The effect of comorbid conditions on postoperative morbidity in COVID-19 test positive patients undergoing emergency surgery, a descriptive study

Authors : Yunushan Furkan Aydoğdu, Mustafa Örmeci, Ali Haldun Özcan, Yeşim Akdeniz, Alpaslan Fedayi Çalta, Serhat Oğuz

Pages : 48-55

Doi:10.58961/hmj.1469347

View : 28 | Download : 35

Publication Date : 2024-08-22

Article Type : Research Paper

Abstract :Objective: Subjecting COVID-19-positive patients to surgical procedures might heighten the risk of complications and make the treatment process more complex. Our study aims to investigate the complications following emergency surgical interventions performed in COVID-19-positive patients and to examine the impact of comorbid conditions on postoperative morbidity in these patients on postoperative morbidity. Material and Method: Between April 1, 2020, and December 1, 2022, emergency abdominal surgical interventions performed in our clinics were evaluated. The study examined the impact of preoperative comorbidities on postoperative mortality in patients who tested positive for COVID-19 positive in the preoperative period was investigated. Hospital records will be scanned using a retrospective cohort study method to examine the relationship between dependent variables (mortality, morbidity (cerebrovascular disease, diabetes mellitus, hypertension, cancer, smoking, chronic kidney disease, and chronic heart disease), length of hospital stay) and independent variables (gender, age, type of anesthesia, ASA assessment class, and preoperative laboratory parameters (hemoglobin, leukocyte count, d-dimer, and C reactive protein)). Results: Diabetes mellitus was significantly associated with postoperative morbidity (p=0.04). However, no statistically significant relationship was found between other comorbid conditions and postoperative morbidity. There was no significant difference between comorbid conditions and postoperative mortality. Regression analysis also revealed a statistically significant association between diabetes mellitus and postoperative complications (p=0.024). Conclusion: In our study found that comorbid diabetes mellitus status had an impact on postoperative morbidity in COVID-19 positive patients undergoing emergency surgery. Detailed preoperative evaluation of these patients before surgery will decrease postoperative morbidity.
Keywords : COVID 19, Acil Cerrahi, Abdominal Cerrahi, Komorbidite, Postoperatif Morbidite