SARS-CoV-2 testing, COVID-19, procedure, surgery, hospitalization, patient safety, health care delivery, clinical management
The COVID-19 pandemic led to a nationwide shutdown of elective medical procedures. Upon resumption of services, preprocedure nasopharyngeal swab testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was introduced for all patients requiring surgical or other aerosol-generating procedures. We investigated preprocedure COVID-19 testing in one of the largest U.S. health systems. Patients included in this retrospective, observational study were asymptomatic and scheduled for a procedure or surgery. All patients underwent a nasopharyngeal swab test for SARS-CoV-2 performed 24–72 hours prior to a planned procedure. Clinical demographics, type of procedure, test results, and subsequent procedure status were evaluated. Of 38,608 total patients, there were 277 COVID-19–positive patients (positivity rate: 0.72%). Of those 277, 244 (88%) had procedural delays or cancellations. Of the COVID-19–negative patients, 50 (0.13%) required later hospitalization for COVID-19. Median time from preprocedure negative test to admission was 46.3 ± 27.2 days. In the largest series published on preprocedure COVID-19 testing in the early phase of the pandemic, preprocedure COVID-19 positivity was low. Preprocedure COVID-19 testing had a significant impact on clinical management. Rate of COVID-19 cases requiring hospitalization in the months following the procedure was negligible, suggesting health system policies adequately protected patient safety.
Jain R, Kruger B, Citronberg R, Kroboth S, Perez Moreno AC, Khandheria BK. Preprocedure COVID-19 testing in early phase of pandemic. J Patient Cent Res Rev. 2021;8:151-3. doi: 10.17294/2330-0698.1841
Cardiology Commons, Epidemiology Commons, Health and Medical Administration Commons, Infectious Disease Commons, Other Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Patient Safety Commons, Surgery Commons, Virus Diseases Commons
January 15th, 2021
February 15th, 2021