Impact of the first wave of the COVID-19 pandemic on emergency surgical activities at the National Reference University Hospital of N’Djamena

Main Article Content

Moussa Kalli
Ali Mahamat Moussa
Aboulgassim Oumar
Choua Ouchemi

Keywords

COVID-19, Surgical emergencies, Africa, Chad

Abstract

Aim of the work: An evaluation of Covid-19 pandemic impact on emergency surgical activities at the CHU-RN in N'Djamena, Chad.


Method: A retrospective study of patients admitted to the surgical emergency room during the first wave of the pandemic (April-June 2020). The data were compared to those of patients admitted during the same period in 2019 (control group). 


Results: A total of 3248 patients were received: 2366 in 2019 and 882 in 2020. Respective reduction of 50% of admissions and 31% of emergency operations were observed. The average age (30 years) and male predominance remained unchanged. The average admission time went from 72 hours in 2019 to 7 days in 2020. We also noticed that digestive emergencies, such as acute generalized peritonitis (6.6% vs 14.4%, p < 0.1) and strangulated hernias (6.6% vs 15.2% p: 0.07) were more severe in 2020.


Conclusion: COVID-19 had reduced admissions and urgent surgical interventions.

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