About: Low Prevalence (0.13%) of COVID-19 Infection in Asymptomatic Pre-operative/Pre-procedure Patients at a Large Academic Medical Center Informs Approaches to Perioperative Care

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About: Low Prevalence (0.13%) of COVID-19 Infection in Asymptomatic Pre-operative/Pre-procedure Patients at a Large Academic Medical Center Informs Approaches to Perioperative Care Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Low Prevalence (0.13%) of COVID-19 Infection in Asymptomatic Pre-operative/Pre-procedure Patients at a Large Academic Medical Center Informs Approaches to Perioperative Care
Creator	Geffen, David Hines, E Cheng, A Facs, M Michael, J Bukata, S Cheng, E Cherry, R De St, A Dz, Uslan Em, Cheng Eric, B Garner, O Hines, Js, Singer Ma, Pfeffer Maurice, O Maurice, St Murad, D Oj, Hines Omai Garner, G Pfeffer, A Pfeffer, M Pregler, J Singer, J Sv, Bukata Uslan, D
Source	Elsevier; PMC
abstract	Abstract Background The COVID-19 pandemic has resulted in reduced performance of elective surgeries and procedures at medical centers across the U.S. Awareness of the prevalence of asymptomatic disease is critical for guiding safe approaches to operative/procedural services. As COVID-19 PCR testing has been limited largely to symptomatic patients, healthcare workers (HCWs), or to those in communal care centers, data regarding asymptomatic viral disease carriage are limited. Study Design In this retrospective observational case series evaluating UCLA Health patients enrolled in pre-operative/pre-procedure protocol COVID-19 RT-PCR testing between 4/7/20 – 5/21/20, we determine the prevalence of COVID-19 infection in asymptomatic patients scheduled for surgeries and procedures. Results Primary outcomes include the prevalence of COVID-19 infection in this asymptomatic population. Secondary data analysis includes overall population testing results and population demographics. 18 of 4751 (0.38%) patients scheduled for upcoming surgeries and high risk procedures had abnormal (positive/inconclusive) COVID-19 RT-PCR testing results. 6/18 patients were confirmed asymptomatic. 4/18 had inconclusive results. 8/18 had positive results in the setting of recent symptoms or known COVID-19 infection. The prevalence of asymptomatic COVID-19 infection was 0.13%. More than 90% of patients had residential addresses within a 67 mile geographic radius of our medical center, the median age was 58, and there was equal male/female distribution. Conclusions These data demonstrating low levels (0.13% prevalence) of COVID-19 infection in an asymptomatic population of patients undergoing scheduled surgeries/procedures in a large urban area have helped to inform perioperative protocols during the COVID-19 pandemic. Testing protocols like ours may prove valuable for other health systems in their approaches to safe procedural practices during COVID-19.
has issue date	2020-08-14(xsd:dateTime)
bibo:doi	10.1016/j.surg.2020.07.048
has license	els-covid
sha1sum (hex)	3636c17a5930bd6547ad4c567f7151b96402c8d9
schema:url	https://doi.org/10.1016/j.surg.2020.07.048
resource representing a document's title	Low Prevalence (0.13%) of COVID-19 Infection in Asymptomatic Pre-operative/Pre-procedure Patients at a Large Academic Medical Center Informs Approaches to Perioperative Care
has PubMed Central identifier	PMC7427530
schema:publication	Surgery
resource representing a document's body	covid:3636c17a5930bd6547ad4c567f7151b96402c8d9#body_text
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