Impact of the COVID-19 Pandemic on Acute Upper Gastrointestinal Bleeding in Xingtai City

Duan, Zhihui; Duan, Qiong; Liu, Kun; Zhang, Xiaochong; Zhou, Shengyun; Endoscopy, on behalf of Xingtai Society of Digestive

doi:10.1155/2021/5586030

Cited by 6 publications

(14 citation statements)

References 15 publications

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“…This supports the notion that patients with a variety of illnesses, including UGIB, avoided hospital presentation during the pandemic 31,32 . Our finding of patients admitted during the COVID‐19 period being less likely to under endoscopy is also in keeping with prior reports 28,30 . We also found that patients in the study period were less likely to undergo second endoscopy in the unadjusted model.…”

Section: Discussionsupporting

confidence: 89%

“…One notable finding was that there were fewer presentations per month for UGIB during the first wave of the pandemic compared with prior years, similar to previous studies in Xingtai City, New York City, London, and Hong Kong 27–30 . The percentage of patients with UGIB of all GIM and ICU admissions in our study was not meaningfully different between the COVID‐19 and control groups.…”

Section: Discussionsupporting

confidence: 86%

“…31,32 Our finding of patients admitted during the COVID-19 period being less likely to under endoscopy is also in keeping with prior reports. 28,30 We also found that patients in the study period were less likely to undergo second endoscopy in the unadjusted model. We did not, however, find this difference in the adjusted model, suggesting that the absolute difference was due to our a priori selected adjustment variables.…”

Section: Discussionmentioning

confidence: 57%

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Outcomes for upper gastrointestinal bleeding during the first wave of the COVID‐19 pandemic in the Toronto area

Khan

Saha

Gimpaya

et al. 2022

J of Gastro and Hepatol

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Background and Aim Changes to endoscopy service availability during the COVID‐19 pandemic may have affected management of upper gastrointestinal bleeding (UGIB). The aim of this study was to describe the impact of the pandemic on UGIB outcomes in the Toronto area in Canada. Methods We described all adults admitted to general medicine wards or intensive care units at six hospitals in Toronto and Mississauga, Canada, with UGIB during the first wave of the COVID‐19 pandemic (March 1 to June 30, 2020) and compared them with a historical cohort (March 1 to June 30, 2018 and 2019). We compared clinical outcomes (in‐hospital mortality, length of stay, 30‐day readmission, intensive care utilization, receipt of endoscopy, persistent bleeding, receipt of second endoscopy, and need for angiographic or surgical intervention) using multivariable regression models, controlling for demographics, comorbidities, and severity of clinical presentation. Results There were 82.5 and 215.5 admissions per month for UGIB during the COVID‐19 and control periods, respectively. There were no baseline differences between groups for demographic characteristics, comorbidities, or severity of bleeding. Patients in the COVID‐19 group did not have significantly different unadjusted (3.9% vs 4.2%, P = 0.983) or adjusted mortality (adjusted odds ratio [OR] = 0.64, 95% confidence interval [CI] = 0.25–1.48, P = 0.322). Patients in COVID‐19 group were less likely to receive endoscopy for UGIB in the unadjusted (61.8% vs 71.0%, P = 0.003) and adjusted (adjusted OR = 0.64, 95% CI = 0.49–0.84, P < 0.01) models. There were no differences between groups for other secondary outcomes. Conclusions While patients admitted for UGIB during the first wave of the pandemic were less likely to receive endoscopy, this had no impact on mortality or any secondary outcomes.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 57%

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Outcomes for upper gastrointestinal bleeding during the first wave of the COVID‐19 pandemic in the Toronto area

Khan

Saha

Gimpaya

et al. 2022

J of Gastro and Hepatol

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“…A survey of 60 public hospitals reported substantially fewer (40.7%) cases of GI bleeding after a lockdown was implemented in Austria [ 14 ]. Another survey of 12 Chinese hospitals also revealed a 55.7% decline in the number of upper GI bleeding cases [ 15 ]. Besides their willingness to seek help, patients with GI bleeding may have further found that it was more difficult to access appropriate treatment during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 by Pandemic Wave among Patients with Gastroenterology Symptoms in the Emergency Departments at a Medical Center in Taiwan

