The impact of confirmed coronavirus disease 2019 (COVID-19) infection on ambulatory procedures and associated delays in care for asymptomatic patients.
Abstract Background Since the reopening of ambulatory centers, minimal data has been reported regarding positive tests among patients undergoing ambulatory procedures, associated delays in care, and outcomes of patients previously positive for Coronavirus-19 (COVID-19). Methods A retrospective observational case series of ambulatory procedures was performed. Records since the reopening of ambulatory centers in New York were searched for patients with positive COVID-19 nasal swab results who underwent ambulatory procedures. Chart reviews were conducted to determine COVID history and hospitalizations, demographic information, procedure details, and 30-day admissions. Results 3762 patients underwent ambulatory procedures. 53 were previously diagnosed with COVID-19, but recovered and tested negative at pre-procedural testing. 37 of 3709 asymptomatic patients (1.00%) tested positive during pre-procedural testing; 21 patients had their procedures delayed on average 28.6 days until testing negative, while 16 had their procedures performed before testing negative due to the time sensitivity of the procedure. There were no major complications or 30-day admissions in any of these asymptomatic patients. Three patients tested positive for COVID after having an ambulatory procedure. Conclusions Positive tests in asymptomatic patients led to procedure delays of 28.6 days. No patients who underwent ambulatory procedures after a positive COVID-19 test had any COVID-related complications, regardless of whether or not the procedure was delayed until testing negative. 3 patients tested positive for COVID-19 after having an ambulatory procedure, however at an average of 19.7 days after these cases were likely community acquired making the rate of nosocomial infection negligible.
Last. William P. Adams(UTSW: University of Texas Southwestern Medical Center)H-Index: 45
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BACKGROUND: Despite the rapid rise of publications pertaining to COVID-19, there is a lack of data examining patient outcomes following elective procedures performed during this pandemic. OBJECTIVES: The purpose of this investigation is to: 1) examine the postoperative outcomes of patients that underwent elective procedures in an ambulatory surgery center during the COVID-19 pandemic; 2) share the preoperative screening and patient selection protocol implemented in our center. METHODS: Elective ...
#8Karina W. Davidson(The Feinstein Institute for Medical Research)H-Index: 89
BACKGROUND: In March 2020, the greater New York metropolitan area became an epicenter for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.�The initial evolution of case incidence has not been well characterized. METHODS: Northwell Health Laboratories tested 46,793 persons for SARS-CoV-2 from March 4 through April 10. The primary outcome measure was a positive reverse-transcription-polymerase-chain-reaction (RT-PCR) test for SARS-CoV-2. The secondary outcomes included patie...
#1Matthew J. Best(JHUSOM: Johns Hopkins University School of Medicine)H-Index: 18
#2Edward G. McFarland(JHUSOM: Johns Hopkins University School of Medicine)H-Index: 21
Last. Uma Srikumaran(JHUSOM: Johns Hopkins University School of Medicine)H-Index: 12
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Abstract Background In order to help control the COVID-19 pandemic, elective procedures have been cancelled in most US hospitals by government order. The purpose of this study is to estimate national hospital reimbursement and net income losses due to elective surgical procedure cancellation during the COVID-19 pandemic. Methods The National Inpatient Sample (NIS) and the Nationwide Ambulatory Surgery Sample (NASS) were used to identify all elective surgical procedures performed in the inpatient...
New York City was the first major urban center of the COVID-19 pandemic in the USA. Cases are clustered in the city, with certain neighborhoods experiencing more cases than others. We investigate whether potential socioeconomic factors can explain between-neighborhood variation in the COVID-19 test positivity rate. Data were collected from 177 Zip Code Tabulation Areas (ZCTA) in New York City (99.9% of the population). We fit multiple Bayesian Besag-York-Mollie (BYM) mixed models using positive ...
#1Anca Rǎdulescu(State University of New York at New Paltz)H-Index: 4
We illustrate and study the evolution of reported infections over the month of March in New York State as a whole, as well as in each individual county in the state. We identify piecewise exponential trends, and search for correlations between the timing and dynamics of these trends and statewide mandated measures on testing and social distancing. We conclude that the reports on April 1 may be dramatically under-representing the actual number of statewide infections, an idea which is supported b...
Last. William M. Ricci(HSS: Hospital for Special Surgery)H-Index: 5
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Background: The long incubation period and asymptomatic spread of COVID-19 present considerable challenges for health-care institutions The identification of infected individuals is vital to prevent the spread of illness to staff and other patients as well as to identify those who may be at risk for disease-related complications This is particularly relevant with the resumption of elective orthopaedic surgery around the world We report the results of a universal testing protocol for COVID-19 in ...
#1Niraja Rajan(Penn State Milton S. Hershey Medical Center)H-Index: 3
#2Girish P. Joshi(UTSW: University of Texas Southwestern Medical Center)H-Index: 49
Coronavirus Disease 2019 (COVID-19) has now become a global pandemic. This has led the United States to declare a national emergency and a ban on all elective diagnostic and therapeutic procedures, as well as elective surgery in inpatient and outpatient settings. Ambulatory surgery facilities that perform only elective procedures are thus likely to be closed. However, these facilities may be able assist acute care hospitals, as essential (urgent and emergent) surgeries and diagnostic and therape...
Last. Brian J. Cole(Rush University Medical Center)H-Index: 124
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COVID-19 has drastically altered our lives in an unprecedented manner, shuttering industries, and leaving most of the country in isolation as we adapt to the evolving crisis. Orthopedic surgery has not been spared from these effects, with the postponement of elective procedures in an attempt to mitigate disease transmission and preserve hospital resources as the pandemic continues to expand. During these turbulent times, it is crucial to understand that while patient and care-providers safety is...
