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Acute abdomen in patients with SARS-CoV-2 infection or co-infection
PURPOSE: Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients. METHODS: Perioperative data for COVID-19 patients und...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384558/ https://www.ncbi.nlm.nih.gov/pubmed/32720012 http://dx.doi.org/10.1007/s00423-020-01948-2 |
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author | Seeliger, Barbara Philouze, Guillaume Cherkaoui, Zineb Felli, Emanuele Mutter, Didier Pessaux, Patrick |
author_facet | Seeliger, Barbara Philouze, Guillaume Cherkaoui, Zineb Felli, Emanuele Mutter, Didier Pessaux, Patrick |
author_sort | Seeliger, Barbara |
collection | PubMed |
description | PURPOSE: Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients. METHODS: Perioperative data for COVID-19 patients undergoing emergency surgery from March 1, 2020, to May 23, 2020 were collected prospectively (NCT04323644). RESULTS: During this period, 215 patients underwent surgery, including 127 patients in an emergency setting, of whom 13 (10.2%) had COVID-19. Two scenarios were identified: (a) patients who were admitted to a hospital for an acute surgical condition with a concomitant diagnosis of COVID-19, and (b) patients with severe COVID-19 developing acute abdominal pathologies during their hospital stay. When compared with those in group B, patients in group A globally recovered better, with a lower mortality rate (14.3% vs. 33.3%), lower ARDS rate (28.5% vs. 50.0%), less rates of preoperative invasive ventilation (14.3% vs. 50.0%) and postoperative invasive ventilation (28.5% vs. 100.0%), and a shorter duration of invasive ventilation. No causality between SARS-CoV-2 infection and gastrointestinal affliction was found. CONCLUSION: Our observations underline that mild co-infection with COVID-19 did not result in more complications for emergency abdominal surgery. Howe, an acute abdomen during severe COVID-19 infection was part of an unfavorable prognosis. |
format | Online Article Text |
id | pubmed-7384558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-73845582020-07-28 Acute abdomen in patients with SARS-CoV-2 infection or co-infection Seeliger, Barbara Philouze, Guillaume Cherkaoui, Zineb Felli, Emanuele Mutter, Didier Pessaux, Patrick Langenbecks Arch Surg Original Article PURPOSE: Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients. METHODS: Perioperative data for COVID-19 patients undergoing emergency surgery from March 1, 2020, to May 23, 2020 were collected prospectively (NCT04323644). RESULTS: During this period, 215 patients underwent surgery, including 127 patients in an emergency setting, of whom 13 (10.2%) had COVID-19. Two scenarios were identified: (a) patients who were admitted to a hospital for an acute surgical condition with a concomitant diagnosis of COVID-19, and (b) patients with severe COVID-19 developing acute abdominal pathologies during their hospital stay. When compared with those in group B, patients in group A globally recovered better, with a lower mortality rate (14.3% vs. 33.3%), lower ARDS rate (28.5% vs. 50.0%), less rates of preoperative invasive ventilation (14.3% vs. 50.0%) and postoperative invasive ventilation (28.5% vs. 100.0%), and a shorter duration of invasive ventilation. No causality between SARS-CoV-2 infection and gastrointestinal affliction was found. CONCLUSION: Our observations underline that mild co-infection with COVID-19 did not result in more complications for emergency abdominal surgery. Howe, an acute abdomen during severe COVID-19 infection was part of an unfavorable prognosis. Springer Berlin Heidelberg 2020-07-27 2020 /pmc/articles/PMC7384558/ /pubmed/32720012 http://dx.doi.org/10.1007/s00423-020-01948-2 Text en © Springer-Verlag GmbH Germany, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Seeliger, Barbara Philouze, Guillaume Cherkaoui, Zineb Felli, Emanuele Mutter, Didier Pessaux, Patrick Acute abdomen in patients with SARS-CoV-2 infection or co-infection |
title | Acute abdomen in patients with SARS-CoV-2 infection or co-infection |
title_full | Acute abdomen in patients with SARS-CoV-2 infection or co-infection |
title_fullStr | Acute abdomen in patients with SARS-CoV-2 infection or co-infection |
title_full_unstemmed | Acute abdomen in patients with SARS-CoV-2 infection or co-infection |
title_short | Acute abdomen in patients with SARS-CoV-2 infection or co-infection |
title_sort | acute abdomen in patients with sars-cov-2 infection or co-infection |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384558/ https://www.ncbi.nlm.nih.gov/pubmed/32720012 http://dx.doi.org/10.1007/s00423-020-01948-2 |
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