Elektif cerrahiler ve girişimsel prosedürler öncesi preoperatif hazırlıkta COVID-19 real time polimeraz zincir reaksiyonu için sürüntü sonuçlarının analizi: Retrospektif çalışma

Year 2023, Volume: 28 Issue: 3, 398 - 403, 28.09.2023

Muhittin Çalım , Emine Şeyda Teloğlu , Harun Uysal , Bilge Sümbül , Asım Esen

https://doi.org/10.21673/anadoluklin.1344344

Abstract

Amaç: Bu retrospektif kohort çalışmada, bir üniversite hastanesinde preoperatif hasta popülasyonunun Coronavirus Disease 2019 (COVID-19) testi pozitifliğinin oranının belirlenmesi ve preoperatif COVID-19 pozitif hasta sayısı ile demografik özelliklerin, operasyona özgü bulguların ve özellikle kan grupları ile ilişkisinin ortaya konması amaçlanmıştır.

Yöntemler: Bu retrospektif kohort tek merkezli çalışma, üniversite hastanesinde gerçekleştirildi. Çalışmaya Haziran 2020 ile Nisan 2021 tarihleri arasında farklı cerrahi branşlarda elektif cerrahi planlanan ve preoperatif COVID-19 taraması yapılan tüm yetişkin hastalar dahil edildi. Hastaların demografik özellikleri, operasyona özgü bulguları ve kan grupları incelendi.

Bulgular: COVID-19 pozitif grubuna ait hastaların yaşı COVID-19 negatif grubuna göre anlamlı olarak daha yüksek idi (50,20±18,3, 47,27±17,28, sırasıyla, p=0,030). COVID-19 pozitif grubuna ait ASA fiziksel durum sınıflamasında skoru yüksek hastalar anlamlı olarak daha fazla idi (p<0,001). COVID-19 pozitif grubunda sigara içme durumu ve akciğer grafisinde özellik varlığı COVID-19 negatif grubundan anlamlı olarak daha fazla idi (p=0,004, p=0,046, sırası ile). COVID-19 pozitif hastaların büyük bir çoğunluğunun genel anestezi (%67,5) altında işleme alındığı görüldü. COVID-19 pozitif grubuna ait operasyon risk skoru yüksek hasta sayısı anlamlı olarak daha fazla idi (p<0,001). COVID-19 pozitif hastalarda kan grupları arasında en yüksek görülme oranı A Rh (+) kan grubu idi.

Sonuç: COVID-19 insidansının genel popülasyona oranla düşük bulunması, pandemi döneminde elektif ameliyatlarda preoperatif anestezi değerlendirmesinde anamnez ve polimeraz zincir reaksiyonu taramasının önemini ve etkinliğini göstermektedir.

Keywords

COVID-19, elektif cerrahi işlemler, kan grubu, preoperatif işlemler, tarama

Analysis of COVID-19 real time polymerase chain reaction test results at preoperative screening before elective surgeries and interventional procedures: A retrospective study

Abstract

Aim: In this retrospective cohort study, it was aimed to determine the rate of Coronavirus Disease 2019 (COVID-19) test positivity in the preoperative patient population in a university hospital and to reveal the relationship between the number of preoperative COVID-19 positive patients and demographic characteristics, operation-specific findings and especially blood groups.

Methods: This retrospective cohort single-center study was conducted in a university hospital. All adult patients who were scheduled for elective surgery in different surgical branches and who underwent preoperative COVID-19 screening between June 2020 and April 2021 were included. Demographic characteristics, operation-specific findings and blood groups of the patients were examined.

Results: The age of the patients of COVID-19 positive group was significantly higher than the COVID-19 negative group (50.20±18.3, 47.27±17.28, respectively, p=0.030). Patients with high scores in the ASA physical status of the COVID-19 positive group were significantly higher (p<0.001). Smoking status and presence of finding on chest X-ray were significantly higher in the COVID-19 positive group (p=0.004, p=0.046, respectively). The majority of COVID-19 positive patients were processed under general anesthesia (%67.5). The patients in the COVID-19 positive group with high operative risk scores were significantly higher (p<0.001). The highest incidence in patients of the COVID-19 positive group was A Rh (+) blood group.

Conclusion: The low incidence of COVID-19 compared to the general population shows the importance and effectiveness of anamnesis and polymerase chain reaction test in preoperative anesthesia evaluation in elective surgeries during the pandemic period.

Keywords

Blood group, COVID-19, elective surgical procedures, preoperative procedures, screening

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