Article: Poor agreement between clinical screening and universal pre-procedure SARS-CoV-2 PCR testing prior to endoscopy.
2021 Volume 113, Issue 9, Page(s) 649–655
Abstract: ... with a positive PCR test.: Conclusion: clinical screening prior to endoscopy has a poor agreement with pre ... for SARS-CoV-2. The present study aimed to assess the usefulness of clinical screening and universal pre ... procedure PCR testing for the identification of patients capable of transmitting the SARS-CoV-2 infection ...
| Abstract | Introduction: scientific societies recommend screening for SARS-CoV-2 in patients prior to endoscopy. There is no solid evidence regarding the efficiency of universal screening by PCR testing for SARS-CoV-2. The present study aimed to assess the usefulness of clinical screening and universal pre-procedure PCR testing for the identification of patients capable of transmitting the SARS-CoV-2 infection. Concordance between both strategies was also evaluated. Method: a retrospective review was performed in a consecutive cohort of patients undergoing endoscopy at a tertiary teaching hospital between April 22 and June 22, 2020, following a screening protocol. Results: three hundred and sixty-one patients were included. Clinical screening detected 13 patients with a high risk of infection (3.6 %, 95 % CI: 2.62-4.58) while the pre-procedure PCR test was positive in five patients (1.40 %, 95 % CI: 0.20-2.60). Three patients developed COVID-19 and one died from the disease. Agreement between both strategies was poor, with a kappa value of 0.093 (95 % CI: 0.001-0.185). Clinical screening only identified one of the five patients with a positive PCR test. Conclusion: clinical screening prior to endoscopy has a poor agreement with pre-procedure PCR testing. |
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| MeSH term(s) | COVID-19 ; Endoscopy ; Humans ; Polymerase Chain Reaction ; Retrospective Studies ; SARS-CoV-2 | |||||
| Language | English | |||||
| Publishing date | 2021-02-15 | |||||
| Publishing country | Spain | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1070381-0 | |||||
| ISSN | 1130-0108 ; 0212-7512 | |||||
| ISSN | 1130-0108 ; 0212-7512 | |||||
| DOI | 10.17235/reed.2021.7612/2020 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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