Research Article
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Year 2022, , 130 - 133, 31.12.2022
https://doi.org/10.26650/experimed.1183762

Abstract

References

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  • 7. Villa J, Pannu T, McWilliams C, Kizer C, Rosenthal R, Higuera C, et al. Results of preoperative screening for COVID-19 correlate with the incidence of infection in the general population -a tertiary care experience. Hosp Pract 2021; 49: 216-20. [CrossRef] google scholar
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  • 16. Singer JS, Cheng EM, Murad DA, de St Maurice A, Hines OJ, Uslan DZ, et al. Low prevalence (0.13%) of COVID-19 infection in asymptomatic pre-operative/pre-procedure patients at a large, academic medical center informs approaches to perioperative care. Surgery 2020; 168: 980-6. [CrossRef] google scholar
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  • 19. Aydoğan O, Gözün Şaylan E, Güven Ö, Ayaz A, Yiğitbaşı T. Prevalence of SARS-CoV-2 variants in COVID-19 positive patients. Klimik Derg 2022; 35(4): 220-3. google scholar

Preoperative Screening for COVID-19: Results from a Clinical Diagnostic Laboratory

Year 2022, , 130 - 133, 31.12.2022
https://doi.org/10.26650/experimed.1183762

Abstract

Objective: The study aimed to determine what proportion of Turkiye’s preoperative patient population has tested positive for COVID-19 and to ascertain whether the increasing or decreasing trend in the numbers of positive preoperative patients resembles the general population of Turkiye during the same period.

Materials and Methods: The study cohort involved of the 14,776 patients from various services between January 1-December 31, 2021 who needed preoperative COVID-19 test reports. The patient's SARS-CoV-2 RNA's were detected with real-time polymerase chain reaction (RT-PCR) technique.

Results: SARS-CoV-2 RT-PCR positivity was detected in 422 (2.86%) patients, of which 59.72% (n = 252) were female and 40.28% (n = 170) were male; their mean age was 40.2 years. Of the 422 positive cases, 84.12% were young adults (18-65 years), and 9% were middle-aged (66-79 years). Positive cases involving those under the age of 18 were found to account for 5.22% (n = 22) of the total. The highest positivity rate was observed in April 2021 at 8.28% of all test requests, while the lowest positivity rate was observed in June 2021, at 0.36% of all test requests. The highest positivity rate of April was followed by March (5.07%), October (4.74%), and August (3.13%).

Conclusion: In conclusion, the COVID-19 RT-PCR positivity rate in the series was detected as 2.85% in preoperative patients over the one-year period. Monthly positivity rates in screening results are consistent with the number of cases seen in the general population.

