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肝硬化和腹水住院患者及时进行腹腔穿刺术的比例仍然较低,但 COVID-19 大流行并未对此产生影响。

Rates of timely paracentesis for patients admitted to hospital with cirrhosis and ascites remain low but are unaffected by the COVID-19 pandemic.

机构信息

Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.

University of Minnesota Medical School, Minneapolis, Minnesota, USA.

出版信息

J Hosp Med. 2022 Apr;17(4):276-280. doi: 10.1002/jhm.12797. Epub 2022 Feb 26.

Abstract

For the first 6 months of the novel coronavirus-19 (COVID-19) pandemic, the hospital medicine procedure service at our center was temporarily unavailable. We assessed paracentesis rates and clinical outcomes for patients admitted with cirrhosis and ascites before and during the COVID-19 pandemic. Two hundred and twenty-four and 131 patients with cirrhosis and ascited were admitted to hospital before and during COVID-19 respectively. Approximately 50.9% and 49.6% of patients underwent a paracentesis within 24 h pre- and mid-pandemic, p = .83. No differences were observed for length-of-stay or 30-day readmissions. GI consultation was associated with higher rates of paracentesis in both eras (p < .001 pre-COVID-19, and p = .01 COVID-19). Changes due to the COVID-19 pandemic did not result in changes to rates of timely paracentesis in patients admitted with cirrhosis and ascites. While involvement of gastroenterology may increase rates of paracentesis, further efforts are needed to optimize rates of timely paracentesis to positively impact clinical outcomes.

摘要

在新型冠状病毒-19(COVID-19)大流行的前 6 个月,我们中心的医院内科程序服务暂时无法使用。我们评估了 COVID-19 大流行前后因肝硬化和腹水住院患者的穿刺率和临床结局。分别有 224 名和 131 名肝硬化和腹水患者在 COVID-19 大流行之前和期间入院。大约 50.9%和 49.6%的患者在大流行前和中期 24 小时内接受了穿刺术,p=0.83。住院时间或 30 天再入院率没有差异。在两个时期,胃肠病学咨询都与穿刺术更高的比例相关(COVID-19 大流行前,p<0.001;COVID-19,p=0.01)。COVID-19 大流行带来的变化并没有改变肝硬化和腹水患者及时穿刺术的比例。虽然胃肠病学的参与可能会增加穿刺术的比例,但需要进一步努力优化及时穿刺术的比例,以积极影响临床结局。

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