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http://hdl.handle.net/2445/174107
Title: | Impact on clinical practice of the preoperative screening of Covid-19 infection In surgical oncological patients. Prospective Cohort Study |
Author: | Castellví, Jordi Jerico, C. Demiguel, A. Camacho, D. Mullerat, J.M. Catala, J. Cliville, Raquel Videla, Sebas |
Keywords: | COVID-19 Infeccions per coronavirus SARS-CoV-2 Cirurgia oncològica COVID-19 SARS-CoV-2 Surgical oncology |
Issue Date: | 1-Jan-2020 |
Publisher: | Elsevier BV |
Abstract: | Background In the oncological patient, an COVID-19-Infection, whether symptomatic or asymptomatic, a surgical procedure may carry a higher postoperative morbidity and mortality. The aim of this study was to describe the impact on clinical practice of sequential preoperative screening for COVID-19-infection in deciding whether to proceed or postpone surgery. Methods Prospective, cohort study, based on consecutive patients’ candidates for an oncological surgical intervention. Sequential preoperative screening for COVID-19-infection: two-time medical history (telematic and face-to-face), PCR and chest CT, 48 h before of surgical intervention. COVID-19-infection was considered positive if the patient had a suggestive medical history and/or PCR-positive and/or CT of pneumonia. Results Between April 15th and May 4th, 2020, 179 patients were studied, 97 were male (54%), mean (sd) age 66.7 (13,6). Sequential preoperative screening was performed within 48 h before to surgical intervention. The prevalence of preoperative COVID-19-infection was 4.5%, 95%CI:2.3–8.6% (8 patients). Of the operated patients (171), all had a negative medical history, PCR and chest CT. The complications was 14.8% (I-II) and 2.5% (III-IV). There was no mortality. The hospital stay was 3.1 (sd 2.7) days. In the 8 patients with COVID-19-infection, the medical history was suggestive in all of them, 7 presented PCR-positive and 5 had a chest CT suggestive of pneumonia. The surgical intervention was postponed between 15 and 21 days. Conclusion Preoperative screening for COVID-19-infection using medical history and PCR helped the surgeon to decide whether to go ahead or postpone surgery in oncological patients. The chest CT may be useful in unclear cases. |
Note: | Reproducció del document publicat a: https://doi.org/10.1016/j.ijso.2020.08.003 |
It is part of: | International Journal of Surgery Open, 2020, vol. 26, p. 30-35 |
URI: | http://hdl.handle.net/2445/174107 |
Related resource: | https://doi.org/10.1016/j.ijso.2020.08.003 |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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