Overall management of emergency general surgery patients during the surge of the COVID-19 pandemic: an analysis of procedures and outcomes from a teaching hospital at the worst hit area in Spain

• DOI: 10.1007/s00068-020-01558-z
• Publication Date: 2021-01-05T06:13:55Z
• Authors: Fernández-Martíne...; Martín-Román Lorena; Fernández-Vázquez...; Rey-Valcarcel Cri...; Pérez-Díaz Dolores; Turégano-Fuentes ...
• Keywords: Pandemic; Sports medicine

To assess how the COVID-19 outbreak has affected emergency general surgery (EGS) care during pandemic, indications for surgery, types of procedures, perioperative course, and final outcomes.This is a retrospective study EGS patients pandemic period. The main outcome was 30-day morbidity mortality according to severity infection status. Secondary outcomes were changes in overall management. A logistic regression analysis done factors predictive mortality.One hundred fifty-three included. Half with an abdominal ultrasound and/or CT scan had signs at diagnosis, four times higher than previous year. Non-COVID underwent more often COVID group. Over 1/3 100 operated postoperative morbidity, versus only 15% most common complications septic shock, pneumonia, ARDS. ICU required 17% patients, SARS-CoV-2-infected group, which also mortality. surgical series 7%, no differences strongest independent predictors age > 70 years, ASA III-IV, ESS 9, SARS-CoV-2 infection.Non-operative management (NOM) undertaken third 14% confirmation -CoV-2 infection. COVID-19-infected much higher. Late presentations medical may have added high series.