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27 December 2025 : Clinical Research  

COVID-19 on Elective Surgery Outcomes in a Brazilian Tertiary Hospital: A Retrospective Cohort Study

Dilson Palhares Ferreira ORCID logo ABDEF 1,2*, Cláudia Vicari Bolognani ORCID logo BCDE 3, Luana Argollo Souza Fernandes BCDE 2, Matheus Serwy Fiuza de Morais ORCID logo BCDF 4, Lucas Lourenço Santos Souza BCF 2, Mariah Vicari Bolognani ORCID logo BCEF 4, Giovana Alves Madureira BCDF 2, Levy Aniceto Santana ORCID logo ACDE 3, Fábio Ferreira Amorim ORCID logo ACDEF 1,2,3

DOI: 10.12659/MSM.950488

Med Sci Monit 2025; 31:e950488

Table 1 Comparison of scheduled surgeries at Hospital Regional de Sobradinho, Federal District, Brazil, across the pre-pandemic (Mar 2018–Feb 2020), lockdown (Mar–Aug 2020), and post-lockdown (Sep 2020–Feb 2022) periods (n=8806).

VariableMar 2018 to Feb 2020 (n=5146)Mar 2020 to Aug 2020 (n=2528)Sep 2020 to Feb 2022 (n=1132)P value
Age, years, mean (SD)44.8 (18.9)44.0 (18.3)45.4 (18.7)0.044
Female, n (%)2820 (54.7)1283 (50.8)600 (53.0)0.022
Elective surgery, n (%)3764 (73.1)1070 (42.3)648 (62.3)<0.001
Surgical site, n (%)* <0.001
 Orthopedic/trauma1468 (28.7)901 (35.7)387 (34.5)
 Digestive1572 (30.8)729 (28.9)302 (26.9)
 Gynecological/mammary942 (18.4)427 (16.9)221 (19.7)
 Skin/soft tissue451 (8.8)174 (6.9)67 (6.0)
 Vascular266 (5.2)155 (6.1)69 (6.1)
 Renal/urinary tract218 (4.3)96 (3.8)43 (3.8)
 Head/neck190 (3.7)41 (1.6)34 (3.0)
Hospital mortality, n (%)
 Total245 (4.8)127 (5.0)61 (5.4)0.356
 Orthopedic/trauma* 59 (4.0)45 (5.0)23 (5.9)0.082
 Digestive* 101 (6.4)44 (6.0)19 (6.3)0.818
 Gynecological/mammary* 25 (2.7)6 (1.4)4 (1.8)0.227
 Skin/soft tissue* 18 (4.0)7 (4.0)6 (9.0)0.148
 Vascular* 15 (5.6)14 (90)6 (8.7)0.218
 Renal/urinary tract* 19 (8.7)11 (11.5)1 (2.3)0.452
 Head/neck* 4 (2.1)0 (0.0)1 (2.9)0.150
* The surgical site was missing in 53 cases.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750