• Je něco špatně v tomto záznamu ?

Effect of COVID-19 pandemic on the workflow of endoscopy units: an international survey

T. Resál, R. Bor, K. Szántó, A. Fábián, M. Rutka, M. Sacco, DG. Ribaldone, P. Molander, S. Nancey, U. Kopylov, S. Vavricka, D. Drobne, M. Lukas, K. Farkas, Z. Szepes, T. Molnár

. 2021 ; 14 (-) : 17562848211006678. [pub] 20210422

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21017920

Introduction: The coronavirus disease 2019 (COVID-19) pandemic poses a challenge to healthcare. Staff and patients are at increased risk during an examination or intervention, so certain restrictions ought to be introduced. Hence, we aimed to measure the effect of the pandemic on endoscopy units in real-life settings. Methods: This was an observational, cross-sectional, questionnaire-based study, carried out between 7 April and 15 June 2020. Responds came from many countries, and the participation was voluntary. The survey contained 40 questions, which evaluated the effect of the COVID-19 pandemic on the endoscopy units and assessed the infection control. Results: A total of 312 questionnaires were filled, 120 from Hungary, and 192 internationally, and 54 questionnaires (17.3%) were sent from high-risk countries; 84.9% of the gastroenterologists declared that they read the European Society of Gastrointestinal Endoscopy (ESGE) statement, while only 32.1% participated in any advanced training at their workplace. Overall, 92.1% of gastroenterologists realized risk stratification, and 72.1% claimed to have enough protective equipment. In 52.6% of the endoscopy units, at least one endoscopist had to discontinue the work due to any risk factor, while 40.6% reported that the reduced staff did not affect the workflow. Gastroenterologists considered that the five most important examinations both in low and high-risk patients are the following: lower/upper gastrointestinal (GI) bleeding with hemodynamic instability, endoscopic retrograde cholangiopancreatography (ERCP) in obstructive jaundice, foreign body in the esophagus, ERCP in acute biliary pancreatitis, and iron deficiency anemia with hemodynamic instability, which correlates well with the ESGE recommendation. Significant correlation was found in the usage of the necessary protective equipment in high-risk patients depending on the countries (p < 0.001). Conclusions: The survey found weak correlation in preliminary training depending on countries; nevertheless, in Hungary during the examined period, endoscopists considered the recommendations more strictly than in other countries. Although many physicians left the endoscopy lab, the workflow was not affected, probably due to the reduced number of examinations.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21017920
003      
CZ-PrNML
005      
20210729104202.0
007      
ta
008      
210726s2021 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1177/17562848211006678 $2 doi
035    __
$a (PubMed)33995580
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Resál, Tamás $u Gastroenterology Unit, Department of Medicine, University of Szeged, Szeged, Hungary
245    10
$a Effect of COVID-19 pandemic on the workflow of endoscopy units: an international survey / $c T. Resál, R. Bor, K. Szántó, A. Fábián, M. Rutka, M. Sacco, DG. Ribaldone, P. Molander, S. Nancey, U. Kopylov, S. Vavricka, D. Drobne, M. Lukas, K. Farkas, Z. Szepes, T. Molnár
520    9_
$a Introduction: The coronavirus disease 2019 (COVID-19) pandemic poses a challenge to healthcare. Staff and patients are at increased risk during an examination or intervention, so certain restrictions ought to be introduced. Hence, we aimed to measure the effect of the pandemic on endoscopy units in real-life settings. Methods: This was an observational, cross-sectional, questionnaire-based study, carried out between 7 April and 15 June 2020. Responds came from many countries, and the participation was voluntary. The survey contained 40 questions, which evaluated the effect of the COVID-19 pandemic on the endoscopy units and assessed the infection control. Results: A total of 312 questionnaires