| Autor: |
Pujol, Roger, Rivas, Eva, Gracia, Isabel, Caballero, Angel, Matute, Purificación, Cuñat, Tomas, Basora, Misericordia, Fábregas, Neus, Arguis, Maria José, Forne, Daniel Luis, Balibrea, José Maria, Besa, Anais, Laguna, Guillermo, Monsalve, Concepción, Lacy, Antonio M., Martinez-Pallí, Graciela |
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| Zdroj: |
Surgery Today; Jun2023, Vol. 53 Issue 6, p709-717, 9p |
| Abstrakt: |
Purpose: To define the impact of the COVID-19 outbreak on hospital surgical activity and assess the incidence of perioperative COVID-19 within two protocolized screening pathways for elective and non-elective surgery. Methods: We conducted a prospective cohort study of adults undergoing surgery during the COVID-19 outbreak. The elective pathway included telephone surveys and a quantitative polymerase-chain-reaction test (RT-PCR) only for patients who were asymptomatic and at low risk of infection. Only patients with negative screening underwent surgery. In the non-elective pathway, preoperative screening was performed during the hospital admission. Results: Among 835 patients considered for the elective pathway, 725 had negative RT-PCR results and underwent surgery. This reflects an 83% reduction in surgical activity from 2019. Moreover, 596 patients underwent non-elective surgery, representing a 28% reduction. Preoperatively, 39 patients (6.5%) tested positive for SARS-CoV-2 and underwent surgery through the non-elective pathway, vs. none in the elective pathway (p < 0.001). Postoperatively, 1.4% of elective surgery patients and 2.2% of non-elective surgery patients tested positive (p > 0.05). Mortality was higher in non-elective surgery (0.6% vs. 2.9%, p < 0.001) and in patients with COVID-19 (0% vs. 14%, p < 0.001). Conclusions: The low incidence of COVID-19 in elective surgeries during the outbreak demonstrates the importance and effectiveness of preoperative screening, combining surveys and RT-PCR. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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