CLINICAL CHARACTERISTICS OF PERIOPERATIVE AND POSTOPERATIVE PERIODS ON THE BACKGROUND OF COVID-19
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2020.3.11305Keywords:
emergency surgery, Covid-19, operative risk, postoperative complications, mortalityAbstract
Summary. It was found in a retrospective analysis that the severity of postoperative complications, namely pulmonary and the probable risk of death is directly proportional to the severity of Covid-19, comorbidity and age of patients.
The aim of the study – to conduct the analysis of clinical features of motion of periperative and postoperative periods on the background of Covid-19.
Materials and Methods. Retrospective analysis of 37 case histories of patients of Rivne region who were urgently operated on in a pandemic. In particular, 17 of them were infected with SARS-CoV-2 (control group 1) and 20 – uninfected (control group 2).
Results. There were the next etiological factors of urgent surgical interventions: acute abdomen, myocardial infarction, neurotrauma and lower extremity injuries. The proportion of comorbidities in the subjects was 64.9 %, with a predominance in control group 1.Usually it was presented as the cardiovascular diseases or diabetes. the proportion of "significant risk", "high risk" and "too high risk" – 70.6 % in patients of control group 1 prevail over the proportion (45 %) in control group 2 during the determining the degree of operative risk. The frequency of postoperative complications was – 35.1 %. Рostoperative complications were dominated by respiratory disorders in patients on the background of Covid-19. Mortality was 10.8 % and was predominant in control group 1 with severe stage Covid-19.
Conclusions. The course of the postoperative period, the frequency of complications, the risk of mortality are higher in patients infected with Covid-19 and depend on age, comorbidity and stage of severity of SARS-CoV-2.
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