A Gastroenterologist’ clinical experience in COVID 19 and in-hospital mortality and length of stay analysis.

Valverde-López, Francisco; Tendero-Peinado, Cristina; Lecuona-Muñoz, Marta; Heredia-Carrasco, Clara; Abellán-Alfocea, Patricia; Ortega-Suazo, Eva Julissa; Martín‐Rodríguez, María del Mar; Sánchez-Capilla, Antonio Damián; Sotorrío-Simó, Virginia; Jiménez-Rosales, Rita; Redondo–Cerezo, Eduardo

doi:10.1080/00325481.2021.1949200

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…The Spanish guidelines strongly advocate for swift and efficient communication channels between general practitioners (GPs) and endoscopic units to expedite the early diagnosis of colorectal cancer [5]. This predicament has been exacerbated by the SARS-CoV-2 pandemic in 2019, which prompted a reallocation of medical and human resources to the COVID-19 response, leading to the deprioritization of critical medical issues such as CRC diagnosis [3,6].…”

Section: Introductionmentioning

confidence: 99%

Impact of an Evidence-Based Prioritization System and Electronic Consultation in Early Diagnosis of Colorectal Cancer

Valverde-López,

Librero-Jiménez,

Fernández-García

et al. 2024

Healthcare

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(1) Background: Colorectal cancer (CRC) is one of the most common causes of cancer. Timely diagnosis is critical, with even minor delays impacting prognosis. Primary care providers face obstacles in accessing specialist care. This study investigates the impact of implementing an electronic consultation (eConsult) system combined with a specific prioritization system on CRC diagnosis delay and tumor staging. (2) Methods: The study analyzes 245 CRC patients from November 2019 to February 2022, comparing those referred before and after the eConsult system’s implementation during the COVID-19 pandemic. Data on referral reasons, pathways, diagnosis delays, and staging were collected. Multivariate analysis aimed to identify independent risk factors for advanced staging at diagnosis. (3) Results: The eConsult system significantly reduced CRC diagnosis delay from 68 to 26 days. The majority of patients referred via eConsult presented with symptoms. Despite expedited diagnoses, no discernible difference in CRC staging emerged between eConsult and traditional referrals. Notably, patients from screening programs or with a positive fecal immunochemical test (FIT) experienced earlier-stage diagnoses. A positive FIT without symptoms and being a never-smoker emerged as protective factors against advanced-stage CRC. (4) Conclusions: This study highlights eConsult’s role in reducing CRC diagnosis delay, improving diagnostic efficiency and prioritizing urgent cases, emphasizing FIT effectiveness.

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Section: Introductionmentioning

confidence: 99%

Impact of an Evidence-Based Prioritization System and Electronic Consultation in Early Diagnosis of Colorectal Cancer

Valverde-López,

Librero-Jiménez,

Fernández-García

et al. 2024

Healthcare

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Hospital length of stay for COVID-19 patients: A systematic review and meta-analysis

et al. 2022

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The length of stay in the hospital for COVID-19 can aid in understanding the disease's prognosis. Thus, the goal of this study was to collectively estimate the hospital length of stay (LoS) in COVID-19 hospitalized individuals. To locate related studies, international databases (including Google Scholar, Science Direct, PubMed, and Scopus) were searched. The I2 index, the Cochran Q test, and T2 were used to analyze study heterogeneity. The mean LoS in COVID-19 hospitalized patients was estimated using a random-effects model. COVID-19's total pooled estimated hospital LoS was 15.35, 95%CI:13.47-17.23; p<0.001, I2 = 80.0). South America had the highest pooled estimated hospital LoS of COVID-19 among the continents, at 20.85 (95%CI: 14.80-26.91; p<0.001, I2 = 0.01), whereas Africa had the lowest at 8.56 8 (95%CI: 1.00-22.76). The >60 age group had the highest pooled estimated COVID-19 hospital LoS of 16.60 (95%CI: 12.94-20.25; p<0.001, I2 = 82.6), while the 40 age group had the lowest hospital LoS of 10.15 (95% CI: 4.90-15.39, p<0.001, I2 = 22.1). The metanalysis revealed that COVID-19's hospital LoS was more than 10 days. However, it appears that this duration varies depending on a number of factors, including the patient's age and the availability of resources.

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A Gastroenterologist’ clinical experience in COVID 19 and in-hospital mortality and length of stay analysis.

Cited by 2 publications

References 27 publications

Impact of an Evidence-Based Prioritization System and Electronic Consultation in Early Diagnosis of Colorectal Cancer

Impact of an Evidence-Based Prioritization System and Electronic Consultation in Early Diagnosis of Colorectal Cancer

Hospital length of stay for COVID-19 patients: A systematic review and meta-analysis

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