Post-operative outcomes and associated factors of COVID-19 diagnosed patients undergoing emergency surgery: a cross-sectional study
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Date
2021
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Addis Ababa University
Abstract
Background:Corona viruses are a group of enveloped viruses which are characterized by their non-segmented, single-stranded, and positive-sense RNA genomes. As this pandemic is new and ever evolving with a continuous increment in case load, especially in countries like ours, where people live in close contact and social distancing and isolating is near impossible.
Objective: Theaim of this study was to determine post-operative outcomes and associated factors of COVID-19 diagnosed patients undergoing emergency surgery from March 2020 – May 2021.
Method:Institutional based retrospective cross sectional study was conducted by reviewing data recorded from March 2020 – May 2021. 162 study subjects was involved, data was reviewed consecutively. Data was checked, coded and entered to SPSS for analysis. Descriptive statistic was presented using text, figures and tables. The association between variables was analyzed with bivariate and multi variable logistic regression. A statistical significance was declared at p value < 0.05, with 95% confidence interval.
Result: A total number of 162 study participants participated in the present study and the post-operative mortality status, post-operative respiratory complication and post- operative cardio-vascular complication found to be 16.7%, 43.2% and 14.8% respectively. Age(AOR=0.52 (0.14-0.89), pre-operative severi(AOR= 0.31 (0.20-0.92)), presence of comorbidity(AOR=2.37 (1.90-6.71)), post-operative respiratory status(AOR=0.17 (0.09-
0.96)) and duration of surgery((AOR=0.39 (0.11-0.81) was found to be significantly associated with post-operative outcome.
Conclusion & recommendation- Age, presence of comorbidity status, pre-operative severity status, duration of surgery, post-operative respiratory status was found to be the significant predicator of post-operative outcome among COVID-19 patients undergoing emergency surgery.
We recommend early screening for old ages looking for comorbidities in turn to decrease mortality of COVID-19 patients.
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Keywords
COVID-19,Post-operative,Emergencysurgery