Effect of Using Personal Protective Equipment during the COVID-19 Pandemic on the Quality Indicators of Screening Colonoscopies

Autor:	Janak Bahirwani, Noel B. Martins, Subin Chirayath, Parampreet Kaur, Ronak Modi
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Article Subject Colonoscopy RC799-869 Withdrawal time EPIC 03 medical and health sciences 0302 clinical medicine Electronic health record Chart review Pandemic Medicine Personal protective equipment Hepatology medicine.diagnostic_test business.industry Gastroenterology Cecal intubation Diseases of the digestive system. Gastroenterology 030220 oncology & carcinogenesis Emergency medicine 030211 gastroenterology & hepatology Detection rate business Research Article
Zdroj:	Gastroenterology Research and Practice Gastroenterology Research and Practice, Vol 2021 (2021)
ISSN:	1687-6121
DOI:	10.1155/2021/8910004
Popis:	Background. Coronavirus Disease 2019 (COVID-19) has affected many facets of the practice of medicine including screening colonoscopies. Aims. Our study looks to observe if there has been an effect on the quality of colonoscopies, as indicated by quality measures such as the cecal intubation rate (CIR), cecal intubation time (CIT), scope withdrawal time (SWT), and adenoma detection rate (ADR) with the adoption of standard COVID-19 precautions. Methods. We conducted a retrospective chart review to analyze the effects of the COVID-19 pandemic on screening colonoscopies. The study utilized data on CIR, CIT, SWT, and ADR from outpatient, nonemergent procedures conducted at 3 endoscopy suites of St. Luke’s University Health Network. All inpatient and emergent procedures were excluded. Results. Our study demonstrated that the total number of screening colonoscopies was decreased between 2019 and 2020 (318 in 2019 vs. 157 in 2020, p = 0.005 ). CIT ( 320 ± 105 seconds in 2019 vs. 392 ± 107 seconds in 2020, p = 0.001 ) and SWT ( 706 ± 232 seconds in 2019 vs. 830 ± 241 seconds in 2020, p = 0.001 ) were increased while CIR (98.2% in 2019 vs. 96.6% in 2020, p = 0.04 ) was decreased between 2019 and 2020 likely due to PPE introduction. ADR was similar between the two groups (38.23 (12.50-66.66) in 2019 vs. 38.18 (16.66-66.00) in 2020, p = 0.8 ). Conclusion. Our study showed that quality indices for screening colonoscopies like CIR, CIT, and SWT were negatively impacted during the COVID-19 time period. ADR, however, was similar. Thus, the efficiency of the procedures was affected by the use of PPE but it did not affect the colonoscopy’s clinical benefit.
Databáze:	OpenAIRE
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