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10.1007/s00383-021-04878-2

http://scihub22266oqcxt.onion/10.1007/s00383-021-04878-2
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33715083!7955904!33715083
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suck abstract from ncbi


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pmid33715083      Pediatr+Surg+Int 2021 ; 37 (7): 871-880
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  • COVID-19 pre-procedural testing strategy and early outcomes at a large tertiary care children s hospital #MMPMID33715083
  • Bence CM; Jarzembowski JA; Belter L; Berens RJ; Henrickson KJ; Hoffman GM; Jackson F; Kehl KS; Oldham KT; Scott JP; Tassone JC; Woger N; Yale E; Gourlay DM
  • Pediatr Surg Int 2021[Jul]; 37 (7): 871-880 PMID33715083show ga
  • PURPOSE: With the emergence of the coronavirus disease-2019 (COVID-19) pandemic, institutions were tasked with developing individualized pre-procedural testing strategies that allowed for re-initiation of elective procedures within national and state guidelines. This report describes the experience of a single US children's hospital (Children's Wisconsin, CW) in developing a universal pre-procedural COVID-19 testing protocol and reports early outcomes. METHODS: The CW pre-procedural COVID-19 response began with the creation of a multi-disciplinary taskforce that sought to develop a strategy for universal pre-procedural COVID-19 testing which (1) maximized patient safety, (2) prevented in-hospital viral transmission, (3) conserved resources, and (4) allowed for resumption of procedural care within institutional capacity. RESULTS: Of 11,209 general anesthetics performed at CW from March 16, 2020 to October 31, 2020, 11,150 patients (99.5%) underwent pre-procedural COVID-19 testing. Overall, 1.4% of pre-procedural patients tested positive for COVID-19. By June 2020, CW was operating at near-normal procedural volume and there were no documented cases of in-hospital viral transmission. Only 0.5% of procedures were performed under augmented COVID-19 precautions (negative pressure environment and highest-level personal protective equipment). CONCLUSION: CW successfully developed a multi-disciplinary pre-procedural COVID-19 testing protocol that enabled resumption of near-normal procedural volume within three months while limiting in-hospital viral transmission and resource use.
  • |COVID-19 Testing/*statistics & numerical data[MESH]
  • |COVID-19/*epidemiology/transmission[MESH]
  • |Child[MESH]
  • |Elective Surgical Procedures/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Hospitals, Pediatric/*organization & administration[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics/prevention & control[MESH]
  • |SARS-CoV-2[MESH]
  • |Tertiary Healthcare/organization & administration[MESH]


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