Massive impact of coronavirus disease 2019 pandemic on gastroenterology and hepatology departments and doctors in Spain
- Calleja, José Luis 12
- Turnes, Juan 3
- Crespo, Javier 24
- Hernández‐Guerra, Manuel
- Hernández‐Conde, Marta 12
- Rasines, Laura 24
- Albillos, Agustín 25
- Mora, Pedro 6
- Fernández Carrillo, Carlos 12
- Iruzubieta, Paula 24
- Bañares, Rafael 27
- Jorquera, Francisco 28
- Fernández Vázquez, Inmaculada 9
- 1 Department of Gastroenterology and Hepatology Puerta de Hierro‐Majadahonda University Hospital, Health Research Institute Puerta de Hierro – Segovia de Arana Madrid Spain
- 2 Biomedical Research Networking Center of Hepatic and Digestive Diseases Institute of Health Carlos III Madrid Spain
- 3 Department of Gastroenterology and Hepatology Galicia Sur Health Research Institute, Pontevedra University Hospital Complex Pontevedra Spain
- 4 Department of Gastroenterology and Hepatology Marqués de Valdecilla University Hospital, Health Research Institute Valdecilla Santander Spain
- 5 Department of Gastroenterology and Hepatology Ramón y Cajal University Hospital, University of Alcalá, Ramón y Cajal Institute for Health Research Madrid Spain
- 6 Department of Gastroenterology La Paz University Hospital, Hospital La Paz Institute for Health Research Madrid Spain
- 7 Department of Gastroenterology Gregorio Marañón General University Hospital, Health Research Institute Gregorio Marañón, Complutense University of Madrid Madrid Spain
- 8 Department of Gastroenterology León University Hospital Complex, Biomedicine Institute, University of León León Spain
- 9 Liver Unit University Hospital 12 de Octubre, Research Institute Hospital 12 de Octubre Madrid Spain
-
10
Universidad de La Laguna
info
ISSN: 0815-9319, 1440-1746
Año de publicación: 2020
Páginas: 1-7
Tipo: Artículo
Otras publicaciones en: Journal of Gastroenterology and Hepatology
Resumen
Background and Aim: Signicant human and material resources have been diverted tocoronavirus disease 2019 (COVID19). Healthcare workers are at high risk of severe acuterespiratory syndrome coronavirus 2 (SARSCoV2) infection. We assess the impact of theCOVID-19 pandemic on gastroenterology and hepatology departments and specialists inSpain.Methods: This study involves a nationwide survey addressing the impact of COVID19 onresources, procedures, and physicians of gastroenterology and hepatology departments in81 hospitals representative of the Spanish National Health Service.Results: Overall, 41.8% of hospital beds and 40.7% of gastroenterology and hepatologybeds were allocated to COVID19 patient care, as well as 24.8% of gastroenterologistsand 58.3% of residents. Outpatient visits, abdominal ultrasounds, and endoscopies werereduced by 81.8–91.9%. Nine large university hospitals had 75% and 89% reductions intherapeutic endoscopies and hepatocellular carcinoma surgery, respectively, with cancel-ation of elective liver transplant and transjugular intrahepatic portosystemic shunt. Preva-lence of infected physicians was 10.6% and was dependent on regional populationincidence (r = 0.74, P = 0.001), with 11% hospitalized and one physician dying. Up to63.4% of physicians may have been infected before or shortly after Spain entered lock-down, 57% of them having recently performed endoscopies. Adequate protection was ac-knowledged in > 80% hospitals, but only 2.9% performed regular SARSCoV2 testing.Conclusions: The impact of the COVID19 pandemic on healthcare delivery has beenmassive. A wave of gastroenterologyrelated complications is expected because ofresource diversion. Gastroenterologists have a high prevalence of infection, although theymay have been infected during a rst phase of lower awareness and protection. RegularSARSCoV2 screening, adequate protection, and quick reorganization of healthcareresources are still needed
Referencias bibliográficas
- Guan WJ, Ni ZY, Hu Y et al. Clinical characteristics of coronavirusdisease 2019 in China. N Engl J Med 2020 Epub ahead of print EPubFeb 28.
