Implications of COVID-19 for the busy gastroenterologist

Ferreira‐Silva, Joel; Peixoto, Armando; Rodrigues‐Pinto, Eduardo; Macedo, Guilherme

doi:10.1097/meg.0000000000001811

Cited by 6 publications

(16 citation statements)

References 39 publications

(60 reference statements)

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“…Most papers were identified as expert consensus (n=56, 44.8%), followed by literature review (n=35, 28.0%). Many articles described specific recommendations for performing intubation15–19 or for certain areas, such as psychiatric services,20–22 orthopaedics,23 haemodynamic,24 intrahospital transport,25 oncology,26 27 field hospitals,28 29 paediatrics,30–34 diagnostic centres,35–37 inpatient units,38–43 endoscopy and gastroenterology centres,44–48 gynaecology and obstetrics,40 49–55 emergency units,56–60 intensive care unit40 41 56 61–68 and the most common was the surgical centres 48 61 69–99. Other articles made recommendations for the hospital service as a whole 19 58 64 100–138.…”

Section: Resultsmentioning

confidence: 99%

“…The reorganisation of the health services category addresses 17 recommendations related to the flow of patients, the management of human and material resources and the reorganisation of the hospital environment in order to prevent the transmission of COVID-19. It is recommended that all patients are considered suspects47 70 80 90 91 101 128 and undergo risk stratification20 21 23 24 27 31 32 36 39 43–47 49 53 66 70 72–74 76 81 85 91 93 100–102 108 110 119 125 126 133 135 139 with a history of clinical and epidemiological data20 22–24 39 45–47 49 72 81 92 93 95 96 101 124–126 133–135 and a test20 22 23 26 30 39 48–51 53 61 65 68 72 73 81 84 90 92 96 102 110 119 124 133 of RT-PCR,23 36 47 69 72 81 87 88 91 96 119 125 126 133 134 ELISA23 47 or nasal swab84 95 101 at admission screening,21 22 36 39 49–51 53 69 95 108 133 in the preoperative period,23 26 47 48 61 69 72 87 90 95 102 124 in referrals31 84 and before non-emergency procedures involving airway approaches 66 79 95…”

Section: Resultsmentioning

confidence: 99%

“…Aerosol-generating surgeries and procedures must be performed in rooms with negative pressure 18 19 30 44 46–48 53 62 66 67 69 70 75–77 79 84 87 89 91–94 98 120 128 131 137 139. If this is not possible, for procedures it is recommended to adapt a room that has natural ventilation with open windows with bars,18 35 56 100 110 120 137 139 high efficiency particulate air filter44 47 73 84 89 98 112 120 137 139 and doors to other environments must be kept closed 47 67 70 89 91 100 120 139…”

Section: Resultsmentioning

confidence: 99%

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Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review

et al. 2022

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ObjectiveTo map the recommendations for hospitalised patient safety in the context of the COVID-19 pandemic.DesignScoping review using the method recommended by the Joanna Briggs Institute.Data sourcesDatabases: Medline, SCOPUS, EMBASE, ScienceDirect, LILACS, CINAHL and IBECS; grey literature platform: Google Scholar; and 11 official websites of leading healthcare institutions were searched on 27 April 2021 and updated on 11 April 2022.Eligibility criteriaWe included documents that present recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic, published in any language, from 2020 onwards.Data extraction and synthesisData extraction was performed in pairs with consensus rounds. A descriptive analysis was carried out to present the main characteristics of the articles. Qualitative data from the extraction of recommendations were analysed through content analysis.ResultsOne hundred and twenty-five documents were included. Most papers were identified as expert consensus (n=56, 44.8%). Forty-six recommendations were identified for the safety of hospitalised patients: 17 relating to the reorganisation of health services related to the flow of patients, the management of human and material resources and the reorganisation of the hospital environment; 11 on the approach to the airways and the prevention of the spread of aerosols; 11 related to sanitary and hygiene issues; 4 about proper use of personal protective equipment and 3 for effective communication.ConclusionsThe recommendations mapped in this scoping review present the best practices produced so far and serve as a basis for planning and implementing good practices to ensure safe hospital care, during and after COVID-19. The engagement of everyone involved in the care of hospitalised patients is essential to consolidate the mapped recommendations and provide dignified, safe and quality care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review

et al. 2022

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“…The EV factors with the greatest presence were the environment, air quality and pollution. Some documents that cover at least two of these three factors were: [21], [22], [50], [65][66][67]. Sociodemographic and Socioeconomic risk factors.…”

