Original Article

Importance of pre-operative COVID-19 screening test in elective surgeries

Abstract

Background and Objectives: Since the COVID-19 pandemic initiation, more than 28 million elective surgeries were postponed with a cancellation rate of 72.3%. However, studies suggested that the patient treatment should be conducted within 12 weeks of diagnosis because delay in treatment might have had adverse impacts on patients' health status, prognosis, and pathologic stage. Hence, the current study aimed to assess the importance of a pre-operative COVID-19 screening test for the patients were candidates for elective surgery.
Materials and Methods: This cross-sectional study was conducted on 141 patients who were candidates for any type of elective surgeries or cesarean section at a tertiary university-based hospital, between June 2020, and September 2020.
Results: The mean age of participants was 41.38 ± 11.66 years. Of them, 91.5% were women and 8.5% were men. The COVID-19 polymerase chain reaction (PCR) screening tests were positive in 12 (8.5%) patients. From whose PCR tests were positive, only five people (less than half) had symptoms of COVID-19 such as fever (three patients), a distinctive smell (two patients), and cough (one patient). Suspected exposure to COVID-19 was reported in four of them.
Conclusion: In this study, we found that more than half of PCR positive COVID-19 patients were asymptomatic. Therefore, to have a safe hospital environment, and improve patient health outcomes, the COVID-19 screening test should be applied before any interventions.

1. Kaveh M, Hajaliakbari V, Davari-Tanha F, Varaei S, Ghajarzadeh M, Feizabad E, et al. Anxiety levels among female Iranian health care workers during the COVID-19 surge: a cross-sectional study. J Obstet Gynecol Cancer Res 2022; 7: 69-76.
2. Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World health organization declares global emergency: a review of the 2019 novel coronavirus (COVID-19). Int J Surg 2020; 76: 71-76.
3. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E, Villamizar-Peña R, Holguin-Rivera Y, Escalera-Antezana JP, et al. Clinical, laboratory and imaging features of COVID-19: a systematic review and meta-analysis. Travel Med Infect Dis 2020; 34: 101623.
4. Van Gerwen M, Alsen M, Little C, Barlow J, Naymagon L, Tremblay D, et al. Outcomes of patients with hypothyroidism and COVID-19: a retrospective cohort study. Front Endocrinol (Lausanne) 2020; 11: 565.
5. COVIDSurg Collaborative. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg 2020; 107: 1440-1449.
6. Zizzo M, Bollino R, Castro Ruiz C, Biolchini F, Bonilauri S, Sergi W, et al. Surgical management of suspected or confirmed SARS-CoV-2 (COVID-19)-positive patients: a model stemming from the experience at level III hospital in Emilia-Romagna, Italy. Eur J Trauma Emerg Surg 2020; 46: 513-517.
7. Brindle ME, Gawande A. Managing COVID-19 in surgical systems. Ann Surg 2020; 272(1): e1-e2.
8. Fahmy NM, Mahmud S, Aprikian AG. Delay in the surgical treatment of bladder cancer and survival: systematic review of the literature. Eur Urol 2006; 50: 1176-1182.
9. Ferenczi BA, Cheng RR, Daily A, Kuhr C, Kobashi K, Corman JM. Pre-operative COVID-19 screening: a model to provide non-discretionary care for urologic patients. Int Braz J Urol 2021; 47: 631-636.
10. Linton NM, Kobayashi T, Yang Y, Hayashi K, Akhmetzhanov AR, Jung SM, et al. Incubation period and other epidemiological characteristics of 2019 novel coronavirus infections with right truncation: a statistical analysis of publicly available case data. J Clin Med 2020; 9: 538.
11. Kamyshnyi A, Krynytska I, Matskevych V, Marushchak M, Lushchak O. Arterial hypertension as a risk comorbidity associated with COVID-19 pathology. Int J Hypertens 2020; 2020: 8019360.
12. Lother SA. Preoperative SARS-CoV-2 screening: can it really rule out COVID-19? Can J Anaesth 2020; 67: 1321-1326.
13. He X, Lau EHY, Wu P, Deng X, Wang J, Hao X, et al. Temporal dynamics in viral shedding and transmissibility of COVID-19. Nat Med 2020; 26: 672-675.
14. Yavarian J, Shafiei-Jandaghi NZ, Sadeghi K, Shatizadeh Malekshahi S, Salimi V, Nejati A, et al. First cases of SARS-CoV-2 in Iran, 2020: case series report. Iran J Public Health 2020; 49: 1564-1568.
15. Sutton D, Fuchs K, D'Alton M, Goffman D. Universal screening for SARS-CoV-2 in women admitted for delivery. N Engl J Med 2020; 382: 2163-2164.
16. COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet 2020; 396: 27-38.
17. Zhao J, Yuan Q, Wang H, Liu W, Liao X, Su Y, et al. Antibody responses to SARS-CoV-2 in patients with novel coronavirus disease 2019. Clin Infect Dis 2020; 71: 2027-2034.
18. Arevalo-Rodriguez I, Buitrago-Garcia D, Simancas-Racines D, Zambrano-Achig P, Del Campo R, Ciapponi A, et al. False-negative results of initial RT-PCR assays for COVID-19: a systematic review. PLoS One 2020; 15(12): e0242958.
19. Kort NP, Barrena EG, Bédard M, Donell S, Epinette JA, Gomberg B, et al. Resuming elective hip and knee arthroplasty after the first phase of the SARS-CoV-2 pandemic: the European Hip Society and European Knee Associates recommendations. Knee Surg Sports Traumatol Arthrosc 2020; 28: 2730-2746.
20. Ferenczi BA, Cheng RR, Daily A, Kuhr C, Kobashi K, Corman JM. Pre-operative COVID-19 screening: a model to provide non-discretionary care for urologic patients. Int Braz J Urol 2021; 47: 631-636.
21. Singh M, Sethi HS, Gupta S, Duvesh RK, Naik M. Preoperative COVID-19 testing for elective ophthalmological procedure in a tertiary health care centre: our experience during the pandemic. Clin Ophthalmol 2021; 15: 3841-3845.
22. Kucirka LM, Lauer SA, Laeyendecker O, Boon D, Lessler J. Variation in false-negative rate of reverse transcriptase polymerase chain reaction-based SARS-CoV-2 tests by time since exposure. Ann Intern Med 2020; 173: 262-267.
23. Engelman DT, Lother S, George I, Ailawadi G, Atluri P, Grant MC, et al. Ramping up delivery of cardiac surgery during the COVID-19 pandemic: a guidance statement from the Society of Thoracic Surgeons COVID-19 task force. Ann Thorac Surg 2020; 110: 712-717.
24. Hojaij FC, Chinelatto LA, Boog GHP, Kasmirski JA, Lopes JVZ, Sacramento FM. Surgical practice in the current COVID-19 pandemic: a rapid systematic review. Clinics (Sao Paulo) 2020; 75: e1923.
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IssueVol 14 No 1 (2022) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijm.v14i1.8795
Keywords
COVID-19 testing; Asymptomatic infections; Mass screening; Surgery; Morbidity; Mortality
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Nazemi P, Feizabad E, Shokouhi N, Hashemi M, Saeedi S, Shirali E, Mabadi A, Azarnoush A. Importance of pre-operative COVID-19 screening test in elective surgeries. Iran J Microbiol. 2022;14(1):10-14.