OUTCOME OF EMERGENCY SURGERY IN COVID-19 POSITIVE PATIENTS: EXPERIENCE IN A TERTIARY CARE CENTRE IN NE INDIA .

Abstract

Background: The COVID-19 pandemic led to a halt to almost all kinds of surgery throughout India. There was increased risk of requirement of ICU care and high rate of mortality. Surgical interventions in emergency situations were necessary to save life. The outcome in covid positive patients undergoing emergency surgeries has not been well studied during the initial stage of outbreak. The aim of this study was to determine the outcomes of emergency surgery in covid-19 positive patients. A retrospective review was performed of all COVID-19 positive Materials and methods: patients undergoing emergency intervention during June 2020 to August 2020 at a teaching hospital in North East India. Details and conditions of patients at the time of surgery are retrieved retrospectively from available medical records. Clinical characteristics and mortality were analysed. There were 28 patients who underwent emergen Results: cy surgeries during the period. There were 10 females and 18 males with age group varied between 10 to 72 years. The majority of patients 13(46%) were in American Society of Anaesthesiologists (ASA) class 3. All patients were treated in ICU & Covid care wards post operatively. The mean length of stay was14 days. There were 5 deaths (18%) in the study group. All of the patients were in ASA class 2 or 3. The odd ratio for mortality with ASA Class 3 was 6 (p value: 0.1528; 95% CI of 0.47-327.10). All the patients with poor results were associated with co-morbidities with odd ratio of 6. (P value:0.1528; 95% CI of 0.47-3271). In this analysis it was found that emergency surgical interven Conclusions: tions were feasible with all precautions. The mortality was associated with high ASA class , co-morbidities and extremes of ages.