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Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area

BACKGROUND AND STUDY AIMS: The coronavirus 2019 (COVID-19) pandemic has significantly affected medical care. We surmise that the number of urgent endoscopies outside regular working hours in the Paris area decreased as a result. The objective of this study was to describe the observed number of acts...

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Autores principales: Becq, Aymeric, Jais, Benedicte, Fron, Clémence, Rotkopf, Hugo, Perrod, Guillaume, Rudler, Marika, Thabut, Dominique, Hedjoudje, Abdellah, Palazzo, Maxime, Amiot, Aurélien, Sobhani, Iradj, Dray, Xavier, Camus, Marine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Masson SAS. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402205/
https://www.ncbi.nlm.nih.gov/pubmed/32788129
http://dx.doi.org/10.1016/j.clinre.2020.07.012
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author Becq, Aymeric
Jais, Benedicte
Fron, Clémence
Rotkopf, Hugo
Perrod, Guillaume
Rudler, Marika
Thabut, Dominique
Hedjoudje, Abdellah
Palazzo, Maxime
Amiot, Aurélien
Sobhani, Iradj
Dray, Xavier
Camus, Marine
author_facet Becq, Aymeric
Jais, Benedicte
Fron, Clémence
Rotkopf, Hugo
Perrod, Guillaume
Rudler, Marika
Thabut, Dominique
Hedjoudje, Abdellah
Palazzo, Maxime
Amiot, Aurélien
Sobhani, Iradj
Dray, Xavier
Camus, Marine
author_sort Becq, Aymeric
collection PubMed
description BACKGROUND AND STUDY AIMS: The coronavirus 2019 (COVID-19) pandemic has significantly affected medical care. We surmise that the number of urgent endoscopies outside regular working hours in the Paris area decreased as a result. The objective of this study was to describe the observed number of acts during the 2020 mandatory period of home isolation, compared to the values in prior years and the expected value for 2020. MATERIAL AND METHODS: We performed a multicenter cohort study to investigate the practice of urgent endoscopy acts, outside regular working hours, in Paris and its surrounding suburbs, in the setting of the COVID-19 pandemic. We collected the number of endoscopies performed between January 17th and April 17th 2018, 2019 and 2020. We then collected clinical, endoscopic and outcome variables from the patients of years 2019 and 2020. RESULTS: From March 17th to April 17th (during home isolation), the number of acts was respectively of 147 in 2018, 137 in 2019, and 79 in 2020, lower that the expected number of 142 (-44.0%). In 2020, the number of endoscopies for suspected gastrointestinal bleeding (GIB), and findings of variceal and non-variceal bleeding decreased by 52.1%, 69.2% and 43.1% respectively, after a month of home isolation. In-hospital death rate were similar. CONCLUSIONS: This study confirms that the urgent endoscopy caseload outside regular hours decreased nearly by half during the pandemic. Our results suggest a decreased number of endoscopies for suspected gastrointestinal bleeding, and findings of variceal and non-variceal bleeding.
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spelling pubmed-74022052020-08-05 Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area Becq, Aymeric Jais, Benedicte Fron, Clémence Rotkopf, Hugo Perrod, Guillaume Rudler, Marika Thabut, Dominique Hedjoudje, Abdellah Palazzo, Maxime Amiot, Aurélien Sobhani, Iradj Dray, Xavier Camus, Marine Clin Res Hepatol Gastroenterol Original Article BACKGROUND AND STUDY AIMS: The coronavirus 2019 (COVID-19) pandemic has significantly affected medical care. We surmise that the number of urgent endoscopies outside regular working hours in the Paris area decreased as a result. The objective of this study was to describe the observed number of acts during the 2020 mandatory period of home isolation, compared to the values in prior years and the expected value for 2020. MATERIAL AND METHODS: We performed a multicenter cohort study to investigate the practice of urgent endoscopy acts, outside regular working hours, in Paris and its surrounding suburbs, in the setting of the COVID-19 pandemic. We collected the number of endoscopies performed between January 17th and April 17th 2018, 2019 and 2020. We then collected clinical, endoscopic and outcome variables from the patients of years 2019 and 2020. RESULTS: From March 17th to April 17th (during home isolation), the number of acts was respectively of 147 in 2018, 137 in 2019, and 79 in 2020, lower that the expected number of 142 (-44.0%). In 2020, the number of endoscopies for suspected gastrointestinal bleeding (GIB), and findings of variceal and non-variceal bleeding decreased by 52.1%, 69.2% and 43.1% respectively, after a month of home isolation. In-hospital death rate were similar. CONCLUSIONS: This study confirms that the urgent endoscopy caseload outside regular hours decreased nearly by half during the pandemic. Our results suggest a decreased number of endoscopies for suspected gastrointestinal bleeding, and findings of variceal and non-variceal bleeding. Elsevier Masson SAS. 2020-09 2020-08-04 /pmc/articles/PMC7402205/ /pubmed/32788129 http://dx.doi.org/10.1016/j.clinre.2020.07.012 Text en © 2020 Elsevier Masson SAS. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Article
Becq, Aymeric
Jais, Benedicte
Fron, Clémence
Rotkopf, Hugo
Perrod, Guillaume
Rudler, Marika
Thabut, Dominique
Hedjoudje, Abdellah
Palazzo, Maxime
Amiot, Aurélien
Sobhani, Iradj
Dray, Xavier
Camus, Marine
Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area
title Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area
title_full Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area
title_fullStr Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area
title_full_unstemmed Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area
title_short Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area
title_sort drastic decrease of urgent endoscopies outside regular working hours during the covid-19 pandemic in the paris area
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402205/
https://www.ncbi.nlm.nih.gov/pubmed/32788129
http://dx.doi.org/10.1016/j.clinre.2020.07.012
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