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The coronavirus disease 2019 (COVID-19) pandemic has severely impacted healthcare systems across countries to better classify
inpatient care for COVID-19 patients.
In response to the COVID-19 pandemic in the United States, national guidelines recommend postponing elective and non-urgent endoscopy procedures
.
Recent studies worldwide have sought to describe the differences the COVID-19 pandemic may cause in
endoscopic surgery.
While the risk of inpatient endoscopy is generally low, some studies have found that mortality is associated
with worse outcomes based on factors such as weekend admissions, length of stay, distance to hospital and length of surgery.
This study aims to attempt to identify factors
associated with 30-day mortality in patients undergoing endoscopy before and during the first wave of the COVID-19 pandemic.
To do this, the researchers collected clinical data from March 1 to May 31, 2020 (the COVID-19 era), the peak of the first wave of the pandemic in care centers throughout the study, and patients who underwent inpatient endoscopic surgery from March 1 to May 31, 2018 and from March 1 to May 31, 2019 (control).
Demographic and hospitalization/surgical data
of patients in both groups were compared.
Cox regression analysis was performed to identify factors
associated with 30-day mortality.
The results of the study showed a decrease in the number of inpatient endoscopies throughout 2020, an increase in the proportion of emergency surgeries, an increase in the proportion of patients receiving blood transfusions, and a mortality rate of 10.
1%.
In 2020, male men, distance from hospitals, requiring intensive care unit (ICU) admission, and surgery performed outside the endoscopy room were associated
with an increased risk of 30-day mortality.
This study confirmed that patients who underwent endoscopy during the COVID-19 pandemic had a higher rate of ICU admissions and a higher
mortality rate within 30 days.
A larger proportion of emergency endoscopy cases may be related
to hospital restructuring or patients' reluctance to seek hospital care during the pandemic.
Original source:
Ysabel C.
et al.
Increased Mortality in Patients Undergoing Inpatient Endoscopy During the Early COVID-19 Pandemic.
Digestive Diseases and Sciences.
2022.
