Poor agreement between clinical screening and universal pre-procedure SARS-CoV-2 PCR testing prior to endoscopy
| Autor: | Ana Mena Ribas, Sam Khorrami Minaei, Carmen Garrido Durán, Irene García Amengual, Marcelo García Hernández |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pre-Procedure medicine.diagnostic_test Coronavirus disease 2019 (COVID-19) Clinical screening business.industry SARS-CoV-2 Concordance Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Gastroenterology COVID-19 Endoscopy General Medicine Polymerase Chain Reaction Teaching hospital Internal medicine Cohort medicine Humans business Retrospective Studies |
| Zdroj: | Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. 113(9) |
| ISSN: | 1130-0108 |
| Popis: | Introduction Scientific societies recommend screening for SARS-CoV-2 in patients prior to endoscopy. There is no solid evidence regarding the efficiency of universal screening by PCR test for SARS-CoV-2. The present study aimed to assess the usefulness of clinical screening and universal pre-procedure PCR testing for the identification of patients capable of transmitting the SARS-CoV-2 infection. Concordance between both strategies was also evaluated. Method A retrospective review was conducted in a consecutive cohort of patients undergoing endoscopy at a tertiary teaching hospital between 22nd April and 22nd June 2020, following a screening protocol. Results Three hundred and sixty-one patients were included. Clinical screening detected 13 patients with a high risk of infection (3.6%, 95% CI 2.62-4.58) while the pre-procedure PCR test was positive in five patients (1.40% 95% CI 0.20-2.60). Three patients developed COVID-19 and one died from the disease. Agreement between both strategies was poor, with a Kappa value of 0.093 (95% CI 0.001-0.185). Clinical screening only identified one of the five patients with a positive PCR test. Conclusion Clinical screening prior to endoscopy presents poor agreement with the pre-procedure PCR test. |
| Databáze: | OpenAIRE |
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