The impact of COVID-19 on delayed presentations of necrotising fasciitis

Author:

Nguyen Quoc Dung12ORCID,Diab Jason13,Khaicy David3,Diab Vanessa3,Hopkins Zachias3,Foong Lai Heng12,Berney Christophe R12ORCID

Affiliation:

1. Bankstown-Lidcombe Hospital, Bankstown, NSW, Australia

2. The University of New South Wales, Faculty of Medicine, Kensington, NSW, Australia

3. The University of Notre Dame, School of Medicine, Darlinghurst, NSW, Australia

Abstract

Abstract The purpose of this study was to determine the impact of coronavirus disease 2019 (COVID-19) on the delayed presentation of necrotising fasciitis (NF). A retrospective study was conducted of adult patients (≥16 years old) diagnosed with NF at a hospital from 2017 to 2020. A quantitative comparative analysis for the COVID-19 group and control group between 2017 and 2019. Structured interviews were conducted to examine the impact of COVID-19 on patients. There were 6 patients in the COVID-19 group and 10 patients in the control group. The COVID-19 group had a longer mean onset of symptoms till hospital presentation of 4.1 days and a longer mean operative time. The COVID-19 group was more likely to be admitted to intensive care unit. Three patients in the COVID-19 group did not survive compared to survival in the counterparts. Participant responses indicated the COVID-19 pandemic did not prevent them from presenting to ED.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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