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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
YıLMAZ, Habip; BAşLıLAR, Šeyma; ŠAYLAN, Bengü and GUVEN, Bülent Barış. Factors affecting post-operative complications and mortality in surgical patients with and without COVID-19. Cir. cir. [online]. 2022, vol.90, n.4, pp.459-466. Epub Aug 19, 2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000791.
Objective:
The objective of the study was to evaluate the effect of COVID-19 on the outcomes of surgical patients and the factors associated with postoperative complications and mortality.
Methods:
The study included hospitalized patients with similar demographic and clinical features, who underwent similar surgical operations with a positive polymerase chain reaction test for SARS CoV-2 before or within days following the surgery (COVID-19 group) and a control group was formed of patients who tested negative for COVID-19. The two groups were compared in terms of demographic, clinical, and laboratory data, the presence of pneumonia, complications, and 30-day post-operative mortality.
Results:
The diagnosis for COVID-19 increased the risk of complications and mortality. Age, CRP, D-dimer, ASA Grade 3-4, > 2 comorbidities, and pneumonia were determined to be factors increasing the risk of complications. Age, CRP, > 2 comorbidities, emergency operations, and pneumonia were determined to increase the risk of mortality.
Conclusion:
As patients with peri/post-operative COVID-19 positivity might be at increased risk of postoperative complications and mortality, emergency surgery in infected cases should be delayed in appropriate cases.
Keywords : COVID-19; Surgery; Complications; Mortality.