Section: Relevant Risk Factorsmentioning

confidence: 99%

Risk Factors for COVID-19: A Systematic Mapping Study

Rosero

Realpe

Farinango

et al. 2022

Studies in Health Technology and Informatics

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Introduction: COVID-19 has affected people in several countries around the world. They experience respiratory symptoms that can be mild, moderate, or severe. Several reviews that characterize the risk factors of COVID-19 have been performed, but most address only risk factors associated with medical conditions, ignoring environmental and sociodemographic-socioeconomic factors. Objective: This study aims at characterizing different risk factors in the published literature that influence contagion by COVID-19. Methods: The review consists of three stages, including a systematic mapping with studies found in the Scopus database, an analysis of results, and finally the identification of relevant COVID-19 risk factors. Results: A map of studies id provided considering two main groups: the type of research and context. Most studies consider risk factors associated with medical conditions, while research on other factors is scarce. Conclusions: Medical conditions such as diabetes, obesity, cardiovascular disease, hypertension, and factors such as age and sex, appear to be the ones that increase the risk of contracting COVID-19. Further research is needed on environmental, sociodemographic, and socioeconomic risk factors.

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“…Shortly following the outbreak, the region went into lockdown and the population was instructed to self-isolate at home. Patients with inflammatory bowel disease (IBD) were advised to isolate and take routine precautions against COVID-19 as recommended by the World Health Organization, but to continue their medical therapy, including immunosuppressives or biologics [5 , 6 , 7] .…”

Section: Introductionmentioning

confidence: 99%

Risk of COVID 19 in patients with inflammatory bowel diseases compared to a control population

Maconi

Bosetti

Monti

et al. 2021

Digestive and Liver Disease

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Background It is unclear whether patients with inflammatory bowel disease (IBD) are at increased risk of COVID-19. Objectives This observational study compared the prevalence of COVID-19 symptoms, diagnosis and hospitalization in IBD patients with a control population with non-inflammatory bowel disorders. Methods This multicentre study, included 2733 outpatients (1397 IBD patients and 1336 controls), from eight major gastrointestinal centres in Lombardy, Italy. Patients were invited to complete a web-based questionnaire regarding demographic, historical and clinical features over the previous 6weeks. The prevalence of COVID-19 symptoms, diagnosis and hospitalization for COVID-19 was assessed. Results 1810 patients (64%) responded to the questionnaire (941 IBD patients and 869 controls). IBD patients were significantly younger and of male sex than controls. NSAID use and smoking were more frequent in controls. IBD patients were more likely treated with vitamin-D and vaccinated for influenza. Highly probable COVID-19 on the basis of symptoms and signs was less frequent in the IBD group (3.8% vs 6.3%; OR:0.45, 95%CI:0.28–0.75). IBD patients had a lower rate of nasopharyngeal swab-PCR confirmed diagnosis (0.2% vs 1.2%; OR:0.14, 95%CI:0.03–0.67). There was no difference in hospitalization between the groups (0.1% vs 0.6%; OR:0.14, 95%CI:0.02–1.17). Conclusion IBD patients do not have an increased risk of COVID-19 specific symptoms or more severe disease compared with a control group of gastroenterology patients.

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Implications of COVID-19 for the busy gastroenterologist

Cited by 6 publications

References 39 publications

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review

Risk Factors for COVID-19: A Systematic Mapping Study

Risk of COVID 19 in patients with inflammatory bowel diseases compared to a control population

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