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Table 2 Comparison of endoscopic procedures in patients with or without known COVID-19 status

From: Pre-endoscopy SARS-CoV-2 testing strategy during COVID-19 pandemic: the care must go on

 

rtPCR result available

rtPCR result not available

Historic cohort 2019

Patients (n)

313 (89%)

39 (11%)

368 (100%)

Gender (m/f)

179 (57%)/134 (43%)

26 (67%)/13 (33%)

227 (62%)/141 (38%)

Age

62 ± 18 (1–95)

64 ± 15 (30–91)

63 ± 16 (3–88)

In-patient / out-patient

231 (74%)/82 (26%)

25 (64%)/14 (36%)

262 (71%)/106 (29%)

Timing of endoscopy

   

  < 6 h of symptom onset

26 (8%)

14 (36%)

29 (8%)

 6–24 h of symptom onset

42 (13%)

3 (8%)

37 (10%)

 Routine

245 (78%)

22 (56%)

302 (82%)

Endoscopic procedure

   

 EGD

161 (51%)

23 (59%)

191 (52%)

 Colonoscopy

106 (34%)

12 (31%)

134 (36%)

 ERCP

38 (12%)

4 (10%)

30 (8%)

 EUS

8 (3%)

0 (0%)

13 (4%)

Outcome emergency procedure

N = 68

N = 16

N = 66

 Clinically significant finding

56 (82%)

12 (75%)

43 (65%)

 Endoscopic haemostasis

22 (32%)

7 (44%)

21 (32%)

 Biliary/pancreatic intervention

13 (19%)

3 (19%)

4 (6%)

 Other endoscopic therapy

3 (4%)

1 (6%)

8 (12%)

Outcome routine procedures

N = 245

N = 23

N = 302

 Clinically significant finding

60 (25%)

4 (17%)

78 (26%)

 Endoscopic haemostasis

3 (1%)

0 (0%)

1 (0.5%)

 Biliary/pancreatic intervention

28 (11%)

1 (4%)

20 (8%)

 PEG/feeding tube

8 (3%)

2 (9%)

5 (2%)

 Polypectomy

18 (7%)

2 (9%)

43 (14%)

 Other endoscopic therapy

7 (3%)

0 (0%)

9 (3%)

  1. In addition to results from the first wave of COVID-19 in Germany, results of a historic cohort (pre-COVID-19 era) are presented. The number of endoscopies performed in this 31-day period was comparable with the number of procedures in the 49-day period 1 year later
  2. Clinically significant findings: life-threatening conditions; result that changes patient management; gastrointestinal ulcers; cancer or polyps ≥ 10 mm; reflux esophagitis ≥ Los Angeles C
  3. EGD esophagogastroduodenoscopy, ERCP endoscopic retrograde cholangiopancreatography, EUS endoscopic ultrasound; PEG percutaneous endoscopic gastrostomy