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Postoperative outcomes of surgical delay in inflammatory bowel disease patients: a multicenter cohort study.
de Bock, Ellen; Herman, Eline S; Meij, Vincent; Burghgraef, Thijs A; Oldenburg, Bas; Verheijen, Paul M; Pronk, Apollo; Filipe, Mando D; Vriens, Menno R; Richir, Milan C.
Afiliação
  • de Bock E; Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. E.deBock-3@umcutrecht.nl.
  • Herman ES; Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Meij V; Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Burghgraef TA; Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Oldenburg B; Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Verheijen PM; Department of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
  • Pronk A; Department of Surgery, Diakonessenhuis, Utrecht, The Netherlands.
  • Filipe MD; Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Vriens MR; Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Richir MC; Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Updates Surg ; 76(4): 1271-1277, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38805172
ABSTRACT
Postponement of surgical inflammatory bowel disease (IBD) care may lead to disease progression. This study aims to determine the influence of delayed surgical IBD procedures on clinical outcomes. This multicenter retrospective cohort study included IBD patients who underwent a surgical procedure during the Coronavirus disease 2019 (COVID-19) pandemic from March 16, 2020, to December 31, 2020, and were compared to a pre-COVID-19 cohort. The primary endpoint was determining the number of (major) postoperative complications. Secondary endpoints were the time interval between surgical indication and performance of the surgical procedure and the risk factors of postoperative complications using multivariate analysis. Eighty-one IBD patients who underwent a surgical procedure were included. The median time interval between surgical indication and performance of the surgical procedure did not differ between the COVID-19 and pre-COVID-19 cohorts (34 vs. 33.5 days, p = 0.867). Multivariate analysis revealed a longer time interval between surgical indication and surgical procedure significantly correlated with the risk of developing postoperative complications [odds ratio (OR) 1.03, p = 0.034]. Moreover, previous surgery was identified as an independent predictor (OR 4.25, p = 0.018) for an increased risk of developing major postoperative complications. There was no significant surgical delay for patients with IBD in the COVID-19 pandemic cohort compared to the pre-pandemic cohort. However, a longer time interval between surgical indication and surgical procedure significantly correlated with the risk of developing postoperative complications. In the event of future scarcity in healthcare, efforts should be made to continue surgical procedures in IBD patients.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Doenças Inflamatórias Intestinais / COVID-19 Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Doenças Inflamatórias Intestinais / COVID-19 Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article