were filled, 120 from Hungary, and 192 internationally, and 54 questionnaires (17.3%) were sent from high-risk countries; 84.9% of the gastroenterologists declared that they read the European Society of Gastrointestinal Endoscopy (ESGE) statement, while only 32.1% participated in any advanced training at their workplace. Overall, 92.1% of gastroenterologists realized risk stratification, and 72.1% claimed to have enough protective equipment. In 52.6% of the endoscopy units, at least one endoscopist had to discontinue the work due to any risk factor, while 40.6% reported that the reduced staff did not affect the workflow. Gastroenterologists considered that the five most important examinations both in low and high-risk patients are the following: lower/upper gastrointestinal (GI) bleeding with hemodynamic instability, endoscopic retrograde cholangiopancreatography (ERCP) in obstructive jaundice, foreign body in the esophagus, ERCP in acute biliary pancreatitis, and iron deficiency anemia with hemodynamic instability, which correlates well with the ESGE recommendation. Significant correlation was found in the usage of the necessary protective equipment in high-risk patients depending on the countries (p < 0.001). Conclusions: The survey found weak correlation in preliminary training depending on countries; nevertheless, in Hungary during the examined period, endoscopists considered the recommendations more strictly than in other countries. Although many physicians left the endoscopy lab, the workflow was not affected, probably due to the reduced number of examinations.
655    _2
$a časopisecké články $7 D016428
700    1_
$a Bor, Renáta $u Gastroenterology Unit, Department of Medicine, University of Szeged, Szeged, Hungary
700    1_
$a Szántó, Kata $u Gastroenterology Unit, Department of Medicine, University of Szeged, Szeged, Hungary
700    1_
$a Fábián, Anna $u Gastroenterology Unit, Department of Medicine, University of Szeged, Szeged, Hungary
700    1_
$a Rutka, Mariann $u Gastroenterology Unit, Department of Medicine, University of Szeged, Szeged, Hungary
700    1_
$a Sacco, Marco $u Endoscopy Unit, AOU Città della Salute e della Scienza di Torino, University of Turin, Torino, Piemonte, Italy
700    1_
$a Ribaldone, Davide Guiseppe $u Department of Medical Sciences, Division of Gastroenterology, University of Turin, Turin, Piemonte, Italy
700    1_
$a Molander, Pauliina $u Abdominal Center, Gastroenterology, Helsinki University Hospital, Helsinki, Finland
700    1_
$a Nancey, Stephane $u Department of Gastroenterology, Hospices Civils de Lyon, University Claude Bernard Lyon and INSERM U1111, CIRI, Lyon, France
700    1_
$a Kopylov, Uri $u Department of Gastroenterology, Sheba Medical Center, Ramat Gan and Sackler Medical School, Tel Aviv University, Israel
700    1_
$a Vavricka, Stephan $u Center for Gastroenterology and Hepatology, Zurich, Switzerland
700    1_
$a Drobne, David $u Department of Gastroenterology, University Medical Centre Ljubljana, Ljubljana, Slovenia
700    1_
$a Lukas, Milan $u IBD Clinical and Research Centre, Iscare a.s., Prague, Czech Republic
700    1_
$a Farkas, Klaudia $u Gastroenterology Unit, Department of Medicine, University of Szeged, Szeged, Hungary
700    1_
$a Szepes, Zoltán $u Gastroenterology Unit, Department of Medicine, University of Szeged, Szeged, Hungary
700    1_
$a Molnár, Tamás $u Gastroenterology Unit, First Department of Medicine, University of Szeged, Kálvária sugárút 57, Szeged, 6725, Hungary
773    0_
$w MED00177174 $t Therapeutic advances in gastroenterology $x 1756-283X $g Roč. 14, č. - (2021), s. 17562848211006678
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33995580 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20210726 $b ABA008
991    __
$a 20210729104201 $b ABA008
999    __
$a ind $b bmc $g 1676464 $s 1138362
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 14 $c - $d 17562848211006678 $e 20210422 $i 1756-283X $m Therapeutic advances in gastroenterology $n Therap Adv Gastroenterol $x MED00177174
LZP    __
$a Pubmed-20210726

Najít záznam

Citační ukazatele

Možnosti archivace