Impact of the COVID-19 pandemic on Gastroenterology Divisions in Italy: A national survey.
Betacoronavirus
COVID-19
Coronavirus Infections
/ prevention & control
Gastroenterology
/ methods
Health Personnel
Hospitals
Humans
Infection Control
/ methods
Italy
/ epidemiology
Pandemics
/ prevention & control
Personal Protective Equipment
/ standards
Pneumonia, Viral
/ prevention & control
SARS-CoV-2
Surveys and Questionnaires
COVID-19
Gastroenterology
Impact
Pandemic
SARS-CoV-2
Survey
Journal
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
ISSN: 1878-3562
Titre abrégé: Dig Liver Dis
Pays: Netherlands
ID NLM: 100958385
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
13
04
2020
revised:
08
05
2020
accepted:
12
05
2020
pubmed:
20
5
2020
medline:
11
8
2020
entrez:
20
5
2020
Statut:
ppublish
Résumé
In Italy, the spread of the COVID-19 pandemic has stressed the entire healthcare system and required a huge re-organization of many Divisions, including those of Gastroenterology. to assess the impact of COVID-19 pandemic on Gastroenterology Divisions across Italy. All members of the Italian Society of Gastroenterology (SIGE) were invited to answer a web-based survey. Data of 121 hospitals from all 20 Italian regions were analyzed. Overall, 10.7% Gastroenterology Divisions have been converted to Covid Units. Outpatients consultations, endoscopic and ultrasound procedures were limited to urgencies and oncology indications in 85.1%, 96.2% and 72.2% of Units, respectively, and 46.7% of them suspended the screening for colorectal cancer. Moreover, 72.2% of the staff received a training for use of personal protective equipment, although 45.5% did not have sufficient devices for adequate replacement. Overall, 132 healthcare workers in 41 Gastroenterology Divisions were found to be infected. This is the first study to evaluate, at a country level, the impact of COVID-19 outbreak on Gastroenterology Divisions. Substantial changes of practice and reduction of procedures have been recorded in the entire country. The long-term impact of such modifications is difficult to estimate but potentially very risky for many digestive diseases.
Sections du résumé
BACKGROUND
BACKGROUND
In Italy, the spread of the COVID-19 pandemic has stressed the entire healthcare system and required a huge re-organization of many Divisions, including those of Gastroenterology.
AIMS
OBJECTIVE
to assess the impact of COVID-19 pandemic on Gastroenterology Divisions across Italy.
METHODS
METHODS
All members of the Italian Society of Gastroenterology (SIGE) were invited to answer a web-based survey.
RESULTS
RESULTS
Data of 121 hospitals from all 20 Italian regions were analyzed. Overall, 10.7% Gastroenterology Divisions have been converted to Covid Units. Outpatients consultations, endoscopic and ultrasound procedures were limited to urgencies and oncology indications in 85.1%, 96.2% and 72.2% of Units, respectively, and 46.7% of them suspended the screening for colorectal cancer. Moreover, 72.2% of the staff received a training for use of personal protective equipment, although 45.5% did not have sufficient devices for adequate replacement. Overall, 132 healthcare workers in 41 Gastroenterology Divisions were found to be infected.
CONCLUSION
CONCLUSIONS
This is the first study to evaluate, at a country level, the impact of COVID-19 outbreak on Gastroenterology Divisions. Substantial changes of practice and reduction of procedures have been recorded in the entire country. The long-term impact of such modifications is difficult to estimate but potentially very risky for many digestive diseases.
Identifiants
pubmed: 32425733
doi: 10.1016/j.dld.2020.05.017
pii: S1590-8658(20)30224-3
pmc: PMC7229963
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
808-815Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
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