Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology and Metabolism, Medical University Innsbruck, Innsbruck, Austria.
Department of Visceral, Transplant and Thoracic Surgery, Medical University Innsbruck, Innsbruck, Austria.
Endoscopy. 2020 Nov;52(11):1036-1038. doi: 10.1055/a-1178-4656. Epub 2020 Jul 9.
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.
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.
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).
National lockdown resulted in a dramatic decrease in upper GI bleeding events in Austrian hospitals.
COVID-19 在全球范围内迅速传播。奥地利政府于 3 月 16 日实施封锁，以遏制疾病的进一步传播。我们调查了封锁对奥地利急性上消化道（GI）出血的影响。
我们联系了 98 家在奥地利进行紧急内镜检查的医院。要求这些医院报告最近因呕血、黑便或两者兼有并表现出内镜下可见出血迹象而进行的上 GI 内镜检查。研究期间为封锁开始前的 3 周（日历周 9）至封锁开始后的 3 周（第 14 周）。
61%的奥地利医院，重要的是所有主要的州立医院，都做出了回应。在封锁开始前的 3 周内共发生 575 例上 GI 出血，在封锁开始后的 3 周内发生 341 例（减少 40.7%）。与第 9 周相比，第 14 周非静脉曲张性出血事件下降了 54.6%（89 例比 196 例），而静脉曲张性出血的发生率没有变化（15 例比 17 例）。
全国封锁导致奥地利医院上 GI 出血事件急剧减少。
