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Dergiler / Turkish Journal of Clinics and Laboratory / 2026 / Cilt: 15 Sayı: 1

Predictors of Postoperative Complications in COVID-19 Patients Undergoing Emergency Abdominal Surgery

Acil Abdominal Cerrahi Yapılan COVID-19 Hastalarında Postoperatif Komplikasyonların Öngördürücüleri

Çağrı Büyükkasap(GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-9141-4289
Mustafa Ünal Sayılır(GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-4862-2322
Yunushan Furkan Aydoğdu(Bandırma Eğitim ve Araştırma Hastanesi)0000-0002-2418-2393
Aydın Yavuz(GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-0091-7997
Hüseyin Göbüt(GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-0127-7039
Kürşat Dikmen(GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-9150-9499
Sayfa
77–83
Yayın Tarihi
2024-03-28
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

An advanced age and low hemoglobin levels may be predictors of postoperative complications in this group of patients.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Aim: The rapid spread of COVID-19 worldwide has also caused an increase in the incidence of postoperative complications in surgical patients.
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Temel Bulgular & Veri:Clearly, COVID-19 positivity may affect postoperative complications in patients undergoing emergency surgeries.
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Sonuç & Katkı:An advanced age and low hemoglobin levels may be predictors of postoperative complications in this group of patients.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:COVID-19 · abdominal surgery · emergency surgery

Özet

Aim: The rapid spread of COVID-19 worldwide has also caused an increase in the incidence of postoperative complications in surgical patients. Clearly, COVID-19 positivity may affect postoperative complications in patients undergoing emergency surgeries. This study aimed to evaluate the factors predictive of postoperative complications in COVID-19 patients undergoing emergency abdominal surgeries. Material and Methods: Fifty-two patients who underwent emergency abdominal surgeries and tested positive for COVID-19 via a Polymerase Chain Reaction (PCR) test within 72 hours of the perioperative period were evaluated retrospectively. Results: The median age of the patients included in the study was 50.5 years (range: 18–83 years). The 30-day mortality rate was 15.4%, while the postoperative complication rate was 23.1%. A significant correlation was found between postoperative complication status and age (p = 0.003) and between postoperative complication status and preoperative hemoglobin levels (p = 0.001). The evaluation of age and hemoglobin together showed a sensitivity of 91.7% and a specificity of 87.5% for postoperative complications (p < 0.001, AUC: 0.867). In addition, a negative correlation was found between preoperative hemoglobin levels and length of hospital stay (p < 0.001). Conclusion: COVID-19-positive patients who undergo emergency abdominal surgeries face a significant risk of postoperative complications. An advanced age and low hemoglobin levels may be predictors of postoperative complications in this group of patients.

Abstract

Amaç: COVID-19 dünya çapında hızla yayılması ve pandemi haline gelmesi, cerrahi hastalarda postoperatif komplikasyonların insidansında da artışa neden oldu. Acil ameliyata alınan hastalarda COVID-19 pozitifliğinin ameliyat sonrası komplikasyonları etkileyebileceği açıktır. Bu çalışmada acil abdominal cerrahi uygulanan COVID-19 hastalarında postoperatif komplikasyonlar için öngördürücü faktörlerin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışmada acil abdominal cerrahi uygulanan ve perioperatif 72 saat içerisinde COVID-19 Polimeraz Zincir Reaksiyonu (PCR) testi pozitif sonuçlanan 52 hasta retrospektif olarak değerlendirildi. Bulgular: Çalışmaya dahil edilen hastaların medyan yaşı 50.5’di (aralık: 18-83). 30 günlük mortalite oranı %15.4 olarak saptandı. Postoperatif komplikasyon oranı %23.1’di. Postoperatif komplikasyon durumu ile yaş (p=0.003) ve preoperatif hemoglobin değeri (p=0.001) arasında anlamlı bir ilişki saptandı. Yaş ve hemoglobinin birlikte değerlendirilmesinin postoperatif komplikasyonlar için sensivitesinin %91.7, spesifitesinin %87.5 olduğu görüldü (p<0.001, AUC: 0.867). Ayrıca ameliyat öncesi hemoglobin değeri ile hastanede kalış süresi arasında negatif korelasyon saptandı (p<0.001). Sonuç: COVID-19 testi pozitif olan ve acil abdominal cerrahi uygulanan hastalar önemli bir postoperatif komplikasyon riski ile karşı karşıyadır. Bu hastalarda ileri yaş ve düşük hemoglobin düzeyleri postoperatif komplikasyonlar için öngördürücü olabilir.

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Bu Makaleye Atıf Yap

Büyükkasap, Ç., Sayılır, M. Ü., Aydoğdu, Y. F., Yavuz, A., Göbüt, H., Dikmen, K. (2024). Predictors of Postoperative Complications in COVID-19 Patients Undergoing Emergency Abdominal Surgery. Turkish Journal of Clinics and Laboratory, Cilt: 15 Sayı: 1, 77–83. https://doi.org/10.18663/tjcl.1409229

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