Outcomes of surgical patients in a tertiary ICU with incidental COVID-19 in comparison with COVID-19 naïve patients

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dc.contributor.authorParker, Muzaffaren_ZA
dc.contributor.authorMia, Imraanen_ZA
dc.contributor.authorAhmed, Nadiyaen_ZA
dc.contributor.authorVan der Westhuizen, Valeriia Albertivnaen_ZA
dc.contributor.authorDiayar, Aashish en_ZA
dc.contributor.authorBuitendag, Johannes Jacobus Petrus en_ZA
dc.date.accessioned2025-04-02T09:19:43Zen_ZA
dc.date.available2025-04-02T09:19:43Zen_ZA
dc.date.issued2024-12en_ZA
dc.descriptionCITATION: Parker M,et al.2024. Outcomes of surgical patients in a tertiary ICU with incidental COVID-19 in comparison with COVID-19 naïve patients. S Afr J Surg. 62(4):9-14 pages. doi.10.36303/SAJS.00708en_ZA
dc.descriptionThe original publication is available at: https://pubmed.ncbi.nlm.nih.goven_ZA
dc.description.abstractABSTRACT: BACKGROUND: COVID-19 was first identified in Wuhan, China, in December 2019, where it spread over a wide geographic area until it reached the status of a pandemic in 2020. We postulated that patients who were diagnosed with incidental COVID-19, and underwent surgery, did not have a worse outcome due to the COVID-19 virus compared to their counterparts who did not have the virus. METHODS: This retrospective study included surgical patients (COVID-19 incidentals and COVID-19 negatives) who were admitted to the surgical intensive care unit (SICU) at Tygerberg Academic Hospital between 1 May 2020 and 31 December 2021. RESULTS: The sample consisted of 578 patients. Forty-one (41) patients had incidental COVID-19 infection, and 537 patients were COVID-19 naïve. The mean age was 43.9 years (SD = 16.7 years; range = 13.0-82.0 years) and 181 (31.3%) were female. The rates of complications in patients with COVID-19 infection (7.3%) and those without (5.0%) were similar (p = 0.64). Grades of complications, as measured using the Clavien-Dindo classification were also similar between patients with and without COVID-19 infection (p = 0.19). The mortality rates of patients with COVID-19 infection (17.1%) and those without (13.6%) were similar (p = 0.53). CONCLUSION: This study demonstrates that surgery among asymptomatic PCR-positive patients was not associated with increased mortality or morbidity in the SICU. This also adds a valuable contribution to the growing body of literature regarding COVID-19 infections. Further prospective and multicentred studies are required to provide more robust results.en_ZA
dc.description.urihttps://pubmed.ncbi.nlm.nih.gov/39886820/en_ZA
dc.description.versionPublisher’s versionen_ZA
dc.format.extent6 pagesen_ZA
dc.identifier.citationParker M,et al.2024. Outcomes of surgical patients in a tertiary ICU with incidental COVID-19 in comparison with COVID-19 naïve patients. S Afr J Surg. 62(4):9-14 pages. doi.10.36303/SAJS.00708en_ZA
dc.identifier.doi10.36303/SAJS.00708en_ZA
dc.identifier.issn0038-2361(print)en_ZA
dc.identifier.issn2078-5151(online)en_ZA
dc.identifier.orcid0009-0009-6231-2089en_ZA
dc.identifier.orcid0000-0002-2446-960Xen_ZA
dc.identifier.orcid0000-0002-3916-5027en_ZA
dc.identifier.orcid0009-0009-2900-5896en_ZA
dc.identifier.orcid0009-0008-1683-7960en_ZA
dc.identifier.orcid0000-0001-7169-129Xen_ZA
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/131837en_ZA
dc.language.isoenen_ZA
dc.publisherAssociation Of Surgeons Of South Africaen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subject.lcshCOVID-19 (Disease) -- Complicationsen_ZA
dc.subject.lcshMortalityen_ZA
dc.subject.lcshPandemicsen_ZA
dc.subject.lcshTomographyen_ZA
dc.titleOutcomes of surgical patients in a tertiary ICU with incidental COVID-19 in comparison with COVID-19 naïve patientsen_ZA
dc.typeArticleen_ZA
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