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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