Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study.
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.
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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