Routine pre-operative Covid testing in elective surgeries: Is it worth it?

Autor: Jessica K. Liu, Paula A. Porras, Danielle M. Hari, Kathryn T. Chen
Rok vydání: 2022
Předmět:
Zdroj: American journal of surgery, vol 224, iss 6
Popis: BackgroundPre-procedural COVID-19 testing in patients scheduled for elective cases have become routine to reduce the risk of COVID-19 exposure and pulmonary complications related to perioperative COVID-19 infection, and to reduce the use of specific hospital resources among other reasons. This study evaluates the efficacy of universal COVID-19 testing for elective procedures.MethodsSingle institution retrospective observational study from July 2020 through August 2021.ResultsThere were a total of 499 unique patients who were scheduled for 581 surgeries or procedures. A total of 569 anterior nares reverse transcriptase polymerase chain reaction (RT-PCR) tests were completed before scheduled procedure. There were 2 (0.35%) positive COVID tests, both of whom were asymptomatic and unvaccinated at time of testing, and 13 (2.2%) cancelled cases overall. The total cost for labor and materials during this period was $19,738, with each RT-PCR test costing $34.69 and each true positive test costing $9,869.ConclusionsGiven the low COVID-19 positivity in the elective procedural patient population, testing protocols for elective procedures should be re-evaluated as the pandemic evolves.
Databáze: OpenAIRE