COVID-19流行病对胃肠内镜检查的性能的影响
Youn Kyung Kim1, Su Bee Park1, Moonhyung Lee1
1Department of Gastroenterology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea.
随着COVID-19的流行,消化肠道内镜程序 (如EGD和结肠镜) 的数量减少了. 然而,ERCP和腹部美国索赔的下降幅度较小,ERCP更敏感于时间,而美国程序没有被气溶.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19大流行,由于感染风险,导致推迟非紧急的胃肠内镜检查.
- 之前没有以人口为基础的研究量化了大流行对胃肠道程序的影响.
研究的目的:
- 为了检查COVID-19大流行对韩国关键胃肠道手术的表现的影响.
- 具体分析疫情期间食管胃管腺镜检查 (EGD),结肠镜检查,ERCP和腹部超声镜检查 (US) 的变化.
主要方法:
- 采用了全国范围的,基于人口的研究设计.
- 2020-2021年 (COVID-19时代) 与2019年 (大流行前基线) 的EGD,结肠镜,ERCP和腹部US的医疗保健索赔数据进行比较.
主要成果:
- 2020年,EGD和结肠镜检查的年度索赔分别下降了6.3%和6.9%.
- 2020年,ERCP和腹部美国索赔分别增加了1.0%和2.9%.
- 在2020年3月至4月的急剧增长期间,与2019年相比,EGD,结肠镜检查,ERCP和美国的月度索赔分别在3月下降了28.8%,43.8%,5.1%和21.6%,并在4月下降了17.2%,32.8%,4.4%和9.5%,与2019年相比.
结论:
- 胃肠内镜 (EGD,结肠镜) 索赔在COVID-19大流行期间显著下降.
- ERCP和腹部美国索赔显示减少不那么显著.
- ERCP的时间敏感性和美国的非气溶特性可能导致它们的下降幅度较小.
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