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Rates of timely paracentesis for patients admitted to hospital with cirrhosis and ascites remain low but are unaffected by the COVID-19 pandemic.
Aby, Elizabeth S; Lall, Drishti; Vasdev, Amrit; Mayer, Adam; Olson, Andrew P J; Lim, Nicholas.
  • Aby ES; Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.
  • Lall D; University of Minnesota Medical School, Minneapolis, Minnesota, USA.
  • Vasdev A; University of Minnesota Medical School, Minneapolis, Minnesota, USA.
  • Mayer A; University of Minnesota Medical School, Minneapolis, Minnesota, USA.
  • Olson APJ; Division of General Internal Medicine, Section of Hospital Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
  • Lim N; Division of Pediatric Hospital Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
J Hosp Med ; 17(4): 276-280, 2022 04.
Article in English | MEDLINE | ID: covidwho-1712135
ABSTRACT
For the first 6 months of the novel coronavirus-19 (COVID-19) pandemic, the hospital medicine procedure service at our center was temporarily unavailable. We assessed paracentesis rates and clinical outcomes for patients admitted with cirrhosis and ascites before and during the COVID-19 pandemic. Two hundred and twenty-four and 131 patients with cirrhosis and ascited were admitted to hospital before and during COVID-19 respectively. Approximately 50.9% and 49.6% of patients underwent a paracentesis within 24 h pre- and mid-pandemic, p = .83. No differences were observed for length-of-stay or 30-day readmissions. GI consultation was associated with higher rates of paracentesis in both eras (p < .001 pre-COVID-19, and p = .01 COVID-19). Changes due to the COVID-19 pandemic did not result in changes to rates of timely paracentesis in patients admitted with cirrhosis and ascites. While involvement of gastroenterology may increase rates of paracentesis, further efforts are needed to optimize rates of timely paracentesis to positively impact clinical outcomes.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Paracentesis / COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: J Hosp Med Year: 2022 Document Type: Article Affiliation country: Jhm.12797

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Paracentesis / COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: J Hosp Med Year: 2022 Document Type: Article Affiliation country: Jhm.12797