- World Health Organization. WHO Director-General’s opening remarksat the media briefing on COVID-19-11 March 2020, https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefinng-on-covid-19---11-march-2020 (accessed April 23,2020)
- O’Morain N, O’Morain C. The burden of digestive disease acrossEurope: facts and policies. Dig. Liver Dis. 2019; 51:1–3 Epub aheadof print E-Pub Jan.
- Peery AF, Crockett SD, Murphy CC et al. Burden and cost ofgastrointestinal, liver, and pancreatic diseases in the United States:update 2018. Gastroenterology 2019; 156: 254–72 e211 Epub ahead ofprint E-Pub Jan.
- Serper M, Kaplan DE, Shults J et al. Quality measures, all-causemortality, and health care use in a national cohort of veterans withcirrhosis. Hepatology 2019; 70: 2062–74 Epub ahead of print E-PubDec
- Repici A, Pace F, Gabbiadini R et al. Endoscopy units and theCOVID-19 outbreak: a multi-center experience from Italy. Gastroen-terology 2020 Epub ahead of print E-Pub Apr 10.
- Tapper EB, Asrani SK. COVID-19 pandemic will have a longlastingimpact on the quality of cirrhosis care. J. Hepatol. 2020 Epub ahead ofprint EPub Apr 13.
- Zhou P, Huang Z, Xiao Y, Huang X, Fan XG. Protecting Chinesehealthcare workers while combating the 2019 novel coronavirus.Infect. Control Hosp. Epidemiol. 2020: 1–4 Epub ahead of print E-PubMar 5
- Gobierno de España, Ministerio de Sanidad, Ministerio de Ciencia eInnovación, Instituto de Salud Carlos III. Análisis de los casos deCOVID- 19 en personal sanitario noticados a la RENAVE hasta el 10de mayo en España. May 29, 2020.
- Gralnek IM, Hassan C, Beilenhoff U et al. ESGE and ESGENAposition statement on gastrointestinal endoscopy and the COVID-19pandemic. Endoscopy 2020 Epub ahead of print E-Pub Apr 17.
- Sociedad Española de Patología Digestiva and Asociación Española deGastroenterología. Recommendations by the SEPD and AEG, both ingeneral and on the operation of gastrointestinal endoscopy andgastroenterology units, concerning the current SARS-CoV-2 pandemic(March, 18). Rev. Esp. Enferm. Dig. 2020; 112: 319–22 Epub ahead ofprint E-Pub Apr.
- Schwartz J, King CC, Yen MY. Protecting health care workers duringthe COVID-19 coronavirus outbreak—lessons from Taiwan’s SARSresponse. Clin. Infect. Dis. 2020 Epub ahead of print E-Pub Mar 12.
- Yen MY, Lin YE, Lee CH et al. Taiwan’s traffic control bundle and theelimination of nosocomial severe acute respiratory syndrome amonghealthcare workers. J. Hosp. Infect. 2011; 77: 332–7 Epub ahead ofprint E-Pub Apr.
- Soetikno R, Teoh AY, Kaltenbach T et al. Considerations in performingendoscopy during the COVID-19 pandemic. Gastrointest Endosc 2020Epub ahead of print E-Pub Mar 27.
- Gralnek IM, Hassan C, Beilenhoff U et al. ESGE and ESGENA positionstatement on gastrointestinal endoscopy and the COVID-19 pandemic.Endoscopy2020; 52: 483–90 Epub ahead of print E-Pub Jun.
- Repici A, Maselli R, Colombo M et al. Coronavirus (COVID-19)outbreak: what the department of endoscopy should know. GastrointestEndosc. 2020; 92: 192–7 Epub ahead of print E-Pub Jul.
- Aguila EJT, Cua IHY, Dumagpi JEL et al. COVID-19 and its effects onthe digestive system and endoscopy practice. JGH Open 2020; 4:324–31 Epub ahead of print E-Pub Jun.
- Gobierno de España, Instituto Nacional de Estadística. Residentpopulation by date, sex and age, Main series since 1971, NationalResults, https://www.ine.es/jaxiT3/Datos.htm?t=10256#!tabs-tabla(accessed April 23, 2020).
- Gobierno de España, Ministerio de la Gobernación. Real Decreto 463/2020. In: Ministerio de la Presidencia (ed.). 2020, p. 25390–400.
