Impact of the coronavirus disease 2019 pandemic on the management of acute peptic ulcer perforation: to be reconsidered(?)

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F23%3AE0110187" target="_blank" >RIV/00843989:_____/23:E0110187 - isvavai.cz</a>

Alternative codes found

RIV/61988987:17110/23:A2402N2F RIV/70883521:28150/23:63565638

Result on the web

<a href="https://www.scielo.br/j/ramb/a/bQjL9ZFThCxQjyHywrRqNbQ/?format=pdf&lang=en" target="_blank" >https://www.scielo.br/j/ramb/a/bQjL9ZFThCxQjyHywrRqNbQ/?format=pdf&lang=en</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1590/1806-9282.20221243" target="_blank" >10.1590/1806-9282.20221243</a>

Result language

angličtina

Original language name

Impact of the coronavirus disease 2019 pandemic on the management of acute peptic ulcer perforation: to be reconsidered(?)

Original language description

Objective: Peptic ulcer perforation presents the most serious complication of ulcer disease with mortality that varies significantly depending on the age and conditions. The coronavirus disease 2019 pandemic was effective worldwide in 2020 and continues to date. The aim of this study was to investigate the initial clinical parameters and short-term outcomes of patients with acute peptic ulcer perforation before and during the coronavirus disease 2019 pandemic. Methods: A retrospective cohort study was conducted in the Department of Surgery, University Hospital Ostrava, Czech Republic. The patients undergoing surgical modality of a simple suture of peptic ulcer perforation with/without omentoplasty in the post-coronavirus disease 2019 (January 1, 2020 to December 31, 2021) and the pre-coronavirus disease 2019 (January 1, 2018 to December 31, 2019) had been incorporated in this study. Results: This study included a total of 46 cases (26 in the pre-coronavirus disease 2019, 20 in the post-coronavirus disease 2019). The age, body mass index, Boey score, duration of symptoms, surgery time, and length of hospital stay were comparable in both study subgroups. During the coronavirus disease 2019 pandemic, patients were admitted with a statistically significantly lower degree of perioperative risk according to the American Society of Anesthesiologists classification (p=0.013). Notably, 30-day postoperative morbidity was significantly higher in pre-coronavirus disease 2019 (73.1 vs. 55.0%, p=0.038). The mortality rate in the laparoscopic group was 13.6%, in the laparotomy group 41.4%, and the mortality rate was higher in pre-coronavirus disease 2019 than in post-coronavirus disease 2019 (34.6 vs. 20.0%, p=0.166). Conclusion: In fact, the coronavirus disease 2019 pandemic had not significantly influenced therapeutic management and short-term outcomes of patients undergoing acute surgical repair of peptic ulcer perforation.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

<a href="/en/project/NU22-C-113" target="_blank" >NU22-C-113: Effect of COVID-19 pandemic on surgical care for patients with solid tumors of gastrointestinal tract in the Czech Republic:</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Revista da Associaçao Médica Brasileira

ISSN

0104-4230

e-ISSN

1806-9282

Volume of the periodical

69

Issue of the periodical within the volume

1

Country of publishing house

BR - BRAZIL

Number of pages

6

Pages from-to

175-180

UT code for WoS article

000936794200001

EID of the result in the Scopus database

2-s2.0-85148773172