دورية أكاديمية
Is minor surgery safe during the COVID-19 pandemic? A multi-disciplinary study
| العنوان: | Is minor surgery safe during the COVID-19 pandemic? A multi-disciplinary study |
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| المؤلفون: | Baboudjian, Michael, Mhatli, Mehdi, Bourouina, Adel, Gondran-Tellier, Bastien, Anastay, Vassili, Perez, Lea, Proye, Pauline, Lavieille, Jean-Pierre, Duchateau, Fanny, Agostini, Aubert, Wazne, Yann, Sebag, Frederic, Foletti, Jean-Marc, Chossegros, Cyrille, Raoult, Didier, Touati, Julian, Chagnaud, Christophe, Michel, Justin, Bertrand, Baptiste, Giovanni, Antoine, Radulesco, Thomas, Sartor, Catherine, Fournier, Pierre-Edouard, Lechevallier, Eric |
| المساهمون: | Aix-Marseille Université - École de médecine (AMU SMPM MED), Aix-Marseille Université - Faculté des sciences médicales et paramédicales (AMU SMPM), Aix Marseille Université (AMU)-Aix Marseille Université (AMU), Chirurgie urologique et transplantation rénale Hôpital de la Conception - APHM, Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-Hôpital de la Conception CHU - APHM (LA CONCEPTION), Assistance Publique - Hôpitaux de Marseille (APHM), Université Grenoble Alpes - UFR Langage, lettres et arts du spectacle, information et communication - Dpt Journalisme (UGA UFR LLASIC J ), Université Grenoble Alpes (UGA), Hôpital de la Conception CHU - APHM (LA CONCEPTION), Service de chirurgie générale et endocrinienne, Hôpital de la Timone CHU - APHM (TIMONE), Laboratoire de Biomécanique Appliquée (LBA UMR T24), Aix Marseille Université (AMU)-Université Gustave Eiffel, Laboratoire Parole et Langage (LPL), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Microbes évolution phylogénie et infections (MEPHI), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Institut universitaire des systèmes thermiques industriels (IUSTI), Service d'Oto-rhino-laryngologie et Chirurgie cervico-faciale Hôpital de la Conception - APHM, Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées Brétigny-sur-Orge (IRBA) |
| المصدر: | ISSN: 1932-6203. |
| بيانات النشر: | HAL CCSD Public Library of Science |
| سنة النشر: | 2021 |
| المجموعة: | Université Grenoble Alpes: HAL |
| مصطلحات موضوعية: | [SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology, [SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology, [SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases |
| الوصف: | International audience ; Background To assess the risk of postoperative SARS-CoV-2 infection during the COVID-19 pandemic. Methods The CONCEPTION study was a cohort, multidisciplinary study conducted at Conception University Hospital, in France, from March 17th to May 11th, 2020. Our study included all adult patients who underwent minor surgery in one of the seven surgical departments of our hospital: urology, digestive, plastic, gynecological, otolaryngology, gynecology or maxillofacial surgery. Preoperative self-isolation, clinical assessment using a standardized questionnaire, physical examination, nasopharyngeal RT‐PCR and chest CT scan performed the day before surgery were part of our active prevention strategy. The main outcome was the occurrence of a SARS-CoV-2 infection within 21 days following surgery. The COVID-19 status of patients after discharge was updated during the postoperative consultation and to ensure the accuracy of data, all patients were contacted again by telephone. Results A total of 551 patients from six different specialized surgical Departments in our tertiary care center were enrolled in our study. More than 99% (546/551) of included patients underwent a complete preoperative Covid-19 screening including RT-PCR testing and chest CT scan upon admission to the Hospital. All RT-PCR tests were negative and in 12 cases (2.2%), preoperative chest CT scans detected pulmonary lesions consistent with the diagnosis criteria for COVID-19. No scheduled surgery was postponed. One patient (0.2%) developed a SARS-CoV-2 infection 20 days after a renal transplantation. No readmission or COVID-19 -related death within 30 days from surgery was recorded. Conclusions Minor surgery remained safe in the COVID-19 Era, as long as all appropriate protective measures were implemented. These data could be useful to public Health Authorities in order to improve surgical patient flow during a pandemic. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-03665753; https://amu.hal.science/hal-03665753Test; PUBMEDCENTRAL: PMC8112651 |
| DOI: | 10.1371/journal.pone.0251122 |
| الإتاحة: | https://doi.org/10.1371/journal.pone.0251122Test https://amu.hal.science/hal-03665753Test |
| رقم الانضمام: | edsbas.DCBC172A |
| قاعدة البيانات: | BASE |
| DOI: | 10.1371/journal.pone.0251122 |
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