Kuo

Liu

Chien

et al. 2022

IJERPH

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The COVID-19 pandemic has affected emergency department (ED) usage. This study examines changes in the number of ED visits for gastrointestinal (GI) bleeding and nonemergency GI conditions, such as acute gastroenteritis (AGE) and constipation, before the pandemic and at the peak and slack periods of the pandemic in Taiwan. This retrospective observational study was conducted at a referral medical center in northern Taiwan. We recorded the number of weekly ED visits for GI bleeding, AGE, and constipation from 2019 to 2021. We then compared the baseline period (calendar weeks 4–18 and 21–31, 2019) with two peak pandemic periods (period 1, calendar weeks 4–18, 2020; period 2, calendar weeks 21–31, 2021) and their corresponding slack periods. The decline in the number of ED visits during the two peak pandemic periods for GI bleeding (−18.4% and −30.2%) were not as substantial as for AGE (−64.1% and −76.7%) or for constipation (−44.4% and −63.6%), but GI bleeding cases were still significantly lower in number relative to the baseline. During the slack period, the number of ED visits for all three diagnoses rebounded but did not exceed the baseline. Our study revealed that there was a significant decline of GI complaint during the pandemic. This phenomenon was more prominent in nonemergency complaints (AGE and constipation) and less prominent in serious complaints (GI bleeding).

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“…The COVID-19 global pandemic appeared in China during the last days of 2019 and spread very fast in all countries during the spring of 2020 [1][2][3][4]. The pandemic has had multiple negative consequences on the healthcare system, which mainly focused on lockdown measures, the need for dedicated beds, additional personnel, specific access routes for SARS-CoV-2 patients, and overwhelmed emergency rooms [2,3].…”

Section: Introductionmentioning

confidence: 99%

Outcomes in Patients Admitted for Upper Gastrointestinal Bleeding and COVID-19 Infection: A Study of Two Years of the Pandemic

Cazacu

Burtea

Iovănescu

et al. 2023

Life

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Upper gastrointestinal bleeding (UGIB) represents a major emergency, and patient management requires endoscopic assessment to ensure appropriate treatment. The impact of COVID-19 on patient mortality in UGIB may be related to the combination of respiratory failure and severe bleeding and indirectly to delayed admissions or a reduction in endoscopic procedures. Methods: We conducted a retrospective study involving patients admitted between March 2020 and December 2021 with UGIB and confirmed. Our objective was to compare these types of patients with those negative for SARS-CoV-2 infection, as well as with a pre-pandemic group of patients admitted between May 2018 and December 2019. Results: Thirty-nine patients (4.7%) with UGIB had an active COVID-19 infection. A higher mortality rate (58.97%) and a high risk of death (OR 9.04, p < 0.0001) were noted in the COVID-19 pandemic, mostly because of respiratory failure; endoscopy was not performed in half of the cases. Admissions for UGIB have decreased by 23.7% during the pandemic. Conclusions: COVID-19 infection in patients admitted for UGIB was associated with a higher mortality rate because of respiratory failure and possible delays in or contraindications of treatment.

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Impact of the COVID-19 Pandemic on Acute Upper Gastrointestinal Bleeding in Xingtai City

Cited by 6 publications

References 15 publications

Outcomes for upper gastrointestinal bleeding during the first wave of the COVID‐19 pandemic in the Toronto area

Outcomes for upper gastrointestinal bleeding during the first wave of the COVID‐19 pandemic in the Toronto area

Impact of COVID-19 by Pandemic Wave among Patients with Gastroenterology Symptoms in the Emergency Departments at a Medical Center in Taiwan

Outcomes in Patients Admitted for Upper Gastrointestinal Bleeding and COVID-19 Infection: A Study of Two Years of the Pandemic

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