Letter to the editor regarding ‘clinical characteristics and factors associated with in-hospital post-surgical mortality in COVID-19 patients at a tertiary care center in Karachi, Pakistan - Takeaways - MDSpire
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Response to the Editor on 'Clinical Features and Influencing Factors of In-Hospital Post-Surgical Mortality in COVID-19 Patients at a Tertiary Care Facility in Karachi, Pakistan

  • By

  • Nosheen Nasir

  • July 6, 2026

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  • 1

    The study utilized a retrospective registry to analyze postoperative outcomes in COVID-19 patients across five pandemic waves.

  • 2

    Proxy indicators for disease severity, such as ICU admission and complications, were used due to evolving clinical documentation practices.

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    Emergency surgeries showed higher crude mortality but lower adjusted mortality risk after accounting for various covariates.

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    Maternal and fetal outcomes were not linked in the study, but subgroup analyses indicated no significant maternal mortality risk from obstetric procedures.

  • 5

    The study aimed to fill an evidence gap regarding perioperative outcomes in COVID-19 surgical patients in a low- and middle-income country setting.

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