Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area - Sorbonne Université
Journal Articles Clinics and Research in Hepatology and Gastroenterology Year : 2020

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

Benedicte Jais
  • Function : Author
Maxime Palazzo
  • Function : Author
Maximilien Barret
Nicolas Carbonell
  • Function : Author
Elia Gigante
  • Function : Author
Déborah Hassid
  • Function : Author
Julien Kirchgesner
Cécilia Landman
  • Function : Author
Romain Leenhardt
  • Function : Author
Marie Lequoy
Nelson Lourenco
  • Function : Author
Chloé Martineau
  • Function : Author
Jean-Charles Nault
  • Function : Author
Violaine Ozenne
  • Function : Author
Anna Pellat
  • Function : Author
Olivia Pietri
  • Function : Author
Mathilde Roche
  • Function : Author
Heithem Soliman
  • Function : Author
Nils Steuer
  • Function : Author
My-Linh Tran-Minh
  • Function : Author
Guillaume Velut
  • Function : Author
Aziz Zaanan
  • Function : Author

Abstract

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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hal-02951909 , version 1 (05-09-2022)

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Aymeric Becq, Benedicte Jais, Clémence Fron, Hugo Rotkopf, Guillaume Perrod, et al.. Drastic decrease of urgent endoscopies outside regular working hours during the Covid-19 pandemic in the paris area. Clinics and Research in Hepatology and Gastroenterology, 2020, 44 (4), pp.579-585. ⟨10.1016/j.clinre.2020.07.012⟩. ⟨hal-02951909⟩
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