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Article ; Online: Impact of the COVID-19 Outbreak on Anesthesiologist Assistance for Endoscopic Procedures

Calcedonio Calcara / Camilla Ciscato / Arnaldo Amato / Emanuele Sinagra / Costanza Alvisi / Sandro Ardizzone / Andrea Anderloni / Pietro Gambitta

Clinical Endoscopy, Vol 55, Iss 1, Pp 49-

2022  Volume 57

Abstract: Background/Aims: The coronavirus disease 2019 (COVID-19) outbreak has modified the activities of endoscopy units worldwide. Herein, we investigated the impact of the COVID-19 outbreak on anesthesiologist assistance for endoscopic procedures in Lombardy, ... ...

Abstract Background/Aims: The coronavirus disease 2019 (COVID-19) outbreak has modified the activities of endoscopy units worldwide. Herein, we investigated the impact of the COVID-19 outbreak on anesthesiologist assistance for endoscopic procedures in Lombardy, Italy. Methods: A questionnaire concerning anesthesiologist assistance provided from October 26 to December 6, 2020, in comparison with the same period in 2019, was sent to endoscopic units in Lombardy. Results: Approximately 54% (34/63) of the units responded. A reduction in the number of all endoscopies (-33.5%; 18792 in 2020 vs. 28264 in 2019) and anesthesiologist-assisted endoscopies (-15.3%; 2652 in 2020 vs. 3132 in 2019) was reported. A greater reduction in anesthesiologist assistance was observed in government community units (-29.5%) than in academic (-14%) and private community units (-4.6%). Among all units, 85% reported a reduction in anesthesiologist assistance; 65% observed a delay/cancellation of procedures; 59%, a restricted patient selection; 17%, the need to transfer some patients to other hospitals; and 32%, a related worsening of procedure quality. Conclusion: The COVID-19 pandemic compromised the anesthesiologist assistance for endoscopic procedures in Lombardy, which worsened the procedure quality mainly in government community units. The COVID-19 “stress test” suggests a more balanced allocation of anesthesiologic resources in the future.
Keywords anesthesiologist assistance ; covid-19 ; endoscopic quality ; Internal medicine ; RC31-1245 ; Diseases of the digestive system. Gastroenterology ; RC799-869
Subject code 600
Language English
Publishing date 2022-01-01T00:00:00Z
Publisher Korean Society of Gastrointestinal Endoscopy
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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