Research Article
Year 2022,
Volume: 5 Issue: 1, 61 - 67, 30.04.2022
Abstract
Amaç: Pandeminin başlangıcından bu yana çeşitli makalelerde SARS-CoV-2 ile enfekte hastaların cerrahisinde olumsuz sonuçlar bildirilmiştir. Ancak sayıların yetersizliği ve vaka çeşitliliği açısından yeni verilere ihtiyaç duyulmaktadır. Bu çalışmanın amacı, perioperatif dönemde SARSCoV-2 ile enfekte hastaların, ameliyat sonrası prognozlarını bildirmektir.
Yöntemler: Ameliyat geçirmiş bireylerde, ameliyattan 14 gün öncesine veya ameliyattan 14 gün sonrasına kadar nazofarengeal sürüntülerinde Polimeraz Zincir Reaksiyonu (PCR) ile COVID-19 (+) oldukları tespit edilen veya temas öyküsü bulunup semptomları olan ya da çekilen toraks tomografilerinde COVID-19 bulgusu saptanan hastalar çalışmaya dahil edildi. Hastaların demografik verileri, PCR test sonuçları, toraks tomografi bulguları, ASA skorları, ek hastalıkları, cerrahi tipi, operasyon süreleri, anestezi türü, hastaların taburculuk günü ve yoğun ba-kım/servis yatış günleri hasta dosyaları ve elektronik kayıtlardan elde edildi.
Bulgular: Hastanemizde toplam 3093 hasta opere edilmiştir. Bu hasta-lardan 40’ı kesin veya olası COVID-19 olarak çalışmaya dahil edildi. Opere edilen 40 hastadan 5’i (%12,5) operasyon sonrası dönemde eksitus olmuştur. Eksitus olan hastaların yaş ortalaması 69,6 idi. Ölen hastalarda 4’ü (%80) erkek, 1’i (%20) kadın cinsiyetinde idi. Ölen hastaların 4’ünde eşlik eden hastalıklar mevcuttu. Hiçbir ameliyathane çalışanı cerrahi geçiren bu hastalarla ilişkili COVID-19 enfeksiyonu geçirmemiştir.
Sonuç: Hastanemizde SARSCoV-2 ile enfekte hastaların cerrahi sonrası ölüm oranlarının literatürden biraz daha düşük olduğunu saptadık. Çalışmamızdan elde edilen veriler ışığında, acil cerrahi vakalar dışında elektif vakalar ertelenmelidir. Erkek cinsiyet, ileri yaş, 2 veya daha fazla eşlik eden hastalığın varlığı, COVID-19 (+) hastalarda ameliyat sonrası olumsuz sonuçlar için risk faktörleridir.
Keywords
Supporting Institution
yok
References
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- Referans12. COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. COVIDSurg Collaborative. Lancet. 2020; 396(10243): 27-38.
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Year 2022,
Volume: 5 Issue: 1, 61 - 67, 30.04.2022
Abstract
References
- Referans1. Yu P, Zhu J, Zhang Z, et al. A familial cluster of infection associated with the 2019 novel coronavirus indicating possible person-to-person transmission during the incubation period. J Infect Dis. 2020; 221(11): 1757-61.
- Referans2. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü [Internet]. Covid-19 (SARS-CoV-2 İnfeksiyonu) Rehberi. Bilim Kurulu Çalışması. 12 Nisan 2020. [erişim 12 Nisan 2020]. https://ohsad.org/wp-content/uploads/2020/04/COVID-19_Rehberi-1.pdf.
- Referans3. Patel NG, Reissis D, Mair M, et al. Safety of major reconstructive surgery during the peak of the COVID-19 pandemic in the United Kingdom and Ireland – multicentre national cohort study. J Plast Reconstr Aesthet Surg. 2021; 74(6): 1161-72.
- Referans4. COVIDSurg Collaborative. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans: Elective surgery during the SARS-CoV-2 pandemic. Br J Surg. 2020; 107(11): 1440-49.
- Referans5. T.C. Sağlık Bakanlığı COVID-19 Rehberleri [İnternet]. Ankara: T.C. Sağlık Bakanlığı [erişim 13 Ekim 2020]. https://covid19bilgi. saglik.gov.tr/tr/
- Referans6. American Society of Anesthesiologists Clinical Information [Internet]. Schaumburg, IL: American Society of Anesthesiologists; 2020. ASA Physical Status Classification System [Erişim:10 Eylül 2021]. https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system
- Referans7. American Society of Anesthesiologist, Anesthesia Patient Safety Foundation [Internet]. The ASA and APSF joint statement on perioperative testing for the COVID-19 virus. [erişim 13 Ekim 2020] https://www.asahq.org/about-asa/newsroom/news-releases/2020/04/asa-and-apsf-joint-statement-on-perioperative-testing-for-the-covid-19-virus.
- Referans8. Glasbey JC, Nepogodiev D, Simoes JFF, et al. Elective cancer surgery in COVID‐19‐free surgical pathways during the SARS‐CoV‐2 pandemic: an international, multicenter, comparative cohort study. J Clin Oncol. 2021; 39(1): 66-78.
- Referans9. Jonker PKC, van der Plas WY, Steinkamp PJ, et al. Perioperative SARS‐CoV‐2 infections increase mortality, pulmonary complications, and thromboembolic events: a Dutch, multicenter, matched‐cohort clinical study. Surgery. 2021; 169(2): 264-74.
- Referans10. Coşkun AS. Postoperatif Yoğun Bakıma Kabul Edilen Hastaların 1 Yıllık İncelenmesi. Acta Med Nicomedia. 2020; 3(3): 105-8.
- Referans11. Lei S, Jiang F, Su W, et.al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020; 21: 100331.
- Referans12. COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. COVIDSurg Collaborative. Lancet. 2020; 396(10243): 27-38.
- Referans13. Li SG, Sun TS, Liu Zet al. Factors influencing postoperative mortality one year after surgery for hip fracture in Chinese elderly population. Chin Med J (Engl). 2013; 126(14): 2715-9.
- Referans14. Liu JL, Wang XL, Gong MW, et al. Comparative outcomes of peripheral nerve blocks versus general anesthesia for hip fractures in geriatric Chinese patients. Patient Prefer Adherence. 2014; 8: 651-9.
- Referans15. Qiu C, Chan PH, Zohman GL, et al. Impact of Anesthesia on Hospital Mortality and Morbidities in Geriatric Patients Following Emergency Hip Fracture Surgery. J Orthop Trauma. 2018; 32(3): 116-23.
- Referans16. COVIDSurg Collaborative. Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study. Anaesthesia. 2021; 76(6): 748-58.
- Referans17. Chong SMY, Hung RKY , Gwozdz A, et al. 30-Day postoperative COVID-19 outcomes in 398 patients from regional hospitals utilising a designated COVID-19 minimal surgical site pathway. Annals 2021; 103(6): 395-403
There are 17 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Anaesthesiology |
| Journal Section | Articles |
| Authors | |
| Publication Date | April 30, 2022 |
| Acceptance Date | April 28, 2022 |
| Published in Issue | Year 2022 Volume: 5 Issue: 1 |
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