Cargando…

The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery

We analyzed the rate of patients with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection diagnosed by pre-operative screening and estimated its cost. We retrospectively analyzed patients who underwent elective surgery at our maxillofacial surgery depart...

Descripción completa

Detalles Bibliográficos
Autores principales: Sukegawa, Shintaro, Sukegawa, Yuka, Hasegawa, Kazuaki, Ono, Sawako, Nakamura, Tomoya, Fujimura, Ai, Fujisawa, Ayaka, Nakano, Keisuke, Takabatake, Kiyofumi, Kawai, Hotaka, Mukainaka, Yumika, Nagatsuka, Hitoshi, Furuki, Yoshihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324129/
https://www.ncbi.nlm.nih.gov/pubmed/35885875
http://dx.doi.org/10.3390/healthcare10071348
_version_ 1784756731460452352
author Sukegawa, Shintaro
Sukegawa, Yuka
Hasegawa, Kazuaki
Ono, Sawako
Nakamura, Tomoya
Fujimura, Ai
Fujisawa, Ayaka
Nakano, Keisuke
Takabatake, Kiyofumi
Kawai, Hotaka
Mukainaka, Yumika
Nagatsuka, Hitoshi
Furuki, Yoshihiko
author_facet Sukegawa, Shintaro
Sukegawa, Yuka
Hasegawa, Kazuaki
Ono, Sawako
Nakamura, Tomoya
Fujimura, Ai
Fujisawa, Ayaka
Nakano, Keisuke
Takabatake, Kiyofumi
Kawai, Hotaka
Mukainaka, Yumika
Nagatsuka, Hitoshi
Furuki, Yoshihiko
author_sort Sukegawa, Shintaro
collection PubMed
description We analyzed the rate of patients with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection diagnosed by pre-operative screening and estimated its cost. We retrospectively analyzed patients who underwent elective surgery at our maxillofacial surgery department between April 2014 and March 2022. We compared the number of patients with each infection identified by pre-operative screening and a pre-operative questionnaire. We also compared the prevalence of infections with varying age, sex, and oral diseases, and calculated the cost of screening per positive result. The prevalence of HBV, HCV, and HIV was 0.39% (62/15,842), 0.76% (153/15,839), and 0.07% (10/12,745), respectively. The self-reported rates were as follows: HBV, 63.4% (26/41); HCV, 50.4% (62/123); HIV, 87.5% (7/8). Differences in sex were statistically significant for all infectious diseases; age significantly affected HBV and HCV rates. There was no association between the odds ratio of oral disease and viral infections. The cost per positive result was $1873.8, $905.8, and $11,895.3 for HBV, HCV, and HIV, respectively. Although self-assessment using questionnaires is partially effective, it has inadequate screening accuracy. Formulating an auxiliary diagnosis of infectious diseases with oral diseases was challenging. The cost determined was useful for hepatitis, but not HIV.
format Online
Article
Text
id pubmed-9324129
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-93241292022-07-27 The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery Sukegawa, Shintaro Sukegawa, Yuka Hasegawa, Kazuaki Ono, Sawako Nakamura, Tomoya Fujimura, Ai Fujisawa, Ayaka Nakano, Keisuke Takabatake, Kiyofumi Kawai, Hotaka Mukainaka, Yumika Nagatsuka, Hitoshi Furuki, Yoshihiko Healthcare (Basel) Article We analyzed the rate of patients with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection diagnosed by pre-operative screening and estimated its cost. We retrospectively analyzed patients who underwent elective surgery at our maxillofacial surgery department between April 2014 and March 2022. We compared the number of patients with each infection identified by pre-operative screening and a pre-operative questionnaire. We also compared the prevalence of infections with varying age, sex, and oral diseases, and calculated the cost of screening per positive result. The prevalence of HBV, HCV, and HIV was 0.39% (62/15,842), 0.76% (153/15,839), and 0.07% (10/12,745), respectively. The self-reported rates were as follows: HBV, 63.4% (26/41); HCV, 50.4% (62/123); HIV, 87.5% (7/8). Differences in sex were statistically significant for all infectious diseases; age significantly affected HBV and HCV rates. There was no association between the odds ratio of oral disease and viral infections. The cost per positive result was $1873.8, $905.8, and $11,895.3 for HBV, HCV, and HIV, respectively. Although self-assessment using questionnaires is partially effective, it has inadequate screening accuracy. Formulating an auxiliary diagnosis of infectious diseases with oral diseases was challenging. The cost determined was useful for hepatitis, but not HIV. MDPI 2022-07-20 /pmc/articles/PMC9324129/ /pubmed/35885875 http://dx.doi.org/10.3390/healthcare10071348 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sukegawa, Shintaro
Sukegawa, Yuka
Hasegawa, Kazuaki
Ono, Sawako
Nakamura, Tomoya
Fujimura, Ai
Fujisawa, Ayaka
Nakano, Keisuke
Takabatake, Kiyofumi
Kawai, Hotaka
Mukainaka, Yumika
Nagatsuka, Hitoshi
Furuki, Yoshihiko
The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery
title The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery
title_full The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery
title_fullStr The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery
title_full_unstemmed The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery
title_short The Effectiveness of Pre-Operative Screening Tests in Determining Viral Infections in Patients Undergoing Oral and Maxillofacial Surgery
title_sort effectiveness of pre-operative screening tests in determining viral infections in patients undergoing oral and maxillofacial surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324129/
https://www.ncbi.nlm.nih.gov/pubmed/35885875
http://dx.doi.org/10.3390/healthcare10071348
work_keys_str_mv AT sukegawashintaro theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT sukegawayuka theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT hasegawakazuaki theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT onosawako theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT nakamuratomoya theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT fujimuraai theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT fujisawaayaka theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT nakanokeisuke theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT takabatakekiyofumi theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT kawaihotaka theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT mukainakayumika theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT nagatsukahitoshi theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT furukiyoshihiko theeffectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT sukegawashintaro effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT sukegawayuka effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT hasegawakazuaki effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT onosawako effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT nakamuratomoya effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT fujimuraai effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT fujisawaayaka effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT nakanokeisuke effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT takabatakekiyofumi effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT kawaihotaka effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT mukainakayumika effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT nagatsukahitoshi effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery
AT furukiyoshihiko effectivenessofpreoperativescreeningtestsindeterminingviralinfectionsinpatientsundergoingoralandmaxillofacialsurgery