Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study

Fiorelli, Silvia; Menna, Cecilia; Piccioni, Federico; Zuanetti, Gabriele; Valenza, Franco; Rispoli, Marco; Amore, Dario; Rocco, Monica; Rendina, Erino Angelo; Ibrahim, Mohsen; Massullo, Domenico

doi:10.1155/2023/8993295

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…4,16 In one multicenter study researchers reported this rate as 7.8% in asymptomatic preoperative patients. 11 However, in another study, this rate was reported as 0.474%, and it was suggested that this was related to the low rate of COVID-19 positive patients in the region where the study was conducted. 17 In addition, several studies have reported RT -qPCR test positivity rates in the asymptomatic preoperative pediatric patient population ranging from 0.93% to 2.56%.…”

Section: Discussionmentioning

confidence: 89%

“…It has been emphasized in many studies that the presence of this infection in preoperative patients should not be ignored to prevent the transmission of hospital-acquired SARS-CoV-2 infection during the pandemic period. [11][12][13] The aim of current study was to retrospectively evaluate prevalence of SARS-CoV-2 infection in asymptomatic preoperative patients during the pandemic period.…”

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confidence: 99%

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Prevalence of SARS-CoV-2 infection in asymptomatic preoperative patients

Bayram,

Gulbudak,

Bozok

et al. 2023

Int J Community Med Public Health

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Background: Surgeries were performed on emergency and trauma patients as well as oncology patients in many centres during the pandemic period. Screening of asymptomatic preoperative patients is very important not only in protecting healthcare personnel but also in preventing nosocomial infections and in protecting patients with deficient or suppressed immune systems. The aim of the current study was to retrospectively evaluate the prevalence of SARS-CoV-2 infection in asymptomatic preoperative patients during the pandemic period. Methods: A total of 3773 asymptomatic preoperative patients among the 23385 patients were evaluated retrospectively with Rt-qPCR test. The DS CORONEX COVID-19 PCR test (Ver.2.0, DS Bio and nano technology, Turkiye) kit used for the RT-qPCR. PCR test targets the N and Orf1ab gene region specific for SARS-CoV-2. Results: SARS-CoV-2 positivity was significantly lower in the preoperative patient group than in COVID-19 positive patients whose routine test results were positive for other reasons (2.3% vs 23.1%; p<0.0005). Distribution of preoperative SARS-CoV-2 positive patients according to clinics were 7.1% thoracic surgery, 3.7% neurosurgery, 3.5% otolaryngology, 2.6% general surgery and 2.4% urology clinic, respectively. Conclusions: SARS-CoV-2 positivity was lower in the preoperative patients but this rate never excludes pre-screening of asymptomatic preoperative patients. Applying pre-screening tests to asymptomatic preoperative patients is significant in protecting healthcare personnel and patients with deficient or suppressed immune systems and also preventing nosocomial infections.

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Section: Discussionmentioning

confidence: 89%

mentioning

confidence: 99%

Prevalence of SARS-CoV-2 infection in asymptomatic preoperative patients

Bayram,

Gulbudak,

Bozok

et al. 2023

Int J Community Med Public Health

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Preoperative assessment of adults undergoing elective noncardiac surgery

Lamperti,

Romero,

Guarracino

et al. 2024

European Journal of Anaesthesiology

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BACKGROUND When considering whether a patient is fit for surgery, a comprehensive patient assessment represents the first step for an anaesthetist to evaluate the risks associated with the procedure and the patient's underlying diseases, and to optimise (whenever possible) the perioperative surgical journey. These guidelines from the European Society of Anaesthesiology and Intensive Care Medicine (ESAIC) update previous guidelines to provide new evidence on existing and emerging topics that consider the different aspects of the patient's surgical path. DESIGN A comprehensive literature review focused on organisation, clinical facets, optimisation and planning. The methodological quality of the studies included was evaluated using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology. A Delphi process agreed on the wording of recommendations, and clinical practice statements (CPS) supported by minimal evidence. A draft version of the guidelines was published on the ESAIC website for 4 weeks, and the link was distributed to all ESAIC members, both individual and national, encompassing most European national anaesthesia societies. Feedback was gathered and incorporated into the guidelines accordingly. Following the finalisation of the draft, the Guidelines Committee and ESAIC Board officially approved the guidelines. RESULTS In the first phase of the guidelines update, 17 668 titles were initially identified. After removing duplicates and restricting the search period from 1 January 2018 to 3 May 2023, the number of titles was reduced to 16 774, which were then screened, yielding 414 abstracts. Among these, 267 relevant abstracts were identified from which 204 appropriate titles were selected for a comprehensive GRADE analysis. Additionally, the study considered 4 reviews, 16 meta-analyses, 9 previously published guidelines, 58 prospective cohort studies and 83 retrospective studies. The guideline provides 55 evidence-based recommendations that were voted on by a Delphi process, reaching a solid consensus (>90% agreement). DISCUSSION This update of the previous guidelines has covered new organisational and clinical aspects of the preoperative anaesthesia assessment to provide a more objective evaluation of patients with a high risk of postoperative complications requiring intensive care. Telemedicine and more predictive preoperative scores and biomarkers should guide the anaesthetist in selecting the appropriate preoperative blood tests, x-rays, and so forth for each patient, allowing the anaesthetist to assess the risks and suggest the most appropriate anaesthetic plan. CONCLUSION Each patient should have a tailored assessment of their fitness to undergo procedures requiring the involvement of an anaesthetist. The anaesthetist's role is essential in this phase to obtain a broad vision of the patient's clinical conditions, to coordinate care and to help the patient reach an informed decision.

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Analysis of COVID-19 real time polymerase chain reaction test results at preoperative screening before elective surgeries and interventional procedures: A retrospective study

ÇALIM,

TELOĞLU,

UYSAL

et al. 2023

Anadolu Kliniği Tıp Bilimleri Dergisi

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Amaç: Bu retrospektif kohort çalışmada, bir üniversite hastanesinde preoperatif hasta popülasyonunun Coronavirus Disease 2019 (COVID-19) testi pozitifliğinin oranının belirlenmesi ve preoperatif COVID-19 pozitif hasta sayısı ile demografik özelliklerin, operasyona özgü bulguların ve özellikle kan grupları ile ilişkisinin ortaya konması amaçlanmıştır. Yöntemler: Bu retrospektif kohort tek merkezli çalışma, üniversite hastanesinde gerçekleştirildi. Çalışmaya Haziran 2020 ile Nisan 2021 tarihleri arasında farklı cerrahi branşlarda elektif cerrahi planlanan ve preoperatif COVID-19 taraması yapılan tüm yetişkin hastalar dahil edildi. Hastaların demografik özellikleri, operasyona özgü bulguları ve kan grupları incelendi. Bulgular: COVID-19 pozitif grubuna ait hastaların yaşı COVID-19 negatif grubuna göre anlamlı olarak daha yüksek idi (50,20±18,3, 47,27±17,28, sırasıyla, p=0,030). COVID-19 pozitif grubuna ait ASA fiziksel durum sınıflamasında skoru yüksek hastalar anlamlı olarak daha fazla idi (p

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Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study

Cited by 3 publications

References 34 publications

Prevalence of SARS-CoV-2 infection in asymptomatic preoperative patients

Prevalence of SARS-CoV-2 infection in asymptomatic preoperative patients

Preoperative assessment of adults undergoing elective noncardiac surgery

Analysis of COVID-19 real time polymerase chain reaction test results at preoperative screening before elective surgeries and interventional procedures: A retrospective study

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