Preprocedure COVID-19 Testing in Early Phase of Pandemic

Journal of Patient-Centered Research and Reviews

Robert Citronberg¹  Bradley Kruger²  Ana Cristina Perez Moreno³  Stacie Kroboth³  Bijoy K. Khandheria⁴  Renuka Jain⁴ 

[1] Advocate Aurora Health, Downers Grove, IL;Advocate Aurora Health, Milwaukee, WI;Advocate Aurora Research Institute, Advocate Aurora Health, Milwaukee, WI;Aurora Sinai/Aurora St. Luke’s Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, WI;

关键词: sars-cov-2 testing;    covid-19;    procedure;    surgery;    hospitalization;    patient safety;    health care delivery;    clinical management;   

DOI  :  10.17294/2330-0698.1841

来源: DOAJ

【 摘 要 】

The COVID-19 pandemic led to a nationwide shutdown of elective medical procedures. Upon resumption of services, preprocedure nasopharyngeal swab testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was introduced for all patients requiring surgical or other aerosol-generating procedures. We investigated preprocedure COVID-19 testing in one of the largest U.S. health systems. Patients included in this retrospective, observational study were asymptomatic and scheduled for a procedure or surgery. All patients underwent a nasopharyngeal swab test for SARS-CoV-2 performed 24–72 hours prior to a planned procedure. Clinical demographics, type of procedure, test results, and subsequent procedure status were evaluated. Of 38,608 total patients, there were 277 COVID-19–positive patients (positivity rate: 0.72%). Of those 277, 244 (88%) had procedural delays or cancellations. Of the COVID-19–negative patients, 50 (0.13%) required later hospitalization for COVID-19. Median time from preprocedure negative test to admission was 46.3 ± 27.2 days. In the largest series published on preprocedure COVID-19 testing in the early phase of the pandemic, preprocedure COVID-19 positivity was low. Preprocedure COVID-19 testing had a significant impact on clinical management. Rate of COVID-19 cases requiring hospitalization in the months following the procedure was negligible, suggesting health system policies adequately protected patient safety.

【 授权许可】

Unknown