Importance of pre-operative COVID-19 screening test in elective surgeries.

Asymptomatic infections COVID-19 testing Mass screening Morbidity Mortality Surgery

Journal

Iranian journal of microbiology
ISSN: 2008-3289
Titre abrégé: Iran J Microbiol
Pays: Iran
ID NLM: 101518404

Informations de publication

Date de publication:
Feb 2022
Historique:
entrez: 6 6 2022
pubmed: 7 6 2022
medline: 7 6 2022
Statut: ppublish

Résumé

Since the COVID-19 pandemic initiation, more than 28 million elective surgeries were postponed with a cancellation rate of 72.3%. However, studies suggested that the patient treatment should be conducted within 12 weeks of diagnosis because delay in treatment might have had adverse impacts on patients' health status, prognosis, and pathologic stage. Hence, the current study aimed to assess the importance of a pre-operative COVID-19 screening test for the patients were candidates for elective surgery. This cross-sectional study was conducted on 141 patients who were candidates for any type of elective surgeries or cesarean section at a tertiary university-based hospital, between June 2020, and September 2020. The mean age of participants was 41.38 ± 11.66 years. Of them, 91.5% were women and 8.5% were men. The COVID-19 polymerase chain reaction (PCR) screening tests were positive in 12 (8.5%) patients. From whose PCR tests were positive, only five people (less than half) had symptoms of COVID-19 such as fever (three patients), a distinctive smell (two patients), and cough (one patient). Suspected exposure to COVID-19 was reported in four of them. In this study, we found that more than half of PCR positive COVID-19 patients were asymptomatic. Therefore, to have a safe hospital environment, and improve patient health outcomes, the COVID-19 screening test should be applied before any interventions.

Sections du résumé

Background and Objectives UNASSIGNED
Since the COVID-19 pandemic initiation, more than 28 million elective surgeries were postponed with a cancellation rate of 72.3%. However, studies suggested that the patient treatment should be conducted within 12 weeks of diagnosis because delay in treatment might have had adverse impacts on patients' health status, prognosis, and pathologic stage. Hence, the current study aimed to assess the importance of a pre-operative COVID-19 screening test for the patients were candidates for elective surgery.
Materials and Methods UNASSIGNED
This cross-sectional study was conducted on 141 patients who were candidates for any type of elective surgeries or cesarean section at a tertiary university-based hospital, between June 2020, and September 2020.
Results UNASSIGNED
The mean age of participants was 41.38 ± 11.66 years. Of them, 91.5% were women and 8.5% were men. The COVID-19 polymerase chain reaction (PCR) screening tests were positive in 12 (8.5%) patients. From whose PCR tests were positive, only five people (less than half) had symptoms of COVID-19 such as fever (three patients), a distinctive smell (two patients), and cough (one patient). Suspected exposure to COVID-19 was reported in four of them.
Conclusion UNASSIGNED
In this study, we found that more than half of PCR positive COVID-19 patients were asymptomatic. Therefore, to have a safe hospital environment, and improve patient health outcomes, the COVID-19 screening test should be applied before any interventions.

Identifiants

pubmed: 35664710
doi: 10.18502/ijm.v14i1.8795
pii: IJM-14-10
pmc: PMC9085543
doi:

Types de publication

Journal Article

Langues

eng

Pagination

10-14

Informations de copyright

Copyright © 2022 The Authors. Published by Tehran University of Medical Sciences.

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Auteurs

Pershang Nazemi (P)

Department of Infectious Disease, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Elham Feizabad (E)

Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Nasim Shokouhi (N)

Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Melika Hashemi (M)

Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Sara Saeedi (S)

Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Elham Shirali (E)

Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Avin Mabadi (A)

Department of Infectious Disease, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Ayein Azarnoush (A)

Department of Infectious Disease, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Classifications MeSH