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Updated: Aug 20, 2025

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Routine pre-operative Covid testing in elective surgeries: Is it worth it?

Jessica K Liu1, Paula A Porras1, Danielle M Hari1

  • 1Department of Surgery, Harbor-UCLA Medical Center, 1000 W. Carson Street, Torrance, CA, 90502, United States.

American Journal of Surgery
|November 24, 2022
PubMed
Summary
This summary is machine-generated.

Universal COVID-19 testing for elective surgeries identified a low positivity rate (0.35%). Re-evaluating these testing protocols is recommended as the pandemic evolves to optimize resource allocation.

Keywords:
COVID-19Preoperative testingPreprocedural testingSAR-CoV-2Screening

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Area of Science:

  • Healthcare Management
  • Infectious Disease Epidemiology
  • Surgical Patient Care

Background:

  • Routine pre-procedural COVID-19 testing is standard for elective cases.
  • Aims to mitigate risks of perioperative infection and optimize hospital resources.
  • This study assesses the effectiveness of universal COVID-19 screening for elective procedures.

Purpose of the Study:

  • To evaluate the efficacy of universal COVID-19 testing in patients undergoing elective procedures.
  • To determine the positivity rate of COVID-19 in this specific patient population.
  • To inform future testing strategies for elective surgeries.

Main Methods:

  • Retrospective observational study conducted at a single institution.
  • Data collected from July 2020 to August 2021.
  • Included analysis of anterior nares reverse transcriptase polymerase chain reaction (RT-PCR) test results for 499 unique patients.

Main Results:

  • A total of 569 RT-PCR tests were performed.
  • Identified 2 (0.35%) asymptomatic, unvaccinated positive COVID-19 cases.
  • Observed 13 (2.2%) overall case cancellations, with significant costs associated with testing.

Conclusions:

  • The low prevalence of COVID-19 in elective procedural patients suggests a need for re-evaluation.
  • Current universal testing protocols may not be cost-effective.
  • Testing strategies should adapt to the evolving pandemic landscape.