Academic Journal
Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study
| Τίτλος: | Safety of elective abdominal and vascular surgery during the COVID-19 pandemic: a retrospective single-center study |
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| Συγγραφείς: | Sven Flemming, Mohammed K. Hankir, Simon Kusan, Manuel Krone, Friedrich Anger, Christoph-Thomas Germer, Armin Wiegering |
| Πηγή: | Eur J Med Res European Journal of Medical Research, Vol 26, Iss 1, Pp 1-5 (2021) |
| Στοιχεία εκδότη: | Springer Science and Business Media LLC, 2021. |
| Έτος έκδοσης: | 2021 |
| Θεματικοί όροι: | Adult, Male, COVID-19, Female [MeSH], COVID-19 Nucleic Acid Testing/methods [MeSH], Preoperative Care [MeSH], Aged [MeSH], Elective surgery, Infection Control/methods [MeSH], Adult [MeSH], Humans [MeSH], Infection Control/organization, Tertiary Care Centers [MeSH], PCR, Retrospective Studies [MeSH], Middle Aged [MeSH], Germany/epidemiology [MeSH], Male [MeSH], Vascular Surgical Procedures/statistics, Research, COVID-19 [MeSH], Elective Surgical Procedures/statistics, Nasopharynx/virology [MeSH], Screening, SARS-CoV-2, Tertiary Care Centers, 03 medical and health sciences, 0302 clinical medicine, Germany, Nasopharynx, Preoperative Care, Humans, Aged, Retrospective Studies, Infection Control, ddc:617, Middle Aged, 3. Good health, Elective Surgical Procedures, COVID-19 Nucleic Acid Testing, Medicine, Female, Vascular Surgical Procedures |
| Περιγραφή: | Background Patients with coronavirus disease 2019 (COVID-19) who undergo surgery have impaired postoperative outcomes and increased mortality. Consequently, elective and semi-urgent operations on the increasing number of patients severely affected by COVID-19 have been indefinitely postponed.in many countries with unclear implications on disease progression and overall survival. The purpose of this study was to evaluate whether the establishment of a standardized screening program for acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is sufficient to ensure high-quality medical and surgical treatment of COVID-19 and non-COVID-19 patients while minimizing in-hospital SARS-CoV-2 transmission. Methods The screening program comprised polymerase chain reaction (PCR) testing of nasopharyngeal swabs and a standardized questionnaire about potential symptoms for SARS-CoV-2 infection. All elective and emergency patients admitted to the surgical department of a tertiary-care hospital center in Lower Franconia, Germany, between March and May 2020 were included and their characteristics were recorded. Results Out of the study population (n = 657), 509 patients (77.5%) had at least one risk factor for a potentially severe course of COVID-19 and 164 patients (25%) were active smokers. The average 7-day incidence in Lower Franconia was 24.0/100,000 during the observation period. Preoperative PCR testing revealed four asymptomatic positive patients out of the 657 tested patients. No postoperative SARS-CoV-2 infection or transmission could be detected. Conclusion The implementation of a standardized preoperative screening program to both COVID-19 and non-COVID-19 patients can ensure high-quality surgical care while minimizing infection risk for healthcare workers and potential in-hospital transmission. |
| Τύπος εγγράφου: | Article Conference object Other literature type |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 2047-783X |
| DOI: | 10.1186/s40001-021-00583-x |
| Σύνδεσμος πρόσβασης: | https://eurjmedres.biomedcentral.com/track/pdf/10.1186/s40001-021-00583-x https://pubmed.ncbi.nlm.nih.gov/34556167 https://doaj.org/article/41fe6c62178d4d84b7284775dfa62a8c https://repository.publisso.de/resource/frl:6464423 https://opus.bibliothek.uni-wuerzburg.de/files/26497/s40001-021-00583-x.pdf https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/26497 https://doi.org/10.1186/s40001-021-00583-x https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-264975 |
| Rights: | CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....b53fd52c714dc04b5bfdf48cfa7b97c5 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 2047783X |
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| DOI: | 10.1186/s40001-021-00583-x |