Documenting COVID-19 screening before surgery during lockdown (COVID Screen): an audit with routinely collected health data
David Story, Elizabeth Coyle, Abarna Devapalasundaram, Sofia Sidiropoulos, Bobby Ou Yang, Tim Coulson
Australian Health Review | CSIRO PUBLISHING | Published : 2020
Objective This study analysed screening for COVID-19 before surgery and outcomes of any perioperative testing for SARS-CoV-2 infection during pandemic-restricted surgery. Methods An audit was conducted with routinely collected health data before both elective and non-elective surgery at two large Melbourne hospitals during April and early May 2020. We looked for documented systematic screening for COVID-19 disease and fever (>38°C) and results of SARS-COV-2 testing, and proposed a minimum acceptable documenting rate of 85%. Results The study included 2197 consecutive patients (1279 (58%) undergoing elective surgery, 917 (42%) undergoing non-elective surgery) across most specialities. Althoug..View full abstract
The COVID Screen audit was funded by a research grant from the Research Foundation at the Australian and New Zealand College of Anaesthetists, with original funding from the Medibank Better Health Foundation. The funders discussed the original audit plan and commented on the manuscript, but played no other role. The authors thank Siobhan Lenihan, Nikki Dennis and the Anaesthesia Research groups at St Vincent's Hospital Melbourne and Austin Health.