Evidence map›Paper›PMID 38946840›Full record

ArticleRisk management and healthcare policy2024

Impact of the COVID-19 Pandemic on Elective and Emergency Surgeries, and Postoperative Mortality in a Brazilian Metropolitan Area: A Time-Series Cohort Study.

Dilson Palhares Ferreira, Claudia Vicari Bolognani, Levy Aniceto Santana, Sergio Eduardo Soares Fernandes, Matheus Serwy Fiuza de Moraes, Luana Argollo Souza Fernandes, Daniella Queiroz de Oliveira, Rosália Bezerra de Santana, Leila Bernarda Donato Gottems, Fabio Ferreira Amorim

Abstract read
In one paragraph

Article in Risk management and healthcare policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. COVID-19 on Elective Surgery Outcomes in a Brazilian Tertiary Hospital: A Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dilson Palhares Ferreira *Graduation Program in Health Sciences, University of Brasília (Unb), Brasília, Brazil.ORCID 0000-0002-4430-4984
Claudia Vicari Bolognani *Department of Research and Scientific Communication, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.
Levy Aniceto Santana *Department of Research and Scientific Communication, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.
Sergio Eduardo Soares Fernandes *Department of Research and Scientific Communication, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.ORCID 0000-0002-2511-400X
Matheus Serwy Fiuza de Moraes *Medical School, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.ORCID 0000-0001-5523-2667
Luana Argollo Souza Fernandes *Medical School, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.ORCID 0000-0002-6870-8537
Daniella Queiroz de Oliveira *Medical School, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.
Rosália Bezerra de Santana *Medical School, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.ORCID 0000-0001-5611-1402
Leila Bernarda Donato Gottems *Department of Research and Scientific Communication, Escola Superior de Ciências da Saúde (ESCS), Brasília, Brazil.
Fabio Ferreira Amorim *Graduation Program in Health Sciences, University of Brasília (Unb), Brasília, Brazil.ORCID 0000-0003-0929-5733

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The COVID-19 pandemic posed a worldwide challenge, leading to radical changes in surgical services. The primary objective of the study was to assess the impact of COVID-19 on elective and emergency surgeries in a Brazilian metropolitan area. The secondary objective was to compare the postoperative hospital mortality before and during the pandemic. Patients and Methods: Time-series cohort study including data of all patients admitted for elective or emergency surgery at the hospitals in the Public Health System of Federal District, Brazil, between March 2018 and February 2022, using data extracted from the Hospital Information System of Brazilian Ministry of Health (SIH/DATASUS) on September 30, 2022. A causal impact analysis was used to evaluate the impact of COVID-19 on elective and emergency surgeries and hospital mortality. Results: There were 174,473 surgeries during the study period. There was a reduction in overall (absolute effect per week: -227.5; 95% CI: -307.0 to -149.0), elective (absolute effect per week: -170.9; 95% CI: -232.8 to -112.0), and emergency (absolute effect per week: -57.7; 95% CI: -87.5 to -27.7) surgeries during the COVID-19 period. Comparing the surgeries performed before and after the COVID-19 onset, there was an increase in emergency surgeries (53.0% vs 68.8%, P < 0.001) and no significant hospital length of stay (P = 0.112). The effect of the COVID-19 pandemic on postoperative hospital mortality was not statistically significant (absolute effect per week: 2.1, 95% CI: -0.01 to 4.2). Conclusion: Our study showed a reduction in elective and emergency surgeries during the COVID-19 pandemic, possibly due to disruptions in surgical services. These findings highlight that it is crucial to implement effective strategies to prevent the accumulation of surgical waiting lists in times of crisis and improve outcomes for surgical patients.

Indexed as

acute care surgeryCOVID-19elective surgical procedureshospital mortalityoperativesurgical procedures

Identifiers

PMID38946840
PMCPMC11214554

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.