Perioperative Factors Impact on Mortality and Survival Rate of Geriatric Patients Undergoing Surgery in the COVID-19 Pandemic: A Prospective Cohort Study in Indonesia Article Swipe
Nancy Margarita Rehatta
,
Susilo Chandra
,
Djayanti Sari
,
Mayang Indah Lestari
,
Tjokorda Gde Agung Senapathi
,
Haizah Nurdin
,
Belindo Wirabuana
,
Bintang Pramodana
,
Adinda Putra Pradhana
,
Isngadi Isngadi
,
Novita Anggraeni
,
Kenanga Marwan Sikumbang
,
Radian Ahmad Halimi
,
Zafrullah Khany Jasa
,
Akhyar Hamonangan Nasution
,
Mochamat Mochamat
,
Purwoko Purwoko
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11185292
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11185292
Background: The COVID-19 pandemic continues to have an impact on geriatric patients worldwide since geriatrics itself is an age group with a high risk due to declined physiological function and many comorbidities, especially for those who undergo surgery. In this study, we determine the association between perioperative factors with 30-day mortality and a survival rate of geriatric patients undergoing surgery during COVID-19 pandemic. Methods: A prospective cohort study was conducted at 14 central hospitals in Indonesia. The recorded variables were perioperative factors, 30-day mortality, and survival rate. Analyses of associations between variables and 30-day mortality were performed using univariate/multivariable logistic regression, and survival rates were determined with Kaplan–Meier survival analysis. Results: We analyzed 1621 elderly patients. The total number of patients who survived within 30 days of observation was 4.3%. Several perioperative factors were associated with 30-day mortality (p < 0.05) is COVID-19 (OR, 4.34; 95% CI, 1.04–18.07; p = 0.04), CCI > 3 ( odds ratio [OR], 2.33; 95% confidence interval [CI], 1.03–5.26; p = 0.04), emergency surgery (OR, 3.70; 95% CI, 1.96–7.00; p ≤ 0.01), postoperative ICU care (OR, 2.70; 95% CI, 1.32–5.53; p = 0.01), and adverse events (AEs) in the ICU (OR, 3.43; 95% CI, 1.32–8.96; p = 0.01). Aligned with these findings, COVID-19, CCI > 3, and comorbidities have a log-rank p < 0.05. The six comorbidities that have log-rank p < 0.05 are moderate-to-severe renal disease (log-rank p ≤ 0.01), cerebrovascular disease (log-rank p ≤ 0.01), diabetes with chronic complications (log-rank p = 0.03), metastatic solid tumor (log-rank p = 0.02), dementia (log-rank p ≤ 0.01), and rheumatology disease (log-rank p = 0.03). Conclusions: Having at least one of these conditions, such as COVID-19, comorbidities, emergency surgery, postoperative ICU care, or an AE in the ICU were associated with increased mortality in geriatric patients undergoing surgery during the COVID-19 pandemic.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm11185292
- https://www.mdpi.com/2077-0383/11/18/5292/pdf?version=1662637768
- OA Status
- gold
- Cited By
- 3
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4296137129
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Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4296137129Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm11185292Digital Object Identifier
- Title
-
Perioperative Factors Impact on Mortality and Survival Rate of Geriatric Patients Undergoing Surgery in the COVID-19 Pandemic: A Prospective Cohort Study in IndonesiaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-09-08Full publication date if available
- Authors
-
Nancy Margarita Rehatta, Susilo Chandra, Djayanti Sari, Mayang Indah Lestari, Tjokorda Gde Agung Senapathi, Haizah Nurdin, Belindo Wirabuana, Bintang Pramodana, Adinda Putra Pradhana, Isngadi Isngadi, Novita Anggraeni, Kenanga Marwan Sikumbang, Radian Ahmad Halimi, Zafrullah Khany Jasa, Akhyar Hamonangan Nasution, Mochamat Mochamat, Purwoko PurwokoList of authors in order
- Landing page
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https://doi.org/10.3390/jcm11185292Publisher landing page
- PDF URL
-
https://www.mdpi.com/2077-0383/11/18/5292/pdf?version=1662637768Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/11/18/5292/pdf?version=1662637768Direct OA link when available
- Concepts
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Medicine, Perioperative, Odds ratio, Prospective cohort study, Confidence interval, Internal medicine, Logistic regression, Univariate analysis, Cohort study, Geriatrics, Mortality rate, Surgery, Multivariate analysis, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
- Citations by year (recent)
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2023: 2, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W4285722176, https://openalex.org/W4247633254, https://openalex.org/W3153832196, https://openalex.org/W3030259932, https://openalex.org/W3160086668, https://openalex.org/W6781602068, https://openalex.org/W4283736047, https://openalex.org/W2109776710, https://openalex.org/W2965516989, https://openalex.org/W2119635828, https://openalex.org/W2009302300, https://openalex.org/W3034362533, https://openalex.org/W2767696021, https://openalex.org/W2964662185, https://openalex.org/W3036842998, https://openalex.org/W2000445173, https://openalex.org/W3175397620, https://openalex.org/W2542824823, https://openalex.org/W2418661042, https://openalex.org/W3201203496, https://openalex.org/W2118924838, https://openalex.org/W6664974735, https://openalex.org/W2551176996, https://openalex.org/W2765250254, https://openalex.org/W2953070149, https://openalex.org/W3179873245, https://openalex.org/W2049458659, https://openalex.org/W2052225228, https://openalex.org/W2023117080, https://openalex.org/W7073602498, https://openalex.org/W1501135912, https://openalex.org/W1987501813, https://openalex.org/W2062010875, https://openalex.org/W2079377374, https://openalex.org/W3043873868, https://openalex.org/W2058131313 |
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