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http://hdl.handle.net/2445/174107
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DC Field | Value | Language |
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dc.contributor.author | Castellví, Jordi | - |
dc.contributor.author | Jerico, C. | - |
dc.contributor.author | Demiguel, A. | - |
dc.contributor.author | Camacho, D. | - |
dc.contributor.author | Mullerat, J.M. | - |
dc.contributor.author | Catala, J. | - |
dc.contributor.author | Cliville, Raquel | - |
dc.contributor.author | Videla, Sebas | - |
dc.date.accessioned | 2021-02-22T09:15:45Z | - |
dc.date.available | 2021-02-22T09:15:45Z | - |
dc.date.issued | 2020-01-01 | - |
dc.identifier.uri | http://hdl.handle.net/2445/174107 | - |
dc.description.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. | - |
dc.format.extent | 6 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier BV | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.ijso.2020.08.003 | - |
dc.relation.ispartof | International Journal of Surgery Open, 2020, vol. 26, p. 30-35 | - |
dc.relation.uri | https://doi.org/10.1016/j.ijso.2020.08.003 | - |
dc.rights | cc by-nc-nd (c) Castellvi, J. et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | COVID-19 | - |
dc.subject.classification | Infeccions per coronavirus | - |
dc.subject.classification | SARS-CoV-2 | - |
dc.subject.classification | Cirurgia oncològica | - |
dc.subject.other | COVID-19 | - |
dc.subject.other | SARS-CoV-2 | - |
dc.subject.other | Surgical oncology | - |
dc.title | Impact on clinical practice of the preoperative screening of Covid-19 infection In surgical oncological patients. Prospective Cohort Study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.date.updated | 2021-02-19T10:37:39Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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1-s2.0-S2405857220300589-main.pdf | 329.73 kB | Adobe PDF | View/Open |
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