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10.1177/0194599820931041

http://scihub22266oqcxt.onion/10.1177/0194599820931041
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32452746!ä!32452746

suck abstract from ncbi


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pmid32452746      Otolaryngol+Head+Neck+Surg 2020 ; 163 (2): 265-270
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  • Implementation of Preoperative Screening Protocols in Otolaryngology During the COVID-19 Pandemic #MMPMID32452746
  • Urban MJ; Patel TR; Raad R; LoSavio P; Stenson K; Al-Khudari S; Nielsen T; Husain I; Smith R; Revenaugh PC; Wiet RM; Papagiannopoulos P; Batra PS; Tajudeen BA
  • Otolaryngol Head Neck Surg 2020[Aug]; 163 (2): 265-270 PMID32452746show ga
  • OBJECTIVE: To highlight emerging preoperative screening protocols and document workflow challenges and successes during the early weeks of the COVID-19 pandemic. METHODS: This retrospective cohort study was conducted at a large urban tertiary care medical center. Thirty-two patients undergoing operative procedures during the COVID-19 pandemic were placed into 2 preoperative screening protocols. Early in the pandemic a "high-risk case protocol" was utilized to maximize available resources. As information and technology evolved, a "universal point-of-care protocol" was implemented. RESULTS: Of 32 patients, 25 were screened prior to surgery. Three (12%) tested positive for COVID-19. In all 3 cases, the procedure was delayed, and patients were admitted for treatment or discharged under home quarantine. During this period, 86% of operative procedures were indicated for treatment of oncologic disease. There was no significant delay in arrival to the operating room for patients undergoing point-of-care screening immediately prior to their procedure (P = .92). DISCUSSION: Currently, few studies address preoperative screening for COVID-19. A substantial proportion of individuals in this cohort tested positive, and both protocols identified positive cases. The major strengths of the point-of-care protocol are ease of administration, avoiding subsequent exposures after testing, and relieving strain on "COVID-19 clinics" or other community testing facilities. IMPLICATIONS FOR PRACTICE: Preoperative screening is a critical aspect of safe surgical practice in the midst of the widespread pandemic. Rapid implementation of universal point-of-care screening is possible without major workflow adjustments or operative delays.
  • |*Betacoronavirus[MESH]
  • |*Point-of-Care Testing/organization & administration[MESH]
  • |*Preoperative Care[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Chicago[MESH]
  • |Clinical Laboratory Techniques/*methods[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology[MESH]
  • |Humans[MESH]
  • |Mass Screening[MESH]
  • |Otolaryngology/methods[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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