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

Yıl 2022, Cilt: 12 Sayı: 3, 130 - 133, 31.12.2022

Okan Aydoğan , Ezgi Gözün Şaylan , Özlem Güven , Akif Ayaz , Türkan Yiğitbaşı

https://doi.org/10.26650/experimed.1183762

Öz

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.

Anahtar Kelimeler

Preoperative patients, SARS-CoV-2, COVID-19

Kaynakça

• 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