Early experience with universal preoperative and pre-procedural screening for COVID-19 in low-risk pediatric surgical patients requiring general anesthesia

Sii, Cornilia K S; Lee, Joo Ann; Nah, Shireen Anne

doi:10.1007/s00383-020-04760-7

Cited by 9 publications

(12 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In another large multicenter study in the States, there were 0.58% positive preoperative screening tests among 1198 patients undergoing orthopedic surgery [ 14 ]. Another preoperative screening study in Malaysia reported no positive screening tests in low-risk asymptomatic patients [ 15 ]. The study of preoperative CT chest in the UK reported 7% of patients with positive COVID-19 related lung change, but only 1.6% had confirmed COVID-19 by RT-PCR [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Gynecologic Surgery during the COVID-19 Pandemic: Is Universal Screening Mandatory?

Areeruk

Chiengthong

Santibenchakul

et al. 2021

Infectious Diseases in Obstetrics and Gynecology

View full text Add to dashboard Cite

This study is aimed at evaluating the results of the universal preoperative screening for COVID-19 in gynecologic cases operated on during its outbreak in a tertiary care hospital in Bangkok, Thailand. A retrospective descriptive study was done on all patients who underwent elective or emergency gynecologic surgeries during the pandemic period in Thailand (April 15 to June 5, 2020). The COVID-19 screening results by symptom-based screening, risk-based screening, and RT-PCR for COVID-19 were collected from the electronic medical records. Among 129 patients who underwent gynecologic surgeries, none had a positive RT-PCR for COVID-19. Symptom-based screening found no patients with positive symptoms for COVID-19. Risk-based screening found 4 patients (3.1%) who were in contact with suspected or confirmed COVID-19 cases and 4 patients (3.1%) who were healthcare personnel. In conclusion, routine preoperative RT-PCR for COVID-19 may need to be reconsidered among asymptomatic individuals in a low-prevalence country during the well-controlled COVID-19 situation. Larger studies are required to ascertain the benefit of universal preoperative COVID-19 testing.

show abstract

Section: Discussionmentioning

confidence: 99%

Gynecologic Surgery during the COVID-19 Pandemic: Is Universal Screening Mandatory?

Areeruk

Chiengthong

Santibenchakul

et al. 2021

Infectious Diseases in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

“…This, together with the high incidence of household transmission, 16‐18 prompted us to test both patient and caregiver to lower the possibility of false‐negative results that could lead to intrahospital transmission of the virus. This approach is considered a higher level of attention posed to the risk of viral transmission and has not been proposed elsewhere 19‐21 ; it proved effective at least in 1 case of the 7 positive (14% of total number of positive results). Strength of this study resides, in our opinion, in the strength of this approach to the child‐caregiver unity.…”

Section: Discussionmentioning

confidence: 99%

Organizational aspects of pediatric anesthesia and surgery between two waves of Covid‐19

Camporesi

Melloni

Diotto

et al. 2021

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

Background The initial wave of the Covid‐19 pandemic has hit Italy, and Lombardy in particular, with violence, forcing to reshape all hospitals' activities; this happened even in pediatric hospitals, although the young population seemed initially spared from the disease. “Vittore Buzzi” Children's Hospital, which is a pediatric/maternal hospital located in Milan (Lombardy Region), had to stop elective procedures—with the exception of urgent/emergent ones—between February and May 2020 to leave space and resources to adults' care. We describe the challenges of reshaping the hospital's identity and structure, and restarting pediatric surgery and anesthesia, from May on, in the most hit area of the world, with the purpose to avoid and contain infections. Both patients and caregivers admitted to hospital have been tested for Sars‐CoV‐2 in every case. Methods Observational cohort study via review of clinical charts of patients undergoing surgery between 16th May and 30th September 2020, together with SARS‐CoV ‐2 RT‐PCR testing outcomes, and comparison to same period surgeries in 2019. Results An increase of approximately 70% in pediatric surgeries (OR 1.68 [1.33‐2.13], P < .001) and a higher increase in the number of surgeries were reported (OR 1.75 (1.43‐2.15), P < .001). Considering only urgent procedures, a significant difference in the distribution of the type of surgery was observed (Chi‐squared P ‐value < .001). Sars‐CoV‐2‐positive patients have been 0.8% of total number; 14% of these was discovered through caregiver's positivity. Conclusion We describe our pathway for safe pediatric surgery and anesthesia and the importance of testing both patient and caregiver.

show abstract

“…Because of the variable incubation period of COVID-19, ranging up to 14 days, we believe this design gave us the optimal opportunity to detect any cases of symptomatic COVID-19 or respiratory complications that may have presented after hospital discharge. The only study to our knowledge to include formal 14-days follow up of patients was that by Sii et al In a much smaller cohort of 66 patients undergoing elective surgery with negative preoperative test, the authors reported no case of COVID-19 at 14-day follow-up [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Safety of elective paediatric surgery during the coronavirus disease 2019 pandemic

Kavanagh¹,

James

Brinkman

et al. 2021

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Introduction Corona-virus Disease 2019 (COVID-19) has had a huge impact on the delivery of healthcare worldwide, particularly elective surgery. There is a lack of data regarding risk of postoperative COVID-19 infection in children undergoing elective surgery, and regarding the utility of pre-operative COVID-19 testing, and preoperative “cocooning” or restriction of movements. The purpose of this present study was to examine the safety of elective paediatric Otolaryngology surgery during the COVID-19 pandemic with respect to incidence of postoperative symptomatic COVID-19 infection or major respiratory complications. Materials and methods Prospective cohort study of paediatric patients undergoing elective Otolaryngology surgery between September and December 2020. Primary outcome measure was incidence of symptomatic COVID-19 or major respiratory complications within the 14 days after surgery. Parents of prospectively enrolled patients were contacted 14 days after surgery and enquiry made regarding development of postoperative symptoms, COVID-19 testing, or diagnosis of COVID-19. Results 302 patients were recruited. 125 (41.4%) underwent preoperative COVID-19 RTPCR testing. 66 (21.8%) restricted movements prior to surgery. The peak 14-day COVID-19 incidence during the study was 302.9 cases per 100,000 population. No COVID-19 infections or major respiratory complications were reported in the 14 day follow up period. Conclusion The results of our study support the safety of elective paediatric Otolaryngology surgery during the pandemic, in the setting of community incidence not exceeding that observed during the study period.

show abstract

Early experience with universal preoperative and pre-procedural screening for COVID-19 in low-risk pediatric surgical patients requiring general anesthesia

Cited by 9 publications

References 21 publications

Gynecologic Surgery during the COVID-19 Pandemic: Is Universal Screening Mandatory?

Gynecologic Surgery during the COVID-19 Pandemic: Is Universal Screening Mandatory?

Organizational aspects of pediatric anesthesia and surgery between two waves of Covid‐19

Safety of elective paediatric surgery during the coronavirus disease 2019 pandemic

Contact Info

Product

Resources

About