Delivery of Protocolised Emergency Surgical Care During COVID-19 Pandemic

Overview

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. The investigators present their 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 the investigators' early experience from the first patient, the investigators designed a protocolized institutional pathway which incorporated the risk of COVID-19 infection and urgency of operation.

Interventions

  • 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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