Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 3

Morbidity and Mortality in Patients with Surgical Treatment During the COVID-19 Pandemic in Reconversion Hospital

Francisco Javier Martínez-Jiménez1*, Noé Zaragoza-Arias1, Sergio Arturo Ayala-Velazquez2, Cinthia Lizbeth Macias-Guzman3, Adán Escareño-Sánchez1 and Carmen Rodriguez-Deniz4

1General Surgery Service, Department of Surgery, Medical Unit of High Specialty Bajio from Instituto Mexicano del Seguro Social, Mexico
2Orthopaedics and Traumatology Service, Medical Unit of High Specialty Bajio from Instituto Mexicano del Seguro Social, Mexico
3Oncology Service, Specialty Hospital, Mexican Social Security Institute, Medical Unit of High Specialty Bajio from Instituto Mexicano del Seguro Social, Mexico
4Head of Medical Benefits Delegation Guanajuato, Medical Unit of High Specialty Bajio from Instituto Mexicano del Seguro Social, Mexico

*Corresponding Author: Francisco Javier Martínez-Jiménez, Department of Surgery, Medical Unit of High Specialty Bajio from Instituto Mexicano del Seguro Social, Mexico.

Received: January 31, 2022; Published: February 23, 2022

Abstract

Introduction: COVID-19 has generated greater morbidity in patients, forcing a hospital reconversion.

Objective: The objective of the study was to evaluate the morbidity and mortality of patients undergoing surgery during the epidemic phase.

Material and methods: A prospective, cross-sectional, descriptive and observational study was conducted in patients undergoing surgery during hospital reconversion. Demographics, comorbidities, hospital stay and postoperative complications were recorded. Descriptive statistics, Chi square were used to look for an association between the presence of complications and comorbidities and demographics.

Results: There were 133 patients, 69 women and 64 men; median age 56 years, median hospital stay 4 days; 19.5% had diabetes mellitus, 29.3% arterial hypertension, 5.3% chronic lung disease, 45.1% immunosuppression and 3.8% confirmed by SARS-Cov-2. 39 patients had post-surgical complications. Morbidity of 29.3% and mortality of 6.8% were observed. We found a significant difference in the association between complications and high blood pressure (p = 0.021), age group (p = 0.006), and confirmation of COVID-19 (p = 0.001).

Conclusions: Arterial hypertension, advanced age and confirmation of SARS-Cov-2 are associated with the presence of post-surgical complications in this pandemic.

Keywords: Coronavirus Infection; Covid-19; Pandemic; Morbidity; Post-Surgical Complications

References

  1. “Coronavirus disease”. World Heal Organ 2019 (2020): 2633.
  2. Al-Balas M., et al. “Surgery during the COVID-19 pandemic: A comprehensive overview and perioperative care”. The American Journal of Surgery 6 (2020): 903-906.
  3. Coccolini F., et al. “Surgery in COVID-19 patients: operational directives”. World Journal of Emergency Surgery 1 (2020): 25.
  4. Fu SJ., et al. “The Consequences of Delaying Elective Surgery: Surgical Perspective”. Annals of Surgery2 (2020): e79-e80.
  5. Diaz A., et al. “Elective surgery in the time of COVID-19”. The American Journal of Surgery6 (2020): 900-902.
  6. Mexico G de. “Hospital Reconversion Guideline”. The legacy of Mexico's health secretaries. Mexico (2020).
  7. Mexico G de. “Guidelines for the care of patients with COVID-2019”. Mexico (2020).
  8. Ullrich S., et al. “Navigating the COVID-19 Pandemic: Lessons from Global Surgery”. Annals of Surgery3 (2020): e216-e218.
  9. Aminian A., et al. “COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period”. Annals of Surgery1 (2020): e27-e29.
  10. Gao Y., et al. “Emergency Surgery in Suspected COVID-19 Patients with Acute Abdomen: Case Series and Perspectives”. Annals of Surgery 1 (2020): e38-e39.
  11. Federico Coccolini MD., et al. “SARS-CoV-2 is present in peritoneal fluid in COVID-19 patients”. Annals of Surgery3 (2020): e240-e242.
  12. Safari S., et al. “Abdominal Surgery in Patients with COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues”. Annals of Surgery 3 (2020): e253-e256.
  13. Clavien PA and Strasberg SM. “Severity grading of surgical complications”. Annals of Surgery 2 (2009): 197-198.
  14. Clavien PA., et al. “The Clavien-Dindo classification of surgical complications: five-year experience”. Annals of Surgery 2 (2009): 187-196.
  15. Strasberg SM., et al. “The accordion severity grading system of surgical complications”. Annals of Surgery 2 (2009): 177-186.
  16. American College of Surgeons. “COVID 19 : Elective Case Triage Guidelines for Surgical Care”. American College of Surgeons 24 (2020): 2020.
  17. Balibrea JM., et al. “Surgical management of patients with COVID-19 infection. Recommendations of the Spanish Association of Surgeons”. Spanish Surgery 5 (2020): 251-259.
  18. , et al. “Being a Surgeon in the Pandemic Era”. Journal of the American College of Surgeons 230.6 (2020): 1077-1079.
  19. American College of Surgeons. “COVID 19: Considerations for Optimum Surgeon Protection Before, During, and After Operation” (2020): 3-5.
  20. Ai T., et al. “Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases”. Radiology (2020): 200642.
  21. Ahmed S., et al. “Surgical Response to COVID-19 Pandemic: A Singapore Perspective”. Journal of the American College of Surgeons 6 (2020): 1074-1077.
  22. Lu AC., et al. “COVID-19 Preoperative Assessment and Testing: From Surge to Recovery”. Annals of Surgery 3 (2020): e230-e235.
  23. “Resources for Smoke & Gas Evacuation During Open, Laparoscopic, and Endoscopic Procedures - SAGES”. SAGES Webmaster 2 (2020): 1-7.
  24. Zakka K., et al. “Electrocautery, Diathermy, and Surgical Energy Devices: Are Surgical Teams at Risk During the COVID-19 Pandemic?” Annals of Surgery 3 (2020): e257-e262.
  25. Mintz Y., et al. “A Low-cost, Safe, and Effective Method for Smoke Evacuation in Laparoscopic Surgery for Suspected Coronavirus Patients”. Annals of Surgery 1 (2020): e7-e8.
  26. Mexico G de. “Standardized guideline for epidemiological and laboratory surveillance of COVID-19”. The legacy of Mexico's health secretaries. Mexico (2020).
  27. Haytham MA Kaafarani., et al. “Gastrointestinal Complications in Critically Ill Patients with COVID-19”. Annals of Surgery 18 (2020): 1899-1901.
  28. Nepogodiev D., et al. “Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study”. Lancet 20 (2020): 1-12.

Citation

Citation: Francisco Javier Martínez-Jiménez., et al. “Morbidity and Mortality in Patients with Surgical Treatment During the COVID-19 Pandemic in Reconversion Hospital". Acta Scientific Gastrointestinal Disorders 5.3 (2022): 41-47.

Copyright

Copyright: © 2022 Francisco Javier Martínez-Jiménez., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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