Elektif cerrahiler ve girişimsel prosedürler öncesi preoperatif hazırlıkta COVID-19 real time polimeraz zincir reaksiyonu için sürüntü sonuçlarının analizi: Retrospektif çalışma
Abstract
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.
References
- 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
Abstract
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.
References
- 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.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Anaesthesiology |
| Journal Section | ORIGINAL ARTICLE |
| Authors | |
| Publication Date | September 28, 2023 |
| Acceptance Date | September 5, 2023 |
| Published in Issue | Year 2023 Volume: 28 Issue: 3 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.