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Safety of elective paediatric surgery during the coronavirus disease 2019 pandemic

F G Kavanagh1, D L James2, D Brinkman3

  • 1Department of Otolaryngology, Head and Neck Surgery, South Infirmary Victoria University Hospital, Old Blackrock Road, Cork, Ireland; Institute of Research, Royal College of Surgeons in Ireland, 121 St. Stephens Green, Dublin, Ireland.

International Journal of Pediatric Otorhinolaryngology
|September 28, 2021
PubMed

Insights

Elective paediatric Otolaryngology surgery is safe during the COVID-19 pandemic. A study found no postoperative COVID-19 infections or respiratory complications in children undergoing elective surgery.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • The COVID-19 pandemic significantly disrupted healthcare, especially elective surgeries.
  • Limited data exists on postoperative COVID-19 infection risks in pediatric surgical patients.
  • The effectiveness of pre-operative COVID-19 testing and movement restrictions in children remains unclear.

Purpose of the Study:

  • To assess the safety of elective pediatric Otolaryngology surgery during the COVID-19 pandemic.
  • To determine the incidence of postoperative symptomatic COVID-19 infection or major respiratory complications.
  • To evaluate the impact of pre-operative testing and movement restrictions.

Main Methods:

  • Prospective cohort study of pediatric patients undergoing elective Otolaryngology surgery (September-December 2020).
  • Primary outcome: symptomatic COVID-19 or major respiratory complications within 14 days post-surgery.
  • Data collected via 14-day post-operative follow-up calls regarding symptoms, testing, and diagnosis.

Main Results:

  • 302 pediatric patients were recruited.
  • 41.4% had pre-operative COVID-19 RT-PCR testing; 21.8% restricted movements.
  • No COVID-19 infections or major respiratory complications were reported within 14 days post-surgery.

Conclusions:

  • Elective pediatric Otolaryngology surgery can be safely performed during the COVID-19 pandemic.
  • Safety is supported when community COVID-19 incidence is comparable to the study period.
  • Findings suggest current pre-operative protocols may be effective in mitigating risks.
Abstract

Keywords:
COVIDPatient outcomesPediatric otolaryngologyPerioperative care

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