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© 2023 Ahmed et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

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.

Details

Title
Patients’ characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh
Author
Shakera Ahmed; Karim, Anwarul  VIAFID ORCID Logo  ; Tanvir Kabir Chowdhury  VIAFID ORCID Logo  ; Pulock, Orindom Shing; Nowrin Tamanna  VIAFID ORCID Logo  ; Akter, Mastura; Biswas, Puja; Afroz, Fahmida; Susmita Dey Pinky; Alabbi, Anika Nahrin; Tasnuba Raisa Jamil; Zarin Tasnim; Dev, Dipa; Mraching Marma; Tasmiah Tahera Aziz  VIAFID ORCID Logo  ; Hafiz Ahmed Nazmul Hakim; A. K. M. Khairul Basher; Nur Hossain Bhuiyan Shahin; Banu, Tahmina  VIAFID ORCID Logo 
First page
e0289878
Section
Research Article
Publication year
2023
Publication date
Aug 2023
Publisher
Public Library of Science
e-ISSN
19326203
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2850543400
Copyright
© 2023 Ahmed et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.