{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:14:30Z","timestamp":1765610070105,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The COVID\u201019 pandemic has greatly affected access to elective surgery, largely because of concerns for patients and healthcare workers. A return to normal surgery workflow depends on the prevalence and transmission of coronavirus in elective surgical patients. The aim of this study was to determine the prevalence of active SARS\u2010coronavirus\u20102 infection during a second wave among patients admitted to hospital for elective surgery in Victoria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective cohort study across eight hospitals in Victoria during July\u2013August 2020 was conducted enrolling adults and children admitted to hospital for elective surgery or interventional procedure requiring general anaesthesia. Study outcomes included a positive polymerase chain reaction (PCR) test for SARS\u2010CoV\u20102 in the preoperative period (primary outcome), and for those with a negative test preoperatively, the incidence of a positive PCR test for SARS\u2010CoV\u20102 in the post\u2010operative period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We enrolled 4965 elective adult and paediatric surgical patients from 15 July to 31 August 2020. Four patients screened negative on questionnaire but had a positive PCR test for coronavirus, resulting in a Bayesian estimated prevalence of 0.12% (95% probability interval 0\u20130.26%). There were no reports of healthcare worker infections linked to elective surgery during and up to 2\u2009weeks after the study period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of SARS\u2010CoV\u20102 in asymptomatic elective surgical patients during a second wave was approximately 1 in 833. Given the very low likelihood of coronavirus transmission, and with existing current hospital capacity, recommencement of elective surgery should be considered. A coronavirus screening checklist should be mandated for surgical patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16464","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T18:25:40Z","timestamp":1606242340000},"page":"22-26","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["<scp>COVID<\/scp>\u201019 risk in elective surgery during a second wave: a prospective cohort study"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3324-5456","authenticated-orcid":false,"given":"Paul S.","family":"Myles","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Perioperative Medicine Alfred Hospital  Melbourne Victoria Australia"},{"name":"Central Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Perioperative Medicine Alfred Hospital  Melbourne Victoria Australia"},{"name":"Central Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Story","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Austin Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Perioperative Medicine Alfred Hospital  Melbourne Victoria Australia"},{"name":"Central Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allen C.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Perioperative Medicine Alfred Hospital  Melbourne Victoria Australia"},{"name":"Central Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Forbes","sequence":"additional","affiliation":[{"name":"Central Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Sidiropoulos","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Austin Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Davidson","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niki","family":"Tan","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Visiting Anaesthetist Epworth Richmond  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Jeffreys","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia and Pain Medicine Western Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4772-516X","authenticated-orcid":false,"given":"Russell","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"General Surgery Northern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Scott","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia and Pain Medicine St. Vincent's Hospital Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jade","family":"Radnor","sequence":"additional","affiliation":[{"name":"Centre for Integrated Critical Care The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Northeast Health Wangaratta  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31182-X"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31256-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.2713"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb00808.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1808"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15170"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15229"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.14765"},{"key":"e_1_2_8_11_1","first-page":"1440","article-title":"Elective surgery cancellations due to the COVID\u201019 pandemic: global predictive modelling to inform surgical recovery plans","volume":"107","author":"COVIDSurg Collaborative","year":"2020","journal-title":"Br. J. Surg."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.15191"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.16464","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.16464","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.16464","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T13:40:24Z","timestamp":1693575624000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.16464"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":11,"journal-issue":{"issue":"1-2","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1111\/ans.16464"],"URL":"https:\/\/doi.org\/10.1111\/ans.16464","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"2020-10-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}