive surgery, twenty-two of whom stayed in the Surgical Intensive Care Unit. The median age was 40 [19-95] years. Twelve patients were infected with COVID-19. Traumatic indications occupied the first place. The time to surgery as well as the duration of surgery were significantly associated with COVID-19 infection (p=0.039; p=0.05 respectively). Ten patients died, half of them within the first 48 hours. Conclusion: COVID-19 was associated with a longer time to surgery and a longer hospital stay. High mortality was recorded. An update of the patients' vaccination status would be recommended to improve the postoperative prognosis.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Impact of COVID-19 in Emergency Digestive Surgery
    AU  - Rahantasoa Finaritra Casimir Fleur Prudence
    AU  - Andrianjafiarivony Carol
    AU  - Tofotranjara Aldino
    AU  - Rakoto Ratsimba Hery Nirina
    AU  - Rakotoarison Cathérine Nicole
    AU  - Rajaonera Andriambelo Tovohery
    AU  - Samison Luc Herve
    AU  - Rakotondrainibe Aurélia
    Y1  - 2022/12/15
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ejcbs.20220805.12
    DO  - 10.11648/j.ejcbs.20220805.12
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 75
    EP  - 79
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20220805.12
    AB  - Introduction: The COVID-19 pandemic caused a global shift in health care management strategies. Emergency surgery remained a priority regardless of the patient's CoViD status. However, the balance between the delay in surgical management and this unprecedented pandemic situation posed a problem regarding the postoperative prognosis of patients. The main objective of our study was to investigate the outcome of patients with COVID-19 undergoing emergency digestive surgery. Patients and Method: In a prospective, cross-sectional, observational study, over a period of three months (from April 1, 2021 to July 1, 2021) in the surgical resuscitation and visceral surgery departments of the Joseph Ravoahangy Andrianavalona Hospital, patients “data” who underwent emergency digestive surgery with or without COVID-19. The CoViD-19 was diagnosed by a positive PCR (Polymerase Chain Reaction) result, the presence of anti-SARS-Cov-2 antibodies (IgM positive), and a chest CT scan in favor of COVID-19 pneumopathy. The Chi2 or Fisher test was used to measure the association of the different variables. Results: Of the 322 patients hospitalized, thirty-two patients had undergone emergency digestive surgery, twenty-two of whom stayed in the Surgical Intensive Care Unit. The median age was 40 [19-95] years. Twelve patients were infected with COVID-19. Traumatic indications occupied the first place. The time to surgery as well as the duration of surgery were significantly associated with COVID-19 infection (p=0.039; p=0.05 respectively). Ten patients died, half of them within the first 48 hours. Conclusion: COVID-19 was associated with a longer time to surgery and a longer hospital stay. High mortality was recorded. An update of the patients' vaccination status would be recommended to improve the postoperative prognosis.
    VL  - 8
    IS  - 5
    ER  - 

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Author Information
  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

  • Intensive Care Unit, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

  • Intensive Care Unit, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

  • Intensive Care Unit, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

  • Intensive Care Unit, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

  • Intensive Care Unit, Joseph Ravoahangy Andrianavalona Hospital, Antananarivo, Madgascar

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