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

Yıl 2023, , 398 - 403, 28.09.2023
https://doi.org/10.21673/anadoluklin.1344344

Öz

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.

Kaynakça

  • Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382:727–33.
  • World Health Organization Coronavirus (COVID-19) Dashboard. Web sitesi: URL: https://covid19.who.int/ Erişim tarihi: 14.08.2022.
  • T.C. Sağlık Bakanlığı. Türkiye’deki Güncel Durum. Web sitesi: URL: https://covid19.saglik.gov.tr/ Erişim tarihi: 14.08.2022.
  • Ong S, Lim WY, Ong J, Kam P. Anesthesia guidelines for COVID-19 patients: a narrative review and appraisal. Korean J Anesthesiol. 2020;73(6):486-502.
  • Fiorelli S, Menna C, Piccioni F, et al. Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study. Int J Clin Pract. 2023;2023:8993295.
  • COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study [published correction appears in Lancet. 2020 Jun 9;:]. Lancet. 2020;396(10243):27-38.
  • COVIDSurg Collaborative. Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic. British Journal of Surgery. 2021;101(1):88–96.
  • Puylaert CAJ, Scheijmans JCG, Borgstein ABJ, et al. Yield of Screening for COVID-19 in Asymptomatic Patients Before Elective or Emergency Surgery Using Chest CT and RT-PCR (SCOUT): Multicenter Study. Ann Surg. 2020;272(6):919-24.
  • Batool Z, Durrani SH, Tariq S. Association Of Abo And Rh Blood Group Types To Hepatitis B, Hepatitis C, Hiv And Syphilis Infection, A Five Year’ Experience In Healthy Blood Donors In A Tertiary Care Hospital. J Ayub Med Coll Abbottabad. 2017;29(1):90-2.
  • Zietz M, Zucker J, Tatonetti NP. Associations between blood type and COVID-19 infection, intubation, and death. Nat Commun. 2020;11(1):5761.
  • Lother SA. Preoperative SARS-CoV-2 screening: Can it really rule out COVID-19?. Dépistage préopératoire du SARS-CoV-2 : est-il véritablement possible d’exclure la présence de COVID-19?. Can J Anaesth. 2020;67(10):1321-6.
  • Aydogan O, Gozun Saylan E, Guven O, Ayaz A, Yigitbasi T. Preoperative screening for COVID-19: Results from a clinical diagnostic laboratory. Experimed. 2022;12(3):130-3.
  • 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 (Lond). 2021;10(1):1.
  • Zhao J, Yang Y, Huang H, et al. Relationship Between the ABO Blood Group and the Coronavirus Disease 2019 (COVID-19) Susceptibility. Clin Infect Dis. 2021;73(2):328-31.
  • Severe Covid-19 GWAS Group, Ellinghaus D, Degenhardt F, et al. Genomewide Association Study of Severe Covid-19 with Respiratory Failure. N Engl J Med. 2020;383(16):1522-34.

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

Yıl 2023, , 398 - 403, 28.09.2023
https://doi.org/10.21673/anadoluklin.1344344

Öz

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.

Kaynakça

  • Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382:727–33.
  • World Health Organization Coronavirus (COVID-19) Dashboard. Web sitesi: URL: https://covid19.who.int/ Erişim tarihi: 14.08.2022.
  • T.C. Sağlık Bakanlığı. Türkiye’deki Güncel Durum. Web sitesi: URL: https://covid19.saglik.gov.tr/ Erişim tarihi: 14.08.2022.
  • Ong S, Lim WY, Ong J, Kam P. Anesthesia guidelines for COVID-19 patients: a narrative review and appraisal. Korean J Anesthesiol. 2020;73(6):486-502.
  • Fiorelli S, Menna C, Piccioni F, et al. Preoperative SARS-CoV-2 Infection Screening before Thoracic Surgery during COVID-19 Pandemic: A Multicenter Retrospective Study. Int J Clin Pract. 2023;2023:8993295.
  • COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study [published correction appears in Lancet. 2020 Jun 9;:]. Lancet. 2020;396(10243):27-38.
  • COVIDSurg Collaborative. Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic. British Journal of Surgery. 2021;101(1):88–96.
  • Puylaert CAJ, Scheijmans JCG, Borgstein ABJ, et al. Yield of Screening for COVID-19 in Asymptomatic Patients Before Elective or Emergency Surgery Using Chest CT and RT-PCR (SCOUT): Multicenter Study. Ann Surg. 2020;272(6):919-24.
  • Batool Z, Durrani SH, Tariq S. Association Of Abo And Rh Blood Group Types To Hepatitis B, Hepatitis C, Hiv And Syphilis Infection, A Five Year’ Experience In Healthy Blood Donors In A Tertiary Care Hospital. J Ayub Med Coll Abbottabad. 2017;29(1):90-2.
  • Zietz M, Zucker J, Tatonetti NP. Associations between blood type and COVID-19 infection, intubation, and death. Nat Commun. 2020;11(1):5761.
  • Lother SA. Preoperative SARS-CoV-2 screening: Can it really rule out COVID-19?. Dépistage préopératoire du SARS-CoV-2 : est-il véritablement possible d’exclure la présence de COVID-19?. Can J Anaesth. 2020;67(10):1321-6.
  • Aydogan O, Gozun Saylan E, Guven O, Ayaz A, Yigitbasi T. Preoperative screening for COVID-19: Results from a clinical diagnostic laboratory. Experimed. 2022;12(3):130-3.
  • 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 (Lond). 2021;10(1):1.
  • Zhao J, Yang Y, Huang H, et al. Relationship Between the ABO Blood Group and the Coronavirus Disease 2019 (COVID-19) Susceptibility. Clin Infect Dis. 2021;73(2):328-31.
  • Severe Covid-19 GWAS Group, Ellinghaus D, Degenhardt F, et al. Genomewide Association Study of Severe Covid-19 with Respiratory Failure. N Engl J Med. 2020;383(16):1522-34.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Anesteziyoloji
Bölüm ORJİNAL MAKALE
Yazarlar

Muhittin Çalım 0000-0003-0231-3636

Emine Şeyda Teloğlu 0000-0001-9057-8217

Harun Uysal 0000-0003-0426-8525

Bilge Sümbül 0000-0002-8768-3777

Asım Esen 0000-0001-7222-7499

Yayımlanma Tarihi 28 Eylül 2023
Kabul Tarihi 5 Eylül 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

Vancouver Çalım M, Teloğlu EŞ, Uysal H, Sümbül B, Esen A. Elektif cerrahiler ve girişimsel prosedürler öncesi preoperatif hazırlıkta COVID-19 real time polimeraz zincir reaksiyonu için sürüntü sonuçlarının analizi: Retrospektif çalışma. Anadolu Klin. 2023;28(3):398-403.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.