COVID-19 and digestive endoscopy: Emergency endoscopic procedures and risk factors for upper gastrointestinal bleeding

1Citations
Citations of this article
15Readers
Mendeley users who have this article in their library.
Get full text

Abstract

– Background – The COVID-19 pandemic has changed digestive endoscopy services around the world. Objective – This study aimed to measure the number of urgent/emergency endoscopic procedures performed in a Brazilian hospital, comparing it to the same period in the previous year, and to identify risk factors in COVID-19 patients undergoing endoscopic procedures for upper gastrointestinal bleeding (UGIB). Methods – This was a retrospective, cross-sectional, observational, single-center study. The study evaluated urgent/emergency endoscopic procedures performed on adult patients from March to August in 2019 and 2020. The COVID-19 patients included were diagnosed using RT-PCR, aged over 18 years with complete medical record information. The variables evaluated were age, sex, comorbidities, length of stay, D-dimer, need for intensive care unit (ICU) and mechanical ventilation. Student’s t-test for independent samples or the non-parametric Mann-Whitney test was used to compare quantitative variables. Categorical variables were analyzed using Fisher’s exact test. A P-value <0.05 indicated statistical significance. Results – A total of 130 urgent/emergency endoscopic procedures were performed in 2020 and 97 in 2019. During the study period, 631 patients were hospitalized due to COVID-19, of whom 16 underwent urgent/emergency endoscopic procedures, 10 (1.6%) due to UGIB. Of the variables analyzed, the need for ICU and/or mechanical ventilation during hospitalization was statistically significant as a risk factor for UGIB. Conclusion – This study showed increased urgent/emergency endoscopic procedures during the pandemic at the study site. Among the patients hospitalized with the novel coronavirus, there is a higher risk for UGIB in those needing ICU and/or mechanical ventilation.

Cite

CITATION STYLE

APA

Rosevics, L., Fossati, B. S., Teixeira, S., De Bem, R. S., & De Souza, R. C. A. (2021). COVID-19 and digestive endoscopy: Emergency endoscopic procedures and risk factors for upper gastrointestinal bleeding. Arquivos de Gastroenterologia, 58(3), 337–343. https://doi.org/10.1590/S0004-2803.202100000-57

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free