Experience of Hospital Admission and Surgery During the COVID-19 Pandemic: a Survey of IBD Patients
- PDF / 420,679 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 4 Downloads / 227 Views
RESEARCH COMMUNICATION
Experience of Hospital Admission and Surgery During the COVID-19 Pandemic: a Survey of IBD Patients Nan Lan 1 & Min Zhi 2 & Yan Chen 3 & Xianrui Wu 4 & Ping Lan 4 & Ravi P. Kiran 5 & Bo Shen 6 Received: 27 May 2020 / Accepted: 19 July 2020 # 2020 The Society for Surgery of the Alimentary Tract
Abstract Background The aim of this study was to evaluate the experience of surgery in IBD patients during the COVID pandemic. Methods A survey was distributed among patients undergoing IBD-related surgeries from January 2020 to March 2020 via an online platform. The response was submitted anonymously. Results A total of 78 patients responded to the survey. COVID-19 testing was conducted in 60 (76.9%) patients, and they were all tested negative. Emergent surgery was performed in 12 (15.4%) patients and postponed surgery in 18 (23.1%) patients. The surgical indications were mainly bowel obstruction (N = 21, 26.9%) and perianal abscess (N = 18, 23.1%). Postoperative complications were noted in 5.1% of cases, but no re-operation was required. Due to the ongoing COVID pandemic, 58 (74.4%) patients reported various levels of concern and anxiety for surgery. Conclusions Common surgical indications were for bowel obstruction and perianal abscess. Surgery can be postponed, but disease progression should be monitored closely and surgically intervened as needed. Most patients expressed anxiety resulting from the pandemic. The overall experience was satisfactory. Keywords Novel coronavirus disease-2019 . Inflammatory bowel disease . Surgery
Abbreviations COVID-19 Coronavirus disease-2019 IBD Inflammatory bowel disease
Novel coronavirus disease-2019 (COVID-19), was caused by severe acute respiratory syndrome coronavirus.1 The virus * Bo Shen [email protected] 1
Department of Internal Medicine, Canton Medical Education Foundation, Canton, OH, USA
2
Department of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
3
Department of Gastroenterology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
4
Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
5
Division of Colorectal Surgery, Columbia University Irving Medical Center/NewYork Presbyterian Hospital, New York, NY, USA
6
Center for Inflammatory Bowel Disease, Columbia University Irving Medical Center/NewYork Presbyterian Hospital, New York, NY, USA
spreads across the world at an alarming rate leading to a pandemic and creating a severe burden to health care resources. Inflammatory bowel diseases (IBD) are chronic conditions requiring lifelong treatment in the majority of patients with a high risk for surgery.2,3 Given the severity of the pandemic, it has been recommended by multiple associations and societies that elective surgery be postponed while urgent surgery should continue.4–6 The current survey study is aimed to evaluate changes in hospital admissions and surgeries during COVID-19 from
Data Loading...
