Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura

ilustraciones, gráficas, tablas

Autores:
Acevedo Medina, Carlos Alberto
Caro Flautero, María Alejandra
Tipo de recurso:
Fecha de publicación:
2021
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/80967
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/80967
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::616 - Enfermedades
Infecciones por Coronavirus
Revisión
Cirugía general
Coronavirus Infections
Review
General Surgery
Tamización prequirúrgica
Cribado prequirúrgico
COVID-19
Cirugía electiva
Infección asintomática
Tomografía de tórax
Radiografía de tórax
Cuestionarios estandarizados
SARS CoV-2
RT-PCR
Presurgical screening
Elective surgery
Asymptomatic infection
Chest tomography
Chest radiography
Standardized questionnaires
Rights
openAccess
License
Atribución-SinDerivadas 4.0 Internacional
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network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
dc.title.translated.eng.fl_str_mv SARS-CoV-2 / COVID-19 infection screening strategies in patients requiring elective surgery: a systematic review of the literature
title Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
spellingShingle Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
610 - Medicina y salud::616 - Enfermedades
Infecciones por Coronavirus
Revisión
Cirugía general
Coronavirus Infections
Review
General Surgery
Tamización prequirúrgica
Cribado prequirúrgico
COVID-19
Cirugía electiva
Infección asintomática
Tomografía de tórax
Radiografía de tórax
Cuestionarios estandarizados
SARS CoV-2
RT-PCR
Presurgical screening
Elective surgery
Asymptomatic infection
Chest tomography
Chest radiography
Standardized questionnaires
title_short Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
title_full Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
title_fullStr Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
title_full_unstemmed Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
title_sort Estrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literatura
dc.creator.fl_str_mv Acevedo Medina, Carlos Alberto
Caro Flautero, María Alejandra
dc.contributor.advisor.spa.fl_str_mv Saavedra Trujillo, Carlos Humberto
dc.contributor.author.spa.fl_str_mv Acevedo Medina, Carlos Alberto
Caro Flautero, María Alejandra
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::616 - Enfermedades
topic 610 - Medicina y salud::616 - Enfermedades
Infecciones por Coronavirus
Revisión
Cirugía general
Coronavirus Infections
Review
General Surgery
Tamización prequirúrgica
Cribado prequirúrgico
COVID-19
Cirugía electiva
Infección asintomática
Tomografía de tórax
Radiografía de tórax
Cuestionarios estandarizados
SARS CoV-2
RT-PCR
Presurgical screening
Elective surgery
Asymptomatic infection
Chest tomography
Chest radiography
Standardized questionnaires
dc.subject.decs.spa.fl_str_mv Infecciones por Coronavirus
Revisión
Cirugía general
dc.subject.decs.eng.fl_str_mv Coronavirus Infections
Review
General Surgery
dc.subject.proposal.spa.fl_str_mv Tamización prequirúrgica
Cribado prequirúrgico
COVID-19
Cirugía electiva
Infección asintomática
Tomografía de tórax
Radiografía de tórax
Cuestionarios estandarizados
dc.subject.proposal.eng.fl_str_mv SARS CoV-2
RT-PCR
Presurgical screening
Elective surgery
Asymptomatic infection
Chest tomography
Chest radiography
Standardized questionnaires
description ilustraciones, gráficas, tablas
publishDate 2021
dc.date.issued.none.fl_str_mv 2021
dc.date.accessioned.none.fl_str_mv 2022-02-14T14:01:34Z
dc.date.available.none.fl_str_mv 2022-02-14T14:01:34Z
dc.type.spa.fl_str_mv Trabajo de grado - Especialidad Médica
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/80967
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/80967
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.indexed.spa.fl_str_mv Bireme
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dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Medicina - Especialidad en Infectología
dc.publisher.department.spa.fl_str_mv Departamento de Medicina Interna
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
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spelling Atribución-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Saavedra Trujillo, Carlos Humberto08c609ca0fa0817e557a78e527acaa4fAcevedo Medina, Carlos Alberto40f4e53b7d6a1d38c5eff544424eed4aCaro Flautero, María Alejandra20a2eeb7b24f8d34ff451e2bd3d514f52022-02-14T14:01:34Z2022-02-14T14:01:34Z2021https://repositorio.unal.edu.co/handle/unal/80967Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, gráficas, tablasIntroducción: La pandemia causada por el virus SARS CoV-2 ha provocado modificaciones ostensibles en el desarrollo de las actividades humanas, incluyendo las del sector salud, como la realización de procedimientos quirúrgicos, debido al mayor riesgo de muerte y de desenlaces adversos de tipo respiratorio cuando estos se realizan a pacientes con infección por SARS CoV-2 tanto sintomática como asintomática. Buscando disminuir este riesgo, han surgido estrategias de tamización de pacientes que requieran cirugía electiva mediante el uso de la RT-PCR como estándar y de otros instrumentos como estudios de imagen y cuestionarios; la presente revisión pretende determinar el rendimiento diagnóstico de dichos instrumentos en comparación con la RT-PCR. Metodología: Se realizó una revisión sistemática de la literatura disponible de febrero 01 de 2020 a marzo 24 de 2021, respecto a la tamización prequirúrgica para infección por SARS CoV-2/COVID-19 entre pacientes requiriendo cirugía electiva. Resultados: A partir de 650 