Massive impact of coronavirus disease 2019 pandemic on gastroenterology and hepatology departments and doctors in Spain

  1. Calleja, José Luis 12
  2. Turnes, Juan 3
  4. Crespo, Javier 24
  5. Hernández‐Guerra, Manuel
  6. Hernández‐Conde, Marta 12
  7. Rasines, Laura 24
  8. Albillos, Agustín 25
  9. Mora, Pedro 6
  10. Fernández Carrillo, Carlos 12
  11. Iruzubieta, Paula 24
  12. Bañares, Rafael 27
  13. Jorquera, Francisco 28
  14. Fernández Vázquez, Inmaculada 9
  1. 1 Department of Gastroenterology and Hepatology Puerta de Hierro‐Majadahonda University Hospital, Health Research Institute Puerta de Hierro – Segovia de Arana Madrid Spain
  2. 2 Biomedical Research Networking Center of Hepatic and Digestive Diseases Institute of Health Carlos III Madrid Spain
  3. 3 Department of Gastroenterology and Hepatology Galicia Sur Health Research Institute, Pontevedra University Hospital Complex Pontevedra Spain
  4. 4 Department of Gastroenterology and Hepatology Marqués de Valdecilla University Hospital, Health Research Institute Valdecilla Santander Spain
  5. 5 Department of Gastroenterology and Hepatology Ramón y Cajal University Hospital, University of Alcalá, Ramón y Cajal Institute for Health Research Madrid Spain
  6. 6 Department of Gastroenterology La Paz University Hospital, Hospital La Paz Institute for Health Research Madrid Spain
  7. 7 Department of Gastroenterology Gregorio Marañón General University Hospital, Health Research Institute Gregorio Marañón, Complutense University of Madrid Madrid Spain
  8. 8 Department of Gastroenterology León University Hospital Complex, Biomedicine Institute, University of León León Spain
  9. 9 Liver Unit University Hospital 12 de Octubre, Research Institute Hospital 12 de Octubre Madrid Spain
  10. 10 Universidad de La Laguna
    info

    Universidad de La Laguna

    San Cristobal de La Laguna, España

    ROR https://ror.org/01r9z8p25

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Revue:
Journal of Gastroenterology and Hepatology

ISSN: 0815-9319,  1440-1746

Année de publication: 2020

Pages: 1-7

Type: Article

DOI: 10.1111/JGH.15340 GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Journal of Gastroenterology and Hepatology

Objectifs de Développement Durable

Résumé

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

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