Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh

Shakera Ahmed; Anwarul Karim; Tanvir Kabir Chowdhury; Orindom Shing Pulock; Nowrin Tamanna; Mastura Akter; Puja Biswas; Fahmida Afroz; Susmita Dey Pinky; Anika Nahrin Alabbi; Tasnuba Raisa Jamil; Zarin Tasnim; Dipa Dev; Mraching Marma; Tasmiah Tahera Aziz; Hafiz Ahmed Nazmul Hakim; A K M Khairul Basher; Nur Hossain Bhuiyan Shahin; Tahmina Banu

doi:10.1371/journal.pone.0289878

Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh

Shakera Ahmed
, Anwarul Karim
, Tanvir Kabir Chowdhury
, Orindom Shing Pulock
, Nowrin Tamanna
, Mastura Akter
, Puja Biswas
, Fahmida Afroz
, Susmita Dey Pinky
, Anika Nahrin Alabbi
, Tasnuba Raisa Jamil
, Zarin Tasnim
, Dipa Dev
, Mraching Marma
, Tasmiah Tahera Aziz
, Hafiz Ahmed Nazmul Hakim
, A K M Khairul Basher
, Nur Hossain Bhuiyan Shahin
, Tahmina Banu^*

^*Corresponding author for this work

Department of Biomedical Sciences

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

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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.

© 2023 Ahmed et al.

Original language	English
Article number	e0289878
Journal	PLOS ONE
Volume	18
Issue number	8
Online published	14 Aug 2023
DOIs	https://doi.org/10.1371/journal.pone.0289878
Publication status	Published - 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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This full text is made available under CC-BY 4.0. https://creativecommons.org/licenses/by/4.0/

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Ahmed, S., Karim, A., Chowdhury, T. K., Pulock, O. S., Tamanna, N., Akter, M., Biswas, P., Afroz, F., Pinky, S. D., Alabbi, A. N., Jamil, T. R., Tasnim, Z., Dev, D., Marma, M., Aziz, T. T., Hakim, H. A. N., Basher, A. K. M. K., Shahin, N. H. B., & Banu, T. (2023). Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh. PLOS ONE, 18(8), Article e0289878. https://doi.org/10.1371/journal.pone.0289878

@article{5de6f37495c14ed295179648adf05112,

title = "Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh",

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. {\textcopyright} 2023 Ahmed et al. ",

author = "Shakera Ahmed and Anwarul Karim and Chowdhury, \{Tanvir Kabir\} and Pulock, \{Orindom Shing\} and Nowrin Tamanna and Mastura Akter and Puja Biswas and Fahmida Afroz and Pinky, \{Susmita Dey\} and Alabbi, \{Anika Nahrin\} and Jamil, \{Tasnuba Raisa\} and Zarin Tasnim and Dipa Dev and Mraching Marma and Aziz, \{Tasmiah Tahera\} and Hakim, \{Hafiz Ahmed Nazmul\} and Basher, \{A K M Khairul\} and Shahin, \{Nur Hossain Bhuiyan\} and Tahmina Banu",

year = "2023",

doi = "10.1371/journal.pone.0289878",

language = "English",

volume = "18",

journal = "PLOS ONE",

issn = "1932-6203",

publisher = "Public Library of Science (PLoS)",

number = "8",

}

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 2023, 'Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh', PLOS ONE, vol. 18, no. 8, e0289878. https://doi.org/10.1371/journal.pone.0289878

TY - JOUR

T1 - Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh

AU - Ahmed, Shakera

AU - Karim, Anwarul

AU - Chowdhury, Tanvir Kabir

AU - Pulock, Orindom Shing

AU - Tamanna, Nowrin

AU - Akter, Mastura

AU - Biswas, Puja

AU - Afroz, Fahmida

AU - Pinky, Susmita Dey

AU - Alabbi, Anika Nahrin

AU - Jamil, Tasnuba Raisa

AU - Tasnim, Zarin

AU - Dev, Dipa

AU - Marma, Mraching

AU - Aziz, Tasmiah Tahera

AU - Hakim, Hafiz Ahmed Nazmul

AU - Basher, A K M Khairul

AU - Shahin, Nur Hossain Bhuiyan

AU - Banu, Tahmina

PY - 2023

Y1 - 2023

N2 - 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. © 2023 Ahmed et al.

AB - 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. © 2023 Ahmed et al.

UR - https://www.scopus.com/pages/publications/85168208810

UR - https://www.scopus.com/record/pubmetrics.uri?eid=2-s2.0-85168208810&origin=recordpage

U2 - 10.1371/journal.pone.0289878

DO - 10.1371/journal.pone.0289878

M3 - RGC 21 - Publication in refereed journal

C2 - 37578982

SN - 1932-6203

VL - 18

JO - PLOS ONE

JF - PLOS ONE

IS - 8

M1 - e0289878

ER -

Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh

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