COVID-19 pre-procedural testing strategy and early outcomes at a large tertiary care children’s hospital
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 o...
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Published in | Pediatric surgery international Vol. 37; no. 7; pp. 871 - 880 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.07.2021
Springer Nature B.V |
Subjects | |
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Abstract | 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. |
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AbstractList | 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.
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.
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).
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. PurposeWith 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.MethodsThe 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.ResultsOf 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).ConclusionCW 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. 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. |
Author | Berens, Richard J. Woger, Nancy Gourlay, David M. Bence, Christina M. Oldham, Keith T. Yale, Erin Tassone, J. Channing Jackson, Felicia Scott, John P. Belter, Lukas Henrickson, Kelly J. Kehl, Karen Sue Hoffman, George M. Jarzembowski, Jason A. |
Author_xml | – sequence: 1 givenname: Christina M. orcidid: 0000-0003-2123-9881 surname: Bence fullname: Bence, Christina M. email: cbence@mcw.edu organization: Children’s Wisconsin and Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin – sequence: 2 givenname: Jason A. surname: Jarzembowski fullname: Jarzembowski, Jason A. organization: Division of Pediatric Pathology, Department of Pathology and Laboratory Medicine, Medical College of Wisconsin – sequence: 3 givenname: Lukas surname: Belter fullname: Belter, Lukas organization: Surgical Services, Children’s Wisconsin – sequence: 4 givenname: Richard J. surname: Berens fullname: Berens, Richard J. organization: Division of Pediatric Anesthesiology, Department of Anesthesiology, Medical College of Wisconsin – sequence: 5 givenname: Kelly J. surname: Henrickson fullname: Henrickson, Kelly J. organization: Division of Pediatric Infectious Diseases, Department of Microbiology and Immunology, Medical College of Wisconsin – sequence: 6 givenname: George M. surname: Hoffman fullname: Hoffman, George M. organization: Division of Pediatric Anesthesiology, Department of Anesthesiology, Medical College of Wisconsin – sequence: 7 givenname: Felicia surname: Jackson fullname: Jackson, Felicia organization: Surgical Services, Children’s Wisconsin – sequence: 8 givenname: Karen Sue surname: Kehl fullname: Kehl, Karen Sue organization: Division of Pediatric Pathology, Department of Pathology and Laboratory Medicine, Medical College of Wisconsin – sequence: 9 givenname: Keith T. surname: Oldham fullname: Oldham, Keith T. organization: Children’s Wisconsin and Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin – sequence: 10 givenname: John P. surname: Scott fullname: Scott, John P. organization: Division of Pediatric Anesthesiology, Department of Anesthesiology, Medical College of Wisconsin – sequence: 11 givenname: J. Channing surname: Tassone fullname: Tassone, J. Channing organization: Division of Pediatric Orthopaedic Surgery, Department of Orthopaedic Surgery, Medical College of Wisconsin – sequence: 12 givenname: Nancy surname: Woger fullname: Woger, Nancy organization: Surgical Services, Children’s Wisconsin – sequence: 13 givenname: Erin surname: Yale fullname: Yale, Erin organization: Surgical and Diagnostic Services, Children’s Wisconsin – sequence: 14 givenname: David M. surname: Gourlay fullname: Gourlay, David M. organization: Children’s Wisconsin and Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin |
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Cites_doi | 10.1001/jamasurg.2020.2588 10.1016/S0140-6736(20)31182-X 10.1016/j.joms.2020.04.034 10.1097/SLA.0000000000004124 10.1097/BPO.0000000000001657 10.1016/j.annemergmed.2020.06.019 10.1016/j.ijid.2020.08.076 10.1097/BPO.0000000000001600 |
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Keywords | COVID-19 Pre-procedure Pediatric Testing |
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License | This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
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With the emergence of the coronavirus disease-2019 (COVID-19) pandemic, institutions were tasked with developing individualized pre-procedural testing... With the emergence of the coronavirus disease-2019 (COVID-19) pandemic, institutions were tasked with developing individualized pre-procedural testing... PurposeWith the emergence of the coronavirus disease-2019 (COVID-19) pandemic, institutions were tasked with developing individualized pre-procedural testing... PURPOSEWith the emergence of the coronavirus disease-2019 (COVID-19) pandemic, institutions were tasked with developing individualized pre-procedural testing... |
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SubjectTerms | Coronaviruses COVID-19 COVID-19 diagnostic tests Disease transmission Medicine Medicine & Public Health Original Original Article Pediatric Surgery Pediatrics Surgery |
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Title | COVID-19 pre-procedural testing strategy and early outcomes at a large tertiary care children’s hospital |
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