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Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study.
Fiorelli, Silvia; Menna, Cecilia; Piccioni, Federico; Zuanetti, Gabriele; Valenza, Franco; Rispoli, Marco; Amore, Dario; Rocco, Monica; Rendina, Erino Angelo; Ibrahim, Mohsen; Massullo, Domenico.
  • Fiorelli S; Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035 00189, Rome, Italy.
  • Menna C; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035 00189, Rome, Italy.
  • Piccioni F; Anesthesia and Intensive Care Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Zuanetti G; School of Anesthesia and Intensive Care, University of Milan, Milan, Italy.
  • Valenza F; Department of Anesthesia, Intensive Care and Palliative Care, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  • Rispoli M; Department of Oncology and Oncohematology, University of Milan, Milan, Italy.
  • Amore D; Anesthesia and Intensive Care, AORN dei Colli, Monaldi Hospital, Naples, Italy.
  • Rocco M; Thoracic Surgery, AORN dei Colli, Monaldi Hospital, Naples, Italy.
  • Rendina EA; Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035 00189, Rome, Italy.
  • Ibrahim M; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035 00189, Rome, Italy.
  • Massullo D; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sapienza University of Rome, Via di Grottarossa 1035 00189, Rome, Italy.
Int J Clin Pract ; 2023: 8993295, 2023.
Article in English | MEDLINE | ID: covidwho-2259224
ABSTRACT

Objectives:

During coronavirus disease (COVID-19) pandemic, preoperative screening before thoracic surgery is paramount in order to protect patients and staff from undetected infections. This study aimed to determine which preoperative COVID-19 screening tool was the most effective strategy before thoracic surgery.

Methods:

This retrospective cohort multicenter study was performed at 3 Italian thoracic surgery centers. All adult patients scheduled for thoracic surgery procedures from 4th March until 24th April, 2020, and submitted to COVID-19 preoperative screenings were included. The primary outcome was the yield of screening of the different strategies.

Results:

A total of 430 screenings were performed on 275 patients; 275 anamnestic questionnaires were administered. 77 patients were screened by an anamnestic questionnaire and reverse transcriptase polymerase chain reaction (RT-PCR). 78 patients were selected to combine screening with anamnestic questionnaire and chest computed tomography (CT). The positive yield of screening using a combination of anamnestic questionnaire and RT-PCR was 7.8% (95% CI 2.6-14.3), while using a combination of anamnestic questionnaire and chest CT was 3.8% (95% CI 0-9). Individual yields were 1.1% (95% CI 0-2.5) for anamnestic questionnaire, 5.2% (95% CI 1.3-11.7) for RT-PCR, and 3.8% (95% CI 0-9).

Conclusions:

The association of anamnestic questionnaire and RT-PCR is able to detect around 8 positives in 100 asymptomatic patients. This combined strategy could be a valuable preoperative SARS-CoV-2 screening tool before thoracic surgery.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Thoracic Surgery / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Int J Clin Pract Journal subject: Medicine Year: 2023 Document Type: Article Affiliation country: 2023

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thoracic Surgery / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Int J Clin Pract Journal subject: Medicine Year: 2023 Document Type: Article Affiliation country: 2023