Delivery of Protocolised Emergency Surgical Care During COVID-19 Pandemic


Emergency general surgical care during the COVID-19 pandemic presents a unique set of considerations and challenges. Patients presenting with acute surgical conditions and concomitant COVID-19 infection have higher risk of mortality and morbidity. We present our institution's experience with COVID-19 positive patients presenting with acute surgical conditions and reviewed the implementation of a protocolized pathway to mitigate the impact of COVID-19 infection.

Full Title of Study: “Delivery of Protocolised Emergency Surgical Care During COVID-19 Pandemic Based on Case Series”

Study Type

  • Study Type: Observational [Patient Registry]
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: May 31, 2020

Detailed Description

All COVID-19 positive patients who presented to the acute general surgical service over a 2-month period were identified. Patient data including demographics, surgical diagnosis, mortality, morbidity and hospital length of stay was collected. Based on our early experience from the first patient, we designed a protocolized institutional pathway which incorporated the risk of COVID-19 infection and urgency of operation.


  • Procedure: Emergency surgery
    • Emergency surgery vs conservative management

Clinical Trial Outcome Measures

Primary Measures

  • Surgical morbidity in patients with COVID-19 infection and general surgical conditions
    • Time Frame: Follow up 1 month

Participating in This Clinical Trial

Inclusion Criteria

  • All patients with emergency surgical conditions and tested positive for COVID-19 infection

Exclusion Criteria

  • Nil

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Khoo Teck Puat Hospital
  • Provider of Information About this Clinical Study
    • Sponsor

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