Evidence map›Paper›PMID 32794035›Full record

ArticleWorld journal of surgery2020

What is the Preferred Screening Tool for COVID-19 in Asymptomatic Patients Undergoing a Surgical or Diagnostic Procedure?

E M Huybens, M P A Bus, R A Massaad, L Wijers, J A van der Voet, N M Delfos, M van der Feltz, K A Heemstra, S M P Koch

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 25 citations in OpenAlex.

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  10. What is the 'new normal' in surgical procedures in the era of COVID-19?Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

E M HuybensDepartment of General Surgery, Alrijne Hospital, Simon Smitweg 1, 2353, GA, Leiderdorp, The Netherlands.
M P A BusDepartment of General Surgery, Alrijne Hospital, Simon Smitweg 1, 2353, GA, Leiderdorp, The Netherlands.
R A MassaadDepartment of General Surgery, Alrijne Hospital, Simon Smitweg 1, 2353, GA, Leiderdorp, The Netherlands.
L WijersDepartment of Radiology, Alrijne Hospital, Leiderdorp, The Netherlands.
J A van der VoetDepartment of Radiology, Alrijne Hospital, Leiderdorp, The Netherlands.
N M DelfosDepartment of Infectious Diseases, Alrijne Hospital, Leiderdorp, The Netherlands.
M van der FeltzDepartment of Infectious Diseases, Alrijne Hospital, Leiderdorp, The Netherlands.
K A HeemstraDepartment of Microbiology, Alrijne Hospital, Leiderdorp, The Netherlands.
S M P KochDepartment of General Surgery, Alrijne Hospital, Simon Smitweg 1, 2353, GA, Leiderdorp, The Netherlands. smpkoch@alrijne.nl.
Alrijne Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSince the outbreak of COVID-19, measures were taken to protect healthcare staff from infection, to prevent infection of patients admitted to the hospital and to distribute PPE according to need. To assure the proper protection without overuse of limited supply of these equipments, screening of patients before surgical or diagnostic procedure was implemented. This study evaluates the results of this screening.

methodAll patients screened for COVID-19 before procedure warranting either general, locoregional anaesthesia or sedation were included. Screening included a symptom questionnaire by phone, PCR and HRCT chest testing. Surgical or procedural details were registered together with actions taken based on screening results.

resultsThree hundred ninety-eight screenings were performed on 386 patients. The symptom questionnaire was completed in 72% of screenings. In 371 screenings, PCR testing was performed and negative. HRCT chest found 18 cases where COVID-19 could not be excluded, with negative PCR testing. Three patients had their surgery postponed due to inconclusive screening, and additional measures were taken in three other patients. There were incidental findings in 14% of HRCT chest scans. DISCUSSION: Pre-operative screening will differentiate if PPE is needed for procedures and which patients can safely have elective surgery during this COVID-19 pandemic and in the times to come. HRCT chest has no additional value in the pre-operative screening of asymptomatic patients. Screening can be performed with a symptom questionnaire, and additional screening with PCR testing in high-risk patient groups should be considered.

Indexed as

Asymptomatic InfectionsBetacoronavirusDiagnostic Tests, RoutineElective Surgical ProceduresAdolescentAdultAgedAged, 80 and overChildChild, PreschoolClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingFemaleHumans

Identifiers

PMID32794035
PMCPMC7426008
OpenAlexW3048758853

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.