Paediatric Gastrointestinal Procedural Patterns in New York City During the COVID-19 Pandemic

IF 1.4 4区医学 Q2 PEDIATRICS

Journal of paediatrics and child health Pub Date : 2025-08-11 DOI:10.1111/jpc.70166

Caitlin Cain-Trivette, Natasha Dilwali, Will Simmons, Erika L. Abramson, Zachary Grinspan, Melissa Rose

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引用次数: 0

Abstract

Aim

We evaluated changes in paediatric endoscopy patterns in New York City (NYC) before, during, and after the COVID-19 pandemic to see the effects on paediatric procedures, medical utilisation, and medical trainees over 4 years.

Methods

Clinical data on gastroenterology procedures performed on patients under 21 years old were collected from five NYC hospitals via the INSIGHT Clinical Research Network. We reviewed data from March to February for 4 years: 2019–2020 as baseline, 2020–2021 as the pandemic, and 2021–2022 and 2022–2023 as post-pandemic.

Results

A total of 40 218 paediatric GI procedures were performed on 18 362 patients. Yearly changes in procedures differed by subcategory, with a significant decrease in invasive procedures during the pandemic compared to the year prior: liver biopsies (43.3% decrease, 95% CI 26.4, 56.7), motility (26.0% decrease, 95% CI 2.89, 43.88), and suction rectal biopsies (48.6% decrease, 95% CI 5.7, 73.1). Urgent procedures such as endoscopic retrograde cholangiopancreatography (ERCP) and foreign body removal continued at a similar rate during the pandemic. In the 2021–2022 post-pandemic year, overall paediatric GI procedures significantly increased by 33.0% (95% CI 19.1, 48.6) compared to pre-pandemic rates in 2019, and remained significantly increased in 2022 by 41.8% (95% CI 27.2, 58.2) compared to 2019. This trend was true for both urgent and non-urgent procedures.

Conclusion

During the COVID-19 pandemic, urgent procedures continued at similar rates. However, post-pandemic procedural volumes were higher than pre-pandemic numbers, suggesting the pandemic led to delays in paediatric endoscopic care.

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COVID-19大流行期间纽约市儿童胃肠程序模式

目的：我们评估了在COVID-19大流行之前、期间和之后纽约市儿科内窥镜检查模式的变化，以了解4年来对儿科手术、医疗利用和医疗实习生的影响。方法：通过INSIGHT临床研究网络从纽约市五家医院收集21岁以下患者胃肠病学手术的临床数据。我们回顾了3月至2月4年的数据：2019-2020年为基线，2020-2021年为大流行，2021-2022年和2022-2023年为大流行后。结果：共对18 362例患者进行了40 218例儿科胃肠手术。手术的年度变化因亚类而异，与前一年相比，大流行期间侵入性手术显著减少：肝活检（减少43.3%,95% CI 26.4, 56.7），运动检查（减少26.0%,95% CI 2.89, 43.88）和直肠抽吸活检（减少48.6%,95% CI 5.7, 73.1）。在大流行期间，内窥镜逆行胆管造影术（ERCP）和异物清除等紧急手术继续以类似的速度进行。在2021-2022年大流行后一年，与2019年大流行前相比，儿科GI手术总体显著增加了33.0% (95% CI 19.1, 48.6)，与2019年相比，2022年仍显著增加了41.8% （95% CI 27.2, 58.2）。这一趋势对紧急和非紧急程序都适用。结论：在2019冠状病毒病大流行期间，紧急程序以类似的速度继续进行。然而，大流行后的手术数量高于大流行前的数量，这表明大流行导致了儿科内窥镜护理的延误。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.