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Ahmed S, Karim A, Chowdhury TK, Pulock OS, Tamanna N, Akter M, Biswas P, Afroz F, Pinky SD, Alabbi AN, Jamil TR, Tasnim Z, Dev D, Marma M, Aziz TT, Hakim HAN, Basher AKMK, Shahin NHB, Banu T. Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh. PLoS One 2023; 18:e0289878. [PMID: 37578982 PMCID: PMC10424860 DOI: 10.1371/journal.pone.0289878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 07/28/2023] [Indexed: 08/16/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has significantly impacted the surgical practice throughout the world, including elective surgical care. This study investigated the characteristics of patients undergoing elective surgery, the prevalence of COVID-19 infection, the surgical procedures performed, and 30-day mortality in general and pediatric surgical settings in selected tertiary-level hospitals in Bangladesh from November 2020 to August 2021. METHODS This serial cross-sectional study included 264 patients scheduled for elective surgeries during the study period. All patients underwent COVID-19 real-time polymerase chain reaction (RT-PCR) testing within 24 hours before surgery. Data on age, sex, common comorbidities, surgical procedures, and 30-day mortality were collected and analyzed. Furthermore, comparisons were made between COVID-19 positive and negative patients. RESULTS The prevalence of COVID-19 infection among patients was 10.6%. Older age, a history of major surgery within the last three months, hypertension, and diabetes mellitus were significantly associated with COVID-19 infection. All COVID-19-negative patients underwent surgery, while only 46.4% of COVID-19-positive patients underwent surgery. The most common surgical procedures were related to the digestive system, breast, and urinary system. Only one patient (0.4%) died within 30 days after surgery among the COVID-19-negative patients, whereas two patients (7.1%) died among the COVID-19-positive patients: one before surgery and one after surgery. CONCLUSIONS This study provides valuable insights into the characteristics, burden of COVID-19 infection, and 30-day mortality of patients undergoing elective surgery in tertiary care centers in Bangladesh during the pandemic.
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Affiliation(s)
- Shakera Ahmed
- Chittagong Research Institute for Children Surgery, Chattogram, Bangladesh
- Chittagong Medical College and Hospital, Chattogram, Bangladesh
| | - Anwarul Karim
- Chittagong Research Institute for Children Surgery, Chattogram, Bangladesh
- School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Tanvir Kabir Chowdhury
- Chittagong Research Institute for Children Surgery, Chattogram, Bangladesh
- Chittagong Medical College and Hospital, Chattogram, Bangladesh
| | | | - Nowrin Tamanna
- Chittagong Research Institute for Children Surgery, Chattogram, Bangladesh
- University of South Carolina, Columbia, SC, United States of America
| | - Mastura Akter
- Chittagong Research Institute for Children Surgery, Chattogram, Bangladesh
- Department of Biomedical Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Puja Biswas
- Chittagong Medical College and Hospital, Chattogram, Bangladesh
| | - Fahmida Afroz
- Chittagong Medical College and Hospital, Chattogram, Bangladesh
| | | | | | | | - Zarin Tasnim
- Chittagong Medical College and Hospital, Chattogram, Bangladesh
| | - Dipa Dev
- Chittagong Medical College and Hospital, Chattogram, Bangladesh
| | - Mraching Marma
- Chittagong Medical College and Hospital, Chattogram, Bangladesh
| | | | | | | | | | - Tahmina Banu
- Chittagong Research Institute for Children Surgery, Chattogram, Bangladesh
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