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COVID-19 pre-procedural testing strategy and early outcomes at a large tertiary care children's hospital.
Bence, Christina M; Jarzembowski, Jason A; Belter, Lukas; Berens, Richard J; Henrickson, Kelly J; Hoffman, George M; Jackson, Felicia; Kehl, Karen Sue; Oldham, Keith T; Scott, John P; Tassone, J Channing; Woger, Nancy; Yale, Erin; Gourlay, David M.
  • Bence CM; Children's Wisconsin and Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, 999 North 92nd Street, Suite CCC 320, Milwaukee, WI, 53226, USA. cbence@mcw.edu.
  • Jarzembowski JA; Division of Pediatric Pathology, Department of Pathology and Laboratory Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
  • Belter L; Surgical Services, Children's Wisconsin, Milwaukee, WI, USA.
  • Berens RJ; Division of Pediatric Anesthesiology, Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, USA.
  • Henrickson KJ; Division of Pediatric Infectious Diseases, Department of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI, USA.
  • Hoffman GM; Division of Pediatric Anesthesiology, Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, USA.
  • Jackson F; Surgical Services, Children's Wisconsin, Milwaukee, WI, USA.
  • Kehl KS; Division of Pediatric Pathology, Department of Pathology and Laboratory Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
  • Oldham KT; Children's Wisconsin and Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, 999 North 92nd Street, Suite CCC 320, Milwaukee, WI, 53226, USA.
  • Scott JP; Division of Pediatric Anesthesiology, Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, USA.
  • Tassone JC; Division of Pediatric Orthopaedic Surgery, Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
  • Woger N; Surgical Services, Children's Wisconsin, Milwaukee, WI, USA.
  • Yale E; Surgical and Diagnostic Services, Children's Wisconsin, Milwaukee, WI, USA.
  • Gourlay DM; Children's Wisconsin and Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, 999 North 92nd Street, Suite CCC 320, Milwaukee, WI, 53226, USA.
Pediatr Surg Int ; 37(7): 871-880, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1130763
ABSTRACT

PURPOSE:

With the emergence of the coronavirus disease-2019 (COVID-19) pandemic, institutions were tasked with developing individualized pre-procedural testing strategies that allowed for re-initiation of elective procedures within national and state guidelines. This report describes the experience of a single US children's hospital (Children's Wisconsin, CW) in developing a universal pre-procedural COVID-19 testing protocol and reports early outcomes.

METHODS:

The CW pre-procedural COVID-19 response began with the creation of a multi-disciplinary taskforce that sought to develop a strategy for universal pre-procedural COVID-19 testing which (1) maximized patient safety, (2) prevented in-hospital viral transmission, (3) conserved resources, and (4) allowed for resumption of procedural care within institutional capacity.

RESULTS:

Of 11,209 general anesthetics performed at CW from March 16, 2020 to October 31, 2020, 11,150 patients (99.5%) underwent pre-procedural COVID-19 testing. Overall, 1.4% of pre-procedural patients tested positive for COVID-19. By June 2020, CW was operating at near-normal procedural volume and there were no documented cases of in-hospital viral transmission. Only 0.5% of procedures were performed under augmented COVID-19 precautions (negative pressure environment and highest-level personal protective equipment).

CONCLUSION:

CW successfully developed a multi-disciplinary pre-procedural COVID-19 testing protocol that enabled resumption of near-normal procedural volume within three months while limiting in-hospital viral transmission and resource use.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Testing / COVID-19 / Hospitals, Pediatric Type of study: Diagnostic study / Observational study Limits: Child / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Pediatr Surg Int Journal subject: Pediatrics Year: 2021 Document Type: Article Affiliation country: S00383-021-04878-2

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Testing / COVID-19 / Hospitals, Pediatric Type of study: Diagnostic study / Observational study Limits: Child / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Pediatr Surg Int Journal subject: Pediatrics Year: 2021 Document Type: Article Affiliation country: S00383-021-04878-2