The occurrence of COVID-19 infection in preoperative testing of asymptomatic patients
DOI:
https://doi.org/10.5327/Z1414-4425202328879Keywords:
COVID-19, COVID-19 serological testing, Elective surgical procedures, PandemicsAbstract
Objective: To analyze the occurrence of asymptomatic surgical patients with a positive COVID-19 test, delimit the epidemiological profile, identify the type of surgery and specialty, as well as determine the time for performing the surgical procedure after a positive test. Method: This is a retrospective cohort study, in a large, philanthropic hospital in São Paulo, carried out from March to September 2020, based on the analysis of medical records. Results: There were 4,870 surgical procedures, of which 3,688 patients underwent a PCR test. The occurrence of positive and asymptomatic surgical patients was 1.7%; in the epidemiological profile, there is a predominance of males, middle-aged, with ASA II anesthetic risk classification and in procedures of the specialties of orthopedics, urology, gynecology, and gastroenterology. The test was carried out two days before the procedure and the presence of patients with symptoms within 14 days after testing was 0.5%. Conclusion: The occurrence of positive and asymptomatic surgical patients was small within the quantitative analyzed, the findings of this study are similar to those of national and international studies in relation to specialty, comorbidities, and age.
References
Ribeiro CM, Correia FM, Migowski A. Efeitos de curto prazo da pandemia de COVID-19 na realização de procedimentos de rastreamento, investigação diagnóstica e tratamento do câncer no Brasil: estudo descritivo, 2019-2020. Epidemiol Serv Saúde. 2022;31(1):e2021405. https://doi.org/10.1590/S1679-49742022000100010 DOI: https://doi.org/10.1590/s1679-49742022000100010
Brown CS, Cameron AM. Surgery during a pandemic: guidelines. Adv Surg. 2021;55:123-30. https://doi.org/10.1016/j.yasu.2021.05.009 DOI: https://doi.org/10.1016/j.yasu.2021.05.009
Hessheimer AJ, Trapero-Bertran M, Borin A, Butori E, Curell A, Espinoza AS, et al. Resource utilization and outcomes in emergency general surgery during the COVID19 pandemic: an observational cost analysis. PLoS One. 2021;16(6):e0252919. https://doi.org/10.1371/journal.Pone.0252919 DOI: https://doi.org/10.1371/journal.pone.0252919
Queiroz HVR, Toldo NEN, Oliveira BGP, Santana MVF, Dobashi ET. The impact of COVID-19 on the orthopedic care system in a private hospital. Acta Ortop Bras. 2021;29(6):289-92. https://doi.org/10.1590/1413-785220212906245348 DOI: https://doi.org/10.1590/1413-785220212906245348
Teich VD, Klajner S, Almeida FA, Dantas AC, Laselva CR, Torritesi MG, et al. Epidemiologic and clinical features of patients with COVID-19 in Brazil. Einstein (Sao Paulo). 2020;18:eAO6022. https://doi.org/10.31744/einstein_journal/2020AO6022 DOI: https://doi.org/10.31744/einstein_journal/2020AO6022
Chate RC, Fonseca EKUN, Passos RBD, Teles GBS, Shoiji H, Szarf, G. Apresentação tomográfica da infecção pulmonar na COVID-19: experiência brasileira inicial. J Bras Pneumol, 2020;46(2):e20200121. https://dx.doi.org/10.36416/1806-3756/e20200121 DOI: https://doi.org/10.36416/1806-3756/e20200121
Patkar S, Voppuru SR, Thiagarajan S, Niyogi D, Niranjan HS, Nadkarni S, et al. Incidence of SARS‐CoV‐2 infection among asymptomatic patients undergoing preoperative COVID testing prior to cancer surgery: ASPECT study. J Surg Oncol. 2022;125(4):564‐69. https://doi.org/10.1002/jso.26753 DOI: https://doi.org/10.1002/jso.26753
Brasil. Ministério da Saúde. Coronavírus Brasil. Painel coronavírus. [Internet]. 2023 [citado 15 Jan 2023]. Disponível em: https://covid.saude.gov.br/
Wiseman SM, Crump RT, Sutherland JM. Surgical wait list management in Canada during a pandemic: many challenges ahead. Can J Surg. 2020;63(3):E226-8. https://doi.org/10.1503/cjs.006620 DOI: https://doi.org/10.1503/cjs.006620
