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NATIONAL TRENDS OF GASTROINTESTINAL BLEED RELATED DISEASES AND PROCEDURES DURING THE COVID PANDEMIC
Gastroenterology ; 160(6):S-419-S-420, 2021.
Article in English | EMBASE | ID: covidwho-1596715
ABSTRACT

Background:

The COVID 19 pandemic has caused a major disruption in healthcare delivery as lockdown orders and other restrictions have limited the ability to seek care and receive medical care and procedures. This investigation aimed to assess the pandemic impact on the incidence of gastrointestinal bleeds (GIB) related diseases and procedures compared to the pre-pandemic period.

Methods:

TrinetX, a national federated healthcare database comprised of 61 million patient records, was used to identify the incidence of new GIB related diseases and procedures (variables) performed each month for two periods of the pandemic. The first period was from April 2020-July 2020 (early pandemic), and the second was from August 2020-November 2020 (late pandemic). The mean for each variable was then compared with the pooled monthly incidence from similar periods between 2018-2019 before the pandemic. Descriptive analyses were performed, and comparisons were made using a student's t-test. Diseases and procedures were identified by ICD-10 and CPT codes, respectively.

Results:

A total of 20 variables were analyzed in both periods (Table 1). In the April 2020-July 2020 period, all 20 GIB related variables showed a statistically significant decrease in the average incidence compared to a similar pre-pandemic period. The top 5 variables were colonoscopy (-44% change, p=0.003), sigmoidoscopy (-40.7% change, p=0.002), polyps (- 38.5%, p=0.007), esophagogastroduodenoscopy (-38% change, p=0.005), and hemorrhoids (-35.8% change, p=0.005). In the Aug 2020-Nov 2020 period, only 8 GIB related variables showed a statistically significant decrease in the average incidence compared to a similar pre-pandemic period. The top 5 variables were colonoscopy (-38.2% change, p=0.01), sigmoidoscopy (-37.8% change, p=0.02), esophagogastroduodenoscopy (-34.8%, p=0.019), diverticulosis (-30.9% change, p=0.03), hemorrhoids (-30.8%, p=0.043).

Discussion:

The early pandemic period showed statistically significant decreases in all 20 GIB related diseases and procedures variables, while the late pandemic period showed statistically significant decreases in only 8 GIB related variables. This shows that while the healthcare field is improving its handle on the pandemic, patients with GIB have started seeking healthcare. Further research is warranted to examine the future implications of this disruption in the care of patients with GIB during the COVID-19 pandemic.(Table Presented) Pooled mean monthly incidence of Gastrointestinal Bleed related diagnosis and procedure variables related between April 2020-July 2020 (early pandemic), and August 2020-November 2020 (late pandemic) compared to similar periods between 2018-2019 (pre-pandemic).
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Gastroenterology Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Gastroenterology Year: 2021 Document Type: Article