ABSTRACT

Objectives

COVID19 pandemic has forced physicians from different specialties to assist cases overload. Our aim is to assess gastroenterologist’s assistance in COVID-19 by assessing mortality, ICU admission, and length of stay, and seek for risk factors for in-hospital mortality and longer hospital stay.

Methods

A total of 41 COVID-19 patients assisted by gastroenterologist (GI cohort) and 137 assisted by pulmonologist, internal medicine practitioners, and infectious disease specialists (COVID expert cohort) during October-November 2020 were prospectively collected. Clinical, demographic, imaging, and laboratory markers were collected and compared between both cohorts. Bivariate analysis and logistic regression were performed to search for risk factors of mortality and longer hospital stays.

Results

A total of 27 patients died (15.1%), 11 were admitted to ICU (6.1%). There were no differences between cohorts in mortality (14.6% vs 15.4%;p = 0.90), ICU admission (12.1% vs 4%;p = 0.13), and length of stay (6.67 ± 4 vs 7.15 ± 4.5 days; p = 0.58). PaO2/FiO2 on admission (OR 0.991;CI95% 0.984–0.998) and age > 70 (OR 17.54;CI95% 3.93–78.22) were independently related to mortality. Age > 70, history of malignancy, diabetes, and cardiovascular disease were related to longer hospital stays (p < 0.001, p = 0.03, p = 0.04, p = 0.02 respectively)

Conclusions

COVID-19 assistance was similar between gastroenterologist and COVID experts when assessing mortality, ICU admission, and length of stay. Age>70 and decreased PaO2/FiO2 on admission were independent risk factors of mortality. Age and several comorbidities were related to longer hospital stay.

中文翻译：

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胃肠病学家在 COVID 19 和住院死亡率和住院时间分析方面的临床经验。

摘要

目标

COVID19 大流行迫使来自不同专业的医生协助病例超负荷工作。我们的目标是通过评估死亡率、ICU 入院率和住院时间来评估胃肠病学家对 COVID-19 的帮助，并寻找住院死亡率和住院时间更长的风险因素。

方法

前瞻性收集了 2020 年 10 月至 11 月期间由胃肠病学家（GI 队列）协助的 41 名 COVID-19 患者和由肺病学家、内科医生和传染病专家（COVID 专家队列）协助的 137 名患者。收集并比较两个队列之间的临床、人口统计学、影像学和实验室标志物。进行双变量分析和逻辑回归以寻找死亡率和住院时间较长的危险因素。

结果

共有27例患者死亡（15.1%），11例入住ICU（6.1%）。死亡率（14.6% vs 15.4%；p = 0.90）、ICU入院（12.1% vs 4%；p = 0.13）和住院时间（6.67 ± 4 vs 7.15 ± 4.5天；p = 0.58)。入院时的 PaO2/FiO2（OR 0.991；CI95% 0.984–0.998）和年龄 > 70（OR 17.54；CI95% 3.93–78.22）与死亡率独立相关。年龄 > 70 岁、恶性肿瘤病史、糖尿病和心血管疾病与住院时间延长有关（分别为 p < 0.001、p = 0.03、p = 0.04、p = 0.02）

结论

在评估死亡率、入住 ICU 和住院时间时，胃肠病学家和 COVID 专家对 COVID-19 的帮助相似。年龄>70 岁和入院时 PaO2/FiO2 降低是死亡的独立危险因素。年龄和一些合并症与较长的住院时间有关。