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Decline in acute upper gastrointestinal bleeding during COVID-19 pandemic after initiation of lockdown in Austria
- Source :
- Endoscopy
- Publication Year :
- 2020
- Publisher :
- Georg Thieme Verlag KG, 2020.
-
Abstract
- Background COVID-19 has spread rapidly around the world. The Austrian government implemented a lockdown on 16 March to contain further spread of the disease. We investigated the effects of lockdown on acute upper gastrointestinal (GI) bleeding in Austria. Methods We contacted 98 Austrian hospitals performing emergency endoscopies. The hospitals were asked to report upper GI endoscopies performed for recent hematemesis, melena, or both, and exhibiting endoscopically visible signs of bleeding. The study period was from 3 weeks before (calendar Week 9) to 3 weeks after (Week 14) initiation of the lockdown. Results 61 % of Austrian hospitals, and importantly all major state hospitals, responded. A total of 575 upper GI bleedings occurred during the 3 weeks before and 341 during the 3 weeks after initiation of lockdown (40.7 % reduction). There was a 54.6 % decline in nonvariceal bleeding events at Week 14 compared with Week 9 (89 vs. 196), whereas rates of variceal hemorrhage did not change (15 vs. 17). Conclusions National lockdown resulted in a dramatic decrease in upper GI bleeding events in Austrian hospitals.
- Subjects :
- 2019-20 coronavirus outbreak
medicine.medical_specialty
Innovations and brief communications
Coronavirus disease 2019 (COVID-19)
GI bleeding
Pneumonia, Viral
Esophageal and Gastric Varices
Betacoronavirus
03 medical and health sciences
0302 clinical medicine
Melena
Pandemic
medicine
Humans
Upper gastrointestinal
030212 general & internal medicine
Pandemics
SARS-CoV-2
business.industry
General surgery
Gastroenterology
COVID-19
Endoscopy
Acute upper gastrointestinal bleeding
Variceal hemorrhage
Social Isolation
Austria
Communicable Disease Control
030211 gastroenterology & hepatology
medicine.symptom
Coronavirus Infections
Gastrointestinal Hemorrhage
business
Subjects
Details
- ISSN :
- 14388812 and 0013726X
- Volume :
- 52
- Database :
- OpenAIRE
- Journal :
- Endoscopy
- Accession number :
- edsair.doi.dedup.....ed335f6f64bc01130e851d995aeda1a1
- Full Text :
- https://doi.org/10.1055/a-1178-4656