Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding
Abstract Objectives To investigate endoscopic management and clinical outcomes in patients with non‐variceal upper gastrointestinal (GI) bleeding during the coronavirus disease 2019 pandemic. Methods We retrospectively analyzed the data of 332 patients with non‐variceal upper GI bleeding who underwe...
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Wiley
2024-04-01
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| Online Access: | https://doi.org/10.1002/deo2.310 |
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| author | Takumi Komatsu Yoshinori Sato Yuichiro Kuroki Yoshihito Yoshida Natsumi Aoyama Yoshihiko Iijima Yusuke Nakamoto Masaki Kato Hirofumi Kiyokawa Kenichiro Tanabe Koutaro Matsunaga Tadateru Maehata Hiroshi Yasuda Nobuyuki Matsumoto Keisuke Tateishi |
| author_facet | Takumi Komatsu Yoshinori Sato Yuichiro Kuroki Yoshihito Yoshida Natsumi Aoyama Yoshihiko Iijima Yusuke Nakamoto Masaki Kato Hirofumi Kiyokawa Kenichiro Tanabe Koutaro Matsunaga Tadateru Maehata Hiroshi Yasuda Nobuyuki Matsumoto Keisuke Tateishi |
| author_sort | Takumi Komatsu |
| collection | DOAJ |
| description | Abstract Objectives To investigate endoscopic management and clinical outcomes in patients with non‐variceal upper gastrointestinal (GI) bleeding during the coronavirus disease 2019 pandemic. Methods We retrospectively analyzed the data of 332 patients with non‐variceal upper GI bleeding who underwent emergency upper GI endoscopy at three hospitals during the pandemic (April 2020–June 2021) and before the pandemic (January 2019–March 2020). The number of emergency upper GI endoscopies, time from hospital arrival to endoscopy, mortality within 30 days, rebleeding within 30 days, interventional radiology (IVR)/surgery requirement, composite outcome, rates of endoscopic hemostasis procedures, and second‐look endoscopy were investigated using logistic regression. Results Overall, 152 and 180 patients underwent emergency upper GI endoscopies during and before the pandemic, respectively. The mean time from arrival to endoscopy was longer during the pandemic than before it (11.7 vs. 6.1 h, p < 0.01). Multivariate analysis revealed that mortality within 30 days (odds ratio [OR]: 2.27, p = 0.26), rebleeding within 30 days (OR: 0.43, p = 0.17), IVR/surgery requirement (OR: 1.79, p = 0.33), and composite outcome (OR: 0.98, p = 0.96) did not differ significantly between the periods; conversely, endoscopic hemostasis procedures (OR: 0.38, p < 0.01) and second‐look endoscopies (OR: 0.04, p < 0.01) were less likely to be performed during the pandemic than before it. Conclusions Although the time from arrival to endoscopy was significantly longer during the pandemic, it did not affect mortality and rebleeding. |
| format | Article |
| id | doaj-art-ba4b3afe9049411aa7eb6ffeca65b062 |
| institution | Kabale University |
| issn | 2692-4609 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-ba4b3afe9049411aa7eb6ffeca65b0622025-08-20T03:38:54ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.310Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleedingTakumi Komatsu0Yoshinori Sato1Yuichiro Kuroki2Yoshihito Yoshida3Natsumi Aoyama4Yoshihiko Iijima5Yusuke Nakamoto6Masaki Kato7Hirofumi Kiyokawa8Kenichiro Tanabe9Koutaro Matsunaga10Tadateru Maehata11Hiroshi Yasuda12Nobuyuki Matsumoto13Keisuke Tateishi14Department of Gastroenterology St Marianna University School of Medicine Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine, Yokohama Seibu Hospital Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine, Yokohama Seibu Hospital Kanagawa JapanDepartment of Gastroenterology Kawasaki Municipal Tama Hospital Kanagawa JapanDepartment of Gastroenterology Kawasaki Municipal Tama Hospital Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine Kanagawa JapanPathophysiology and Bioregulation St. Marianna University Graduate School of Medicine Kanagawa JapanDepartment of Gastroenterology Kawasaki Municipal Tama Hospital Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine, Yokohama Seibu Hospital Kanagawa JapanDepartment of Gastroenterology St Marianna University School of Medicine Kanagawa JapanAbstract Objectives To investigate endoscopic management and clinical outcomes in patients with non‐variceal upper gastrointestinal (GI) bleeding during the coronavirus disease 2019 pandemic. Methods We retrospectively analyzed the data of 332 patients with non‐variceal upper GI bleeding who underwent emergency upper GI endoscopy at three hospitals during the pandemic (April 2020–June 2021) and before the pandemic (January 2019–March 2020). The number of emergency upper GI endoscopies, time from hospital arrival to endoscopy, mortality within 30 days, rebleeding within 30 days, interventional radiology (IVR)/surgery requirement, composite outcome, rates of endoscopic hemostasis procedures, and second‐look endoscopy were investigated using logistic regression. Results Overall, 152 and 180 patients underwent emergency upper GI endoscopies during and before the pandemic, respectively. The mean time from arrival to endoscopy was longer during the pandemic than before it (11.7 vs. 6.1 h, p < 0.01). Multivariate analysis revealed that mortality within 30 days (odds ratio [OR]: 2.27, p = 0.26), rebleeding within 30 days (OR: 0.43, p = 0.17), IVR/surgery requirement (OR: 1.79, p = 0.33), and composite outcome (OR: 0.98, p = 0.96) did not differ significantly between the periods; conversely, endoscopic hemostasis procedures (OR: 0.38, p < 0.01) and second‐look endoscopies (OR: 0.04, p < 0.01) were less likely to be performed during the pandemic than before it. Conclusions Although the time from arrival to endoscopy was significantly longer during the pandemic, it did not affect mortality and rebleeding.https://doi.org/10.1002/deo2.310COVID‐19emergenciesendoscopygastrointestinal hemorrhageretrospective studies |
| spellingShingle | Takumi Komatsu Yoshinori Sato Yuichiro Kuroki Yoshihito Yoshida Natsumi Aoyama Yoshihiko Iijima Yusuke Nakamoto Masaki Kato Hirofumi Kiyokawa Kenichiro Tanabe Koutaro Matsunaga Tadateru Maehata Hiroshi Yasuda Nobuyuki Matsumoto Keisuke Tateishi Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding DEN Open COVID‐19 emergencies endoscopy gastrointestinal hemorrhage retrospective studies |
| title | Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding |
| title_full | Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding |
| title_fullStr | Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding |
| title_full_unstemmed | Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding |
| title_short | Impact of the COVID‐19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding |
| title_sort | impact of the covid 19 pandemic on the time to emergency endoscopy and clinical outcomes in patients with upper gastrointestinal bleeding |
| topic | COVID‐19 emergencies endoscopy gastrointestinal hemorrhage retrospective studies |
| url | https://doi.org/10.1002/deo2.310 |
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