The coronavirus 2019 (COVID-19) pandemic has significantly affected medical care worldwide.
Protective measures, reallocation of equipment and human resources have changed the operating procedures in all departments.
From mid-April 2020 the epidemic stabilized and receded in France, leading to a partial easing of home isolation on in May.
The urgent endoscopy caseload outside regular working hours decreased nearly by half during the COVID-19 pandemic.
The number of endoscopies for suspected GIB and the number of variceal and non-variceal GIB decreased because of home isolation.
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.
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.
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.Le texte complet de cet article est disponible en PDF.
Abbreviations : COVID-19, POET, APHP, GIB, NSAIDs
Keywords : COVID-19 pandemic, Urgent endoscopy, Endoscopy outside regular working hours