2026-06-29T01:40:08Zhttps://docta.ucm.es/rest/oai/requestoai:docta.ucm.es:20.500.14352/1290172025-12-16T01:01:58Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense
author
COVIDSurg Collaborative
author
Mateo Sierra, Olga
2025-12-15T15:49:37Z
2025-12-15T15:49:37Z
2022-07-01
COVIDSurg Collaborative. Mortality and pulmonary complications in emergency general surgery patients with COVID-19: A large international multicenter study. J Trauma Acute Care Surg. 2022 Jul 1;93(1):59-65. doi: 10.1097/TA.0000000000003577. Epub 2022 Feb 21. PMID: 35195098; PMCID: PMC9208744.
10.1097/ta.0000000000003577
https://hdl.handle.net/20.500.14352/129017
https://dx.doi.org/10.1097/ta.0000000000003577
https://journals.lww.com/jtrauma/abstract/2022/07000/mortality_and_pulmonary_complications_in_emergency.9.aspx
Objectives: The outcomes of emergency general surgery (EGS) patients with concomitant COVID-19 infection remain unknown. With a multicenter study in 361 hospitals from 52 countries, we sought to study the mortality and pulmonary complications of COVID-19 patients undergoing EGS.
Methods: All patients 17 years or older and diagnosed preoperatively with COVID-19 between February and July 2020 were included. Emergency general surgery was defined as the urgent/emergent performance of appendectomy, cholecystectomy, or laparotomy. The main outcomes were 30-day mortality and 30-day pulmonary complications (a composite of acute respiratory distress syndrome, unexpected mechanical ventilation, or pneumonia). Planned subgroup analyses were performed based on presence of preoperative COVID-related respiratory findings (e.g., cough, dyspnea, need for oxygen therapy, chest radiology abnormality).
Results: A total of 1,045 patients were included, of which 40.1% were female and 50.0% were older than 50 years; 461 (44.1%), 145 (13.9%), and 439 (42.0%) underwent appendectomy, cholecystectomy, and laparotomy, respectively. The overall mortality rate was 15.1% (158 of 1,045 patients), and the overall pulmonary complication rate was 32.9% (344 of 1,045 patients); in the subgroup of laparotomy patients, the rates were 30.6% (134 of 438 patients) and 59.2% (260 of 439 patients), respectively. Subgroup analyses found mortality and pulmonary complication risk to be especially increased in patients with preoperative respiratory findings.
Conclusion: COVID-19 patients undergoing EGS have significantly high rates of mortality and pulmonary complications, but the risk is most pronounced in those with preoperative respiratory findings.
eng
Mortality and pulmonary complications in emergency general surgery patients with COVID-19: A large international multicenter study
journal article
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2022 Mortality Trauma J Trauma Acute Care.pdf