Jafree SR, Momina AU, Malik N, Naqi SA, Fischer F. Challenges in providing surgical procedures during the COVID-19 pandemic: qualitative study among operating department practitioners in Pakistan. Sci Prog. 2021;104(2):368504211023282. https://doi.org/10.1177/00368504211023282 DOI: https://doi.org/10.1177/00368504211023282
Gardner T, Fraser C. Longer waits, missing patients and catching up. How is elective care in England coping with the continuing impact of COVID-19?. [Internet] .The Health Foundation; 2021 [citado 15 Jan 2023]. Disponível em: https://www.health.org.uk/news-and-comment/charts-and-infographics/how-is-elective-care-coping-with-the-continuing-impact-of-covid-19
Camargo LMA, Silva RPM, Meneguetti DUO. Research methodology topics: cohort studies or prospective and retrospective cohort studies. J Hum Growth Dev. 2019;29(3):433-6. http://dx.doi.org/10.7322/jhgd.v29.9543 DOI: https://doi.org/10.7322/jhgd.v29.9543
Brasil. Conselho Nacional de Saúde. Resolução no 466, de 12 de dezembro de 2012. [Internet] Brasília: Conselho Nacional de Saúde; 2012 [citado 15 Jul 22]. Disponível em: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
Magro F, Peerazzo P, Bottinelli E, Possenti F, Banfi G. Managing a tertiary orthopedic hospital during the COVID-10 epidemic, main challenges and solutions adopted. Int J Environ Res Public Health. 2020;17(13):4818. https://doi.org/10.3390/ijerph17134818 DOI: https://doi.org/10.3390/ijerph17134818
Albendín-Iglesias H, Mira-Bleda E, Roura-Piloto AE, Hernández-Torres A, Moral-Escudero E, Fuente-Mora C, et al. Usefulness of the epidemiological survey and RT-PCR test in pre-surgical patients for assessing the risk of COVID-19. J Hosp Infect. 2020;105(4):773-5. https://doi.org/10.1016/j.jhin.2020.06.009 DOI: https://doi.org/10.1016/j.jhin.2020.06.009
Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Ann Surg. 2020;272(1):e5-e6. https://doi.org/10.1097/SLA.0000000000003924. DOI: https://doi.org/10.1097/SLA.0000000000003924
Society of American Gastrointestinal and Endoscopic Surgeons. SAGES and EAES recommendations regarding surgical response to COVID-19 crisis [Internet]. 2020 [citado 15 Jan 2023]. Disponível em: https://www.sages.org/recommendations-surgical-response-covid-19/
Coatsworth N, Myles PS, Mann GJ, Cockburn IA, Forbes AB, Gardiner EE, et al. Prevalence of asymptomatic SARS-CoV-2 infection in elective surgical patients in Australia: a prospective surveillance study. ANZ J Surg. 2021;91(1-2):27-32. https://doi.org/10.1111/ans.16564 DOI: https://doi.org/10.1111/ans.16564
Hou J, Wan X, Shen Q, Leng Y, Xia Z, Zhao Bo et al. Epidemiologic and clinical characteristics of surgical patients infected with COVID-19 in Wuhan (3/4/2020). The Lancet Infectious Diseases. 2020;D-20d00760. http://dx.doi.org/10.2139/ssrn.3550044 DOI: https://doi.org/10.2139/ssrn.3550044
Ingels A, Bibas S, Abdessater M, Tabourin T, Roupret M, Chartier-Kastler E, et al. Urology surgical activity and COVID-19: risk assessment at the epidemic peak: a Parisian multicentre experience. BJU Int. 2020;126(4):436-40. https://doi.org/10.1111/bju.15164 DOI: https://doi.org/10.1111/bju.15164
Frio GS, Russo LX, Albuquerque CP, Mota LMH, Barros-Areal AF, Oliveira ARPA, et al. The disruption of elective procedures due to COVID-19 in Brazil in 2020. Sci Rep. 2022;12:10942. https://doi.org/10.1038/s41598-022-13746-5 DOI: https://doi.org/10.1038/s41598-022-13746-5
Rocco M, Oliveira BL, Rizzardi DAA, Rodrigues G, Oliveira G, Guerreiro MG, et al. Impact of the COVID-19 pandemic on elective and emergency surgical procedures in a University Hospital. Rev Col Bras Cir. 2022;49:e20223324. https://doi.org/10.1590/0100-6991e-20223324-en DOI: https://doi.org/10.1590/0100-6991e-20223324-en
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Eduardo Haruo Uchiya, Renata Desordi Lobo, Cristina Silva Sousa
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.
