Incidence of SARS-CoV-2 infection among asymptomatic patients undergoing preoperative COVID testing prior to cancer surgery: ASPECT study
| Autor: | Shraddha Patkar, Shravan Nadkarni, Hemant S. Niranjan, Shivakumar Thiagarajan, Sridhar Epari, C S Pramesh, Purvi Thakkar, Tejpratap Singh, Mamta Gurav, Jitender Rohila, Prachi Bapat, Omshree Shetty, Ajay Puri, Manish S. Bhandare, Sanjay Biswas, Saiesh Reddy Voppuru, Devayani Niyogi |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Adolescent Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) India Asymptomatic Young Adult COVID-19 Testing Postoperative Complications Risk Factors Neoplasms Preoperative Care Medicine Humans asymptomatic In patient Child Asymptomatic Infections Research Articles Aged Retrospective Studies High rate Aged 80 and over business.industry Incidence (epidemiology) Incidence Infant Newborn COVID-19 Infant General Medicine Perioperative Middle Aged SARS‐CoV‐2 infection Surgery Oncology Child Preschool Female medicine.symptom cancer surgery business Cancer surgery Follow-Up Studies Research Article |
| Zdroj: | Journal of Surgical Oncology |
| ISSN: | 1096-9098 |
| Popis: | Background and Objectives The COVID‐19 pandemic, with high rate of asymptomatic infections and increased perioperative complications, prompted widespread adoption of screening methods. We analyzed the incidence of asymptomatic infection and perioperative outcomes in patients undergoing cancer surgery. We also studied the impact on subsequent cancer treatment in those with COVID‐19. Methods All patients who underwent elective and emergency cancer surgery from April to September 2020 were included. After screening for symptoms, a preoperative test was performed from nasopharyngeal and oropharyngeal swabs before the procedure. Patients were followed up for 30 days postoperatively and complications were noted. Results 2108 asymptomatic patients were tested, of which 200 (9.5%) tested positive. Of those who tested positive, 140 (70%) underwent the planned surgery at a median of 30 days from testing positive, and 20 (14.3%) had ≥ Grade III complications. Forty (20%) patients did not receive the intended treatment; 110 patients were retested in the Postoperative period, and 41 (37.3%) tested positive and 9(22%) patients died of COVID‐related complications. Conclusion Routine preoperative testing for COVID‐19 helps to segregate patients with asymptomatic infection. Higher complications occur in those who develop COVID‐19 in postoperative period. Prolonged delay in surgery after COVID infection may influence planned treatment. |
| Databáze: | OpenAIRE |
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