References

  • 1. World Health Organization Coronavirus (COVID-19) Dashboard. Available from: URL: https://covid19.who.int/ Access Date: October 2022. google scholar
  • 2. T.C. Sağlık Bakanlığı. Türkiye'deki Güncel Durum. Available from: URL: https://covid19.saglik.gov.tr/ Access Date: October 2022. google scholar
  • 3. Guidelines on the Preoperative Diagnostic Workup for COVID-19. A rapid review commissioned by Royal Australasian College of Surgeons. Available from URL: www.surgeons.org/-/media/ Project/RACS/surgeons-org/files/news/covid19-information-hub/Guidelines-on-the-Preoperative-Diagnostic-Workup-forCOVID-19.pdf google scholar
  • 4. Çimen C, Keske Ş, Ergönül E. What is the 'new normal' in surgical procedures in the era of COVID-19? Clin Microbiol Infect 2021; 27: 16-8. [CrossRef] google scholar
  • 5. Alkaya Solmaz F, Özcan MS, Özden ES, Balık O, Kırdemir P. operating room management and anesthetic approach in COVID-19 pandemic. Med J SDU 2021; S1: 125-31. google scholar
  • 6. Bui N, Coetzer M, Schenning KJ, O'Glasser AY. Preparing previously COVID-19-positive patients for elective surgery: a framework for preoperative evaluation. Perioper Med 2021; 10: 1. [CrossRef] google scholar
  • 7. Villa J, Pannu T, McWilliams C, Kizer C, Rosenthal R, Higuera C, et al. Results of preoperative screening for COVID-19 correlate with the incidence of infection in the general population -a tertiary care experience. Hosp Pract 2021; 49: 216-20. [CrossRef] google scholar
  • 8. Nepogodiev D, Bhangu A, Glasbey JC, Li E, Omar OM, Simoes JF, et al. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet 2020; 396: 27-38. [CrossRef] google scholar
  • 9. Doglietto F, Vezzoli M, Gheza F, Lussardi GL, Domenicucci M, Vecchiarelli L, et al. Factors associated with surgical mortality and complications among patients with and without coronavirus disease 2019 (COVID-19) in Italy. JAMA Surg 2020; 155: 691-702. [CrossRef] google scholar
  • 10. Heffernan DS, Evans HL, Huston JM, Claridge JA, Blake DP, May AK, et al. Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Surg Infect 2020; 21: 301-8. [CrossRef] google scholar
  • 11. Lother SA. Preoperative SARS-CoV-2 screening: Can it really rule out COVID-19? Can J Anaesth 2020; 67: 1321-6. [CrossRef] google scholar
  • 12. Dinç HÖ, Özdemir YE, Alkan S, Güngördü Dalar Z, Gareayaghi N, Sirekbasan S, et al. SARS-CoV-2 ile ilgili farklı prensipli ticari antikor testlerinin COVID-19 hastalarındaki tanısal performanslarının değerlendirilmesi. Mikrobiyol Bul 2021; 55: 207-22. [CrossRef] google scholar
  • 13. Weissler EH, Kibbe MR, Mann JWF, Caulfield H, Harr C, Hildreth AN, et al. Preoperative Screening for COVID-19. N C Med J 2021; 82: 85-6. google scholar
  • 14. Hendrickson NR, Kesler K, DeMik DE, Glass NA, Watson MK, Ford BA, et al. Asymptomatic pre-operative COVID-19 screening for essential and elective surgeries: early results of universal screening at a midwestern academic medical center. Iowa Orthop J 2021; 41: 33-8. google scholar
  • 15. Kothari AN, Trans AT, Caudle AS, Clemens MW, Katz MHG, Woodman SE, et al. Universal preoperative SARS-CoV-2 testing can facilitate safe surgical treatment during local COVID-19 surges. Br J Surg 2021; 27(108): e24-e26. [CrossRef] google scholar
  • 16. Singer JS, Cheng EM, Murad DA, de St Maurice A, Hines OJ, Uslan DZ, et al. Low prevalence (0.13%) of COVID-19 infection in asymptomatic pre-operative/pre-procedure patients at a large, academic medical center informs approaches to perioperative care. Surgery 2020; 168: 980-6. [CrossRef] google scholar
  • 17. Gutman MJ, Patel MS, Vannello C, Lazarus MD, Parvizi J, Vaccaro AR, et al. What was the prevalence of COVID-19 in asymptomatic patients undergoing orthopaedic surgery in one large united states city mid-pandemic? Clin Orthop Relat Res 2021; 479: 16919. [CrossRef] google scholar
  • 18. Kader N, Clement ND, Patel VR, Caplan N, Banaszkiewicz P, Kader D. The theoretical mortality risk of an asymptomatic patient with a negative SARS-CoV-2 test developing COVID-19 following elective orthopaedic surgery. Bone Joint J 2020; 102-B: 1256-60. [CrossRef] google scholar
  • 19. Aydoğan O, Gözün Şaylan E, Güven Ö, Ayaz A, Yiğitbaşı T. Prevalence of SARS-CoV-2 variants in COVID-19 positive patients. Klimik Derg 2022; 35(4): 220-3. google scholar
There are 19 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Okan Aydoğan 0000-0001-7275-8724

Ezgi Gözün Şaylan 0000-0001-8964-7131

Özlem Güven 0000-0003-0394-8772

Akif Ayaz 0000-0001-6930-7148

Türkan Yiğitbaşı 0000-0002-0675-1839

Publication Date December 31, 2022
Submission Date October 18, 2022
Published in Issue Year 2022

Cite

Vancouver Aydoğan O, Gözün Şaylan E, Güven Ö, Ayaz A, Yiğitbaşı T. Preoperative Screening for COVID-19: Results from a Clinical Diagnostic Laboratory. Experimed. 2022;12(3):130-3.