A Retro- spective cohort Study of Acute Mesenteric Ischemia in Severe Coronavirus-19 Pneumonia at Shebin-Elkom Teaching Hospital

Talal Ibrahim mostafa Hagag, MD of critical Care Medicine lecturer of critical care medicine Shebin Elkom Teaching Hospital, General Organization for Teaching Hospitals and InstitutesFollow
Salwa Mohamed Ahmed Dahesh, MD and Prof of medical entomolgy at Research Institute of Medical Entomology, General Organization for Teaching Hospitals and Institutes
Shimaa Mohamed kalama, MD of General Surgery lecturer of general surgery Shebin Elkom Teaching Hospital, General Organization for Teaching Hospitals and Institutes

Article Type

Original Study

Subject Area

Anesthesia, Surgical Intensive Care and Pain Treatment

Abstract

The purpose of this study was to examine the link between acute mesenteric ischemia and COVID-19 illness in terms of time to admission and intervention. Furthermore, the study focused on the critical time to admission for all patients of mesenteric occlusion. Methods: This study is a retrospective cohort conducted on 60 adults Patients with mesenteric occlusion were hospitalized to Shebein Elkom Teaching Hospital's Intensive Care Unit from March 2020 to September 30, 2022. The study involved two groups of mesenteric occlusion patients: 30 with proven covid19 and 30 without covid19. All medical histories, clinical and laboratory examinations, and the time of admission were recorded. Operations were performed, as well as post-operative follow-up. result The study found no significant differences between patients with and without covid in terms of laboratory tests, acute physiological and chronic health evaluation score (APACHEII), occlusion location (superior or inferior mesenteric artery), or outcome. Regardless of covid19, patients' survival rates were significantly influenced by their ages, APACHEII scores, time to admission, and laboratory data. The ROC curve of time to admission and intervention estimated that the cutoff for survival was shorter than 74 hours. Furthermore, patients with a time to admission equal to or greater than 74 hours had a 22.6 times higher risk of death than those with a time to admission of less than 74 hours. The risks of death among patients with a time to admission equal to or greater than 74 hours were 391 times higher than those with a time to admission of less than 74 hours. This investigation found no significant difference in survival rates between Covid-infected and uninfected individuals with mesenteric artery blockage. Conclusion the study focused on the critical time from complaint to seeking medical treatment, which resulted in a high level of success in the prognosis and survival of vascular mesenteric occlusion patients. There are no conflicts of interest. Keywords: Covid 19, Mesenteric Vascular Occlusion, Pneumonia, Critically Ill. Roc Curve. Time for Admission

IRB Number

HSH00050

Keywords

Covid 19; Mesenteric Vascular Occlusion; Pneumonia; Critically Ill. Roc Curve. Time to Admission

Recommended Citation

Hagag, Talal Ibrahim mostafa; Dahesh, Salwa Mohamed Ahmed; and kalama, Shimaa Mohamed (2024) "A Retro- spective cohort Study of Acute Mesenteric Ischemia in Severe Coronavirus-19 Pneumonia at Shebin-Elkom Teaching Hospital," Journal of Medicine in Scientific Research: Vol. 8: Iss. 2, Article 7.
DOI: https://doi.org/10.59299/2537-0928.1433