- Gobierno de España, Ministerio de Sanidad, Ministerio de Ciencia eInnovación, Instituto de Salud Carlos III. Situación de COVID-19 enEspaña, https://covid19.isciii.es/ (accessed April 23, 2020).
- Gobierno de España, Ministerio de Sanidad, Ministerio de Ciencia eInnovación, Instituto de Salud Carlos III. Informe COVID-19 n° 20.April 20, 2020.
- Lauer SA, Grantz KH, Bi Q et al. The incubation period of coronavirusdisease 2019 (COVID-19) from publicly reported conrmed cases:estimation and application. Ann. Internal Med. 2020 Epub ahead ofprint E-Pub Mar 10.
- Mahadev S, Aroniadis OS, Barraza L et al. Impact of the COVID-19pandemic on endoscopy practice: results of a cross-sectional surveyfrom the New York metropolitan area. Gastrointest Endosc. 2020 Epubahead of print E-Pub Apr 25.
- Goenka MK, Afzalpurkar S, Ghoshal UC, Guda N, Reddy N. Impact ofCOVID-19 on gastrointestinal endoscopy practice in India: acrosssectional study. Endosc. Int Open 2020; 8: E974–9 Epub aheadof print E-Pub Jul.
- Ong SWX, Tan YK, Chia PY et al. Air, surface environmental, andpersonal protective equipment contamination by severe acuterespiratory syndrome coronavirus 2 (SARS-CoV-2) from asymptomatic patient. JAMA 2020 Epub ahead of print E-Pub Mar 4.
- Gobierno de España, Ministerio de Sanidad, Ministerio de Ciencia eInnovación, Instituto de Salud Carlos III. Análisis de los casos deCOVID-19 noticados a la RENAVE hasta el 10 de mayo en España.Informe COVID-19 n° 33. May 29, 2020.
- Istituto de Sanità. Epidemia COVID-19. Aggiornamento nazionale 23aprile 2020—ore 16:00. April 24, 2020. Rome.
- Chou R, Dana T, Buckley DI, Selph S, Fu R, Totten AM.Epidemiology of and risk factors for coronavirus infection in healthcare workers: a living rapid review. Ann. Internal Med. 2020; 173:120–36 Epub ahead of print E-Pub Jul 21.
- Barrett ES, Horton DB, Roy J et al. Prevalence of SARS-CoV-2infection in previously undiagnosed health care workers at the onset ofthe U.S. COVID-19 epidemic. medRxiv 2020 Epub ahead of printE-Pub Apr 24
- Gobierno de España, Ministerio de Sanidad. Guía de actuación frente aCOVID-19 en los profesionales sanitarios y sociosanitarios. Version of13 April 2020.
- Gobierno de España, Ministerio de Sanidad, Ministerio de Ciencia eInnovación, Instituto de Salud Carlos III. Informe COVID-19 n° 25.April 23, 2020.
- Gobierno de España, Ministerio de Sanidad, Ministerio de Ciencia eInnovación, Instituto de Salud Carlos III. Estudio ENECOVID19:Segunda ronda estudio nacional de sero-epidemiología de la infecciónpor SARS-CoV-2 en España (Informe preliminar: 3 de junio de 2020).June 3, 2020.
- Treibel TA, Manisty C, Burton M et al. COVID-19: PCR screening ofasymptomatic healthcare workers at London hospital. Lancet 2020;395: 1608–10 Epub ahead of print E-Pub May 23.
- van Doremalen N, Bushmaker T, Morris DH et al. Aerosol and surfacestability of SARS-CoV-2 as compared with SARS-CoV-1. N. Engl. J.Med. 2020; 382: 1564–7 Epub ahead of print E-Pub Apr 16.
- Repici A, Aragona G, Cengia G et al. Low risk of covid-19transmission in GI endoscopy. Gut 2020 Epub ahead of print E-PubApr 22.
- Danese S, Ran ZH, Repici A et al. Gastroenterology departmentoperational reorganisation at the time of covid-19 outbreak: an Italianand Chinese experience. Gut 2020 Epub ahead of print E-Pub Apr 16.
- Ong J, Cross GB, Dan YY. Prevention of nosocomial SARS-CoV-2transmission in endoscopy: international recommendations and theneed for a gold standard. Gut 2020 Epub ahead of print E-Pub Apr 2