Effects of Preoperative COVID-19 Status on Emergent or Urgent Colectomy Outcomes
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View abstract on PubMed
Summary
This summary is machine-generated.Patients with preoperative COVID-19 infection undergoing urgent colectomy had worse outcomes. This included higher complication rates and increased mortality, linked to comorbidities and the viral infection itself.
Area Of Science
- Surgical outcomes research
- Infectious disease epidemiology
- Gastrointestinal surgery
Background
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can trigger a robust immune response.
- Patients with coronavirus disease 2019 (COVID-19) undergoing emergent or urgent colectomies may face heightened surgical complication risks.
Purpose Of The Study
- To evaluate the impact of preoperative COVID-19 infection on clinical outcomes for patients undergoing nonelective colectomies.
- To compare outcomes between COVID-19 positive (COVID+) and COVID-19 negative (COVID-) cohorts.
Main Methods
- Utilized the American College of Surgeons National Surgical Quality Improvement Program Targeted Colectomy database for colectomies performed in 2021.
- Filtered for "Urgent" or "Emergent" colectomies, creating COVID+ (n=242) and COVID- (n=11,049) groups for comparison.
Main Results
- COVID+ patients were more likely to have undergone urgent/emergent colectomy (68.36% vs 25.05%) and used steroids preoperatively (21.49% vs 12.41%).
- A higher percentage of COVID+ patients required reoperation (14.05% vs 8.13%), experienced prolonged hospital stays (>30 days) (18.18% vs 5.35%), and had higher mortality rates (14.05% vs 8.08%).
- While associated with higher mortality, COVID-19 infection did not independently predict mortality (OR 1.25, P=0.233).
Conclusions
- Preoperative COVID-19 positivity in urgent/emergent colectomy patients is associated with increased comorbidities.
- These comorbidities, combined with the recent viral infection, significantly worsen clinical outcomes, including a higher mortality rate.
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