Evaluation of the Outcome of Surgeries in Patients with Covid-۱۹ in the Obstetrics Ward of Motahhari Hospital in Urmia, Iran, From March ۲۰۲۰ To March ۲۰۲۱

سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 149

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شناسه ملی سند علمی:

JR_JOGCR-7-3_009

تاریخ نمایه سازی: 6 بهمن 1400

چکیده مقاله:

Background & Objective: At the beginning of the pandemic COVID-۱۹, most health facilities suspended non-emergency surgeries to ensure emergency care capacity. Due to the need for surgery, and insufficient information about the complications of surgery in these patients, the present study aimed to investigate the outcome of surgeries in patients with COVID-۱۹ in Motahari Hospital in Urmia. Materials & Methods: This cross-sectional study was performed on ۱۱۲ patients diagnosed with COVID-۱۹ who underwent surgery. A Checklist including the following data was extracted from the patients' medical records, symptoms, laboratory tests, and any complications related to surgery up to one month after separate surgery. Results: A total of ۶.۳% of patients had limited complications due to the incision site after the surgery. The results did not show a significant relationship between age, type of anesthesia, and the type of operation with complications. However, the highest percentage of complications was seen in less than ۴۰ years and emergency surgeries. It was found that patients with a history of diabetes had the highest rate of complications (۵۷.۱%), although there was no significant relationship between the underlying disease and complications (P = ۰.۴۰). In our study, none of the patients experienced complications such as vascular thrombosis or embolism, respiratory failure, and heart failure, or the need for cardiopulmonary resuscitation. Overall, ۱۷.۹% of patients needed ICU admission (mean ۲.۱۶ ± ۱.۵۰ days), indicating a higher ICU hospitalization demand. Also, in terms of in-ward hospitalization, patients with complications had a longer hospital stay than uncomplicated patients (۷.۸۵ ± ۳.۳۶ days) vs. (۵.۱۳ ± ۱.۶۶), which was not statistically significant (P = ۰.۸۸). Conclusion: The results show that surgery is not directly associated with an increased risk of mortality and complications in patients with COVID-۱۹. On the other hand, Underlying diseases, age, and the urgency of surgery are associated with a higher risk for complications than COVID-۱۹.

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نویسندگان

Haleh Ayatollahi

Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran

Somayeh Ghasemzadeh

Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran

Sedigheh Ghasemiyan Dizaj Mehr

Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran

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