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 |
COVID-19, Digestive Surgery, Emergency Treatment, Madagascar, Mortality, SARS-CoV-2
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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
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
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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Download@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}
}
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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