A Gastroenterologist’ clinical experience in COVID 19 and in-hospital mortality and length of stay analysis.

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.

KEYWORDS:

• COVID-19
• gastroenterology
• mortality
• length of stay
• SARS COV2

Acknowledgments

None.

Declaration of interest

No potential conflict of interest was reported by the author(s).

Geological information

Granada, Spain.

Declaration of financial/ other relationships

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. Peer reviewers on this manuscript have no relevant financial or other relationships to disclose

Biographical note

• Francisco Valverde-López: young gastroenterologist specialized in pancreatic diseases, with interest in endoscopy and clinical gastroenterology.

• Cristina Tendero-Peinado: gastroenterology fellow

• Marta Lecuona-Muñoz: gastroenterology fellow

• Clara Heredia-Carrasco: gastroenterologist specialized in oncology and abdominal ultrasounds with interest in endoscopy.

• Patricia Abellán-Alfocea: young gastroenterologist with interest in endoscopy and clinical gastroenterology.

• Eva Julissa Ortega-Suazo: young gastroenterologist with interest in endoscopy and clinical gastroenterology and hepatology.

• Maria del Mar Martín-Rodríguez: gastroenterologist specialized in inflammatory bowel disease and clinical gastroenterology.

• Antonio Damián Sánchez-Capilla: gastroenterologist specialized in inflammatory bowel disease and abdominal ultrasounds.

• Virginia Sotorrío-Simó: internal medicine practitioner who has been involved in COVID 19 management.

• Rita Jiménez-Rosales: young gastroenterologist specialized in oncology with interest in endoscopy and clinical gastroenterology.

• Eduardo Rendondo-Cerezo: gastroenterologist specialized in advance endoscopy and chief of the Gastroenterology and Hepatology department.

Additional information

Funding

This paper was not funded.