سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Mohajerzadeh, Leily, Hajipour, Mahmoud, Ebrahimian, Manoochehr, Sarafi, Mehdi, Ebrahimisaraj, Gholamreza, Mahdavi, Nastaran Sadat, Armin, Shahnaz, Azimi, Leila, Nikan Fard, Zeinab, Haghbin Toutounchi, Alireza. (1402). Impact of the COVID-19 Pandemic on Elective and Emergency Pediatric Surgeries: A Single-Center Experience in a Tertiary Center in Iran. , 11(6), 17887-17896. doi: 10.22038/ijp.2023.72160.5261
Leily Mohajerzadeh; Mahmoud Hajipour; Manoochehr Ebrahimian; Mehdi Sarafi; Gholamreza Ebrahimisaraj; Nastaran Sadat Mahdavi; Shahnaz Armin; Leila Azimi; Zeinab Nikan Fard; Alireza Haghbin Toutounchi. "Impact of the COVID-19 Pandemic on Elective and Emergency Pediatric Surgeries: A Single-Center Experience in a Tertiary Center in Iran". , 11, 6, 1402, 17887-17896. doi: 10.22038/ijp.2023.72160.5261
Mohajerzadeh, Leily, Hajipour, Mahmoud, Ebrahimian, Manoochehr, Sarafi, Mehdi, Ebrahimisaraj, Gholamreza, Mahdavi, Nastaran Sadat, Armin, Shahnaz, Azimi, Leila, Nikan Fard, Zeinab, Haghbin Toutounchi, Alireza. (1402). 'Impact of the COVID-19 Pandemic on Elective and Emergency Pediatric Surgeries: A Single-Center Experience in a Tertiary Center in Iran', , 11(6), pp. 17887-17896. doi: 10.22038/ijp.2023.72160.5261
Mohajerzadeh, Leily, Hajipour, Mahmoud, Ebrahimian, Manoochehr, Sarafi, Mehdi, Ebrahimisaraj, Gholamreza, Mahdavi, Nastaran Sadat, Armin, Shahnaz, Azimi, Leila, Nikan Fard, Zeinab, Haghbin Toutounchi, Alireza. Impact of the COVID-19 Pandemic on Elective and Emergency Pediatric Surgeries: A Single-Center Experience in a Tertiary Center in Iran. , 1402; 11(6): 17887-17896. doi: 10.22038/ijp.2023.72160.5261

Impact of the COVID-19 Pandemic on Elective and Emergency Pediatric Surgeries: A Single-Center Experience in a Tertiary Center in Iran

Journal of Pediatric Perspectives
مقاله 5، دوره 11، شماره 6، شهریور 2023، صفحه 17887-17896    اصل مقاله (356.99 K)
نوع مقاله: original article
شناسه دیجیتال (DOI): 10.22038/ijp.2023.72160.5261
نویسندگان
Leily Mohajerzadeh1؛ Mahmoud Hajipour2؛ Manoochehr Ebrahimian* 3؛ Mehdi Sarafi1؛ Gholamreza Ebrahimisaraj1؛ Nastaran Sadat Mahdavi4؛ Shahnaz Armin5؛ Leila Azimi6؛ Zeinab Nikan Fard1؛ Alireza Haghbin Toutounchi7
1Pediatric Surgery Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Pediatric Surgery Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5Pediatric Infections Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6Pediatric Infections Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
7Department of General Surgery, Imam Hossein Medical and Educational Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده
Background: The COVID-19 pandemic has disrupted healthcare systems globally, leading to the suspension of many elective surgeries. The impact of the pandemic on pediatric surgical care in tertiary centers is not well understood. This retrospective study aims to examine the effect of COVID-19 on the management of surgical diseases in children.
Methods: A retrospective single-center cross-sectional study was performed to collect information on the children who were operated either emergently or in an elective setting. The demographics, field of surgery, outcomes, and the rates of mortality and morbidity were measured. Moreover, this study evaluated the associations between coronavirus disease 2019 (COVID-19) infection and surgical outcomes and length of hospital stay.
Results: A total of 1028 children were included in the study with an average age of 60.51 ± 50.3 months. Only 33 children (3.2%) were positive for COVID-19 during the admission days. Moreover, 87 (8.5%) patients developed pulmonary, gastrointestinal, or infectious complications, and 22 patients (2.5%) expired. Morbidity was significantly associated with the presence of COVID-19 infection (p < 0.001). Furthermore, the rate of complications was much higher in patients who underwent emergency operations (p < 0.001). In addition, mortality in positive cases was remarkably higher than that in negative cases (22.2% vs. 1.9%, p < 0.001).
Conclusion: The overall rates of complications, morbidity, and mortality were much higher in emergency operations compared to elective surgeries. Also, the presence of COVID-19 infection in this population led to more cases of morbidity.
کلیدواژه‌ها
Novel Coronavirus, 2019,,؛ ,،Pediatrics,,؛ ,،SARS-CoV-2,,؛ ,،Surgery,,؛ ,،Elective Surgeries
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