artículos identificados, se revisaron a texto completo 32 documentos y 4 fueron incluidos al cumplir los criterios de elegibilidad. Los estudios analizados incluyeron pacientes programados a procedimientos quirúrgicos no oncológicos de tipo cirugía esencial, electiva y semiurgente de hospitales de EE. UU, Países bajos, Tokio y Japón. La sensibilidad encontrada para la tomografía de tórax fue de máximo un 33%, mientras que para la radiografía de tórax y los cuestionarios estandarizados fue del 50% respecto a RT-PCR. Conclusión: No se encontró evidencia que demuestre que la radiografía de tórax simple, la tomografía de tórax ni los cuestionarios estandarizados, por si solos o usados en conjunto, sean lo suficientemente sensibles para reemplazar a la RT-PCR como instrumento de tamización prequirúrgica para infección asintomática por SARS CoV-2. (Texto tomado de la fuente).Introduction: The SARS CoV-2 pandemic has caused remarkable changes in the development of human activities, including those in health services, such as the performing of surgical procedures, due to the increased risk of death and adverse respiratory outcomes when these are performed in patients with both symptomatic and asymptomatic SARS CoV-2 infection. In order to reduce this risk, screening strategies have emerged for patients requiring elective surgery by using the gold standard RT-PCR and other instruments such as imaging studies and questionnaires; the present review aims to determine the diagnostic performance of these instruments in comparison with RT-PCR. Methodology: We performed a systematic review of the literature available from February 01, 2020, to March 24, 2021, regarding pre-surgical screening for SARS CoV-2/COVID-19 infection among patients requiring elective surgery. Results: From 650 identified articles, 32 documents were reviewed in full text and 4 were included when meeting the eligibility criteria. The studies analyzed included patients scheduled for essential, elective, and semi-urgent non-oncological surgical procedures from hospitals in the United States, the Netherlands, Tokyo, and Japan. The sensitivity found for chest tomography was at most of 33%, while for chest radiography and standardized questionnaires it was 50% with respect to RT-PCR. Conclusion: There is no evidence of that plain chest radiography, chest tomography, or standardized questionnaires, alone or used together, are sensitive enough to replace RT-PCR as a presurgical screening tool for asymptomatic infection by SARS CoV-2.Incluye anexosEspecialidades MédicasEspecialista en InfectologíaRevisión sistemática de la literaturaxv, 61 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Especialidad en InfectologíaDepartamento de Medicina InternaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::616 - EnfermedadesInfecciones por CoronavirusRevisiónCirugía generalCoronavirus InfectionsReviewGeneral SurgeryTamización prequirúrgicaCribado prequirúrgicoCOVID-19Cirugía electivaInfección asintomáticaTomografía de tóraxRadiografía de tóraxCuestionarios estandarizadosSARS CoV-2RT-PCRPresurgical screeningElective surgeryAsymptomatic infectionChest tomographyChest radiographyStandardized questionnairesEstrategias de tamización de infección por SARS-CoV-2/COVID-19 en pacientes que requieren cirugía electiva: revisión de la literaturaSARS-CoV-2 / COVID-19 infection screening strategies in patients requiring elective surgery: a systematic review of the literatureTrabajo de grado - Especialidad Médicainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMBiremeMillán-oñate J, Rodriguez-morales AJ, Camacho-moreno G, Mendoza-ramírez H. 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CT screening for COVID-19 in asymptomatic patients before hospital admission. J Infect Chemother. 2021;27(2):232–6.Puylaert CAJ, Scheijmans JCG, Borgstein ABJ, Andeweg CS, Bartels-Rutten A, Beets GL, et al. Yield of screening for COVID-19 in asymptomatic patients before elective or emergency surgery using chest CT and RT-PCR (SCOUT). Ann Surg. 2020;272(6):919–24.Story D, Coyle E, Devapalasundaram A, Sidiropoulos S, Ou Yang B, Coulson T. Documenting COVID-19 screening before surgery during lockdown (COVID Screen): An audit with routinely collected health data. Aust Heal Rev. 2020;44(5):723–7.Wee LE, Sim XYJ, Conceicao EP, Aung MK, Wong HM, Teh YE, et al. Early Recognition of Coronavirus 2019 Disease (COVID-19) Infection in Surgical Inpatients: The Importance of a Risk-Stratified Approach for Early Testing and Isolation. Surg Infect (Larchmt). 2020;21(9):760–5.Chetan MR, Tsakok MT, Shaw R, Xie C, Watson RA, Wing L, et al. Chest CT screening for COVID-19 in elective and emergency surgical patients: experience from a UK tertiary centre. Clin Radiol. 2020;75(8):599–605.Kannan NB, Sen S, Reddy H, Kumar K, Rajan RP, Ramasamy K. Preoperative COVID‐19 testing for elective vitreoretinal surgeries: Experience from a major tertiary care institute in South India. Indian J Ophthalmol. 2020;68(11):2373–7.Salmerón Jiménez M, Hermoso Alarza F, Martínez Serna I, Marrón Fernández C, Meneses Pardo JC, García Salcedo JA, et al. Clinical features and outcomes of thoracic surgery patients during the COVID-19 pandemic. Eur J Cardio-thoracic Surg. 2020;58(4):738–44.Hernigou J, Valcarenghi J, Safar A, Ferchichi MA, Chahidi E, Jennart H, et al. Post-COVID-19 return to elective orthopaedic surgery—is rescheduling just a reboot process? Which timing for tests? Is chest CT scan still useful? Safety of the first hundred elective cases? How to explain the “new normality health organization” to patien. 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