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 MODERATED e-POSTER SESSION 06:
Infectious Diseases and COVID-19
PP37
Introduction: The COVID-19 pandemic has led to the imposement of restrictions both on the movement of citizens, as well as their access to healthcare services. International medical communities, expert panels, and national guidelines have recommended avoiding the performance of bronchoscopy, unless it is deemed absolutely necessary [1].
Aim: To evaluate of the effect of restrictive measures on the volume and indication of bronchoscopies performed at the department of Respiratory Medicine of Patras University General Hospital.
Methods: Bronchoscopic suite records were evaluated in order to ascertain the number of bronchoscopies performed during the lockdown (03/2020-05/2020) and subsequent post-lockdown period (05/2020-08/2020), along with their respective clinical indications, and compared to those performed during the corresponding time periods of 2019. Indications for bronchoscopy included primary lung cancer (PLC), advanced lung cancer, infection, inflammatory or interstitial lung disease, therapeutic bronchoscopy and other indications [2]. Statistical analyses were performed using the IBM SPSS STATISTCS 25.
Results: In total, 31 bronchoscopic procedures were performed during the lockdown period. In comparison, during the corresponding period of 2019, 76 bronchoscopies had been performed, which amounted to a 59.2% reduction. In the post-lockdown period, a total of 151 bronchoscopies were performed, compared to 147 procedures in the corresponding period of 2019 (2.6% increase). Indications for bronchoscopy during the lockdown period were PLC 25.8% of procedures, of which 6.4% were cases of advanced lung cancer, infection (19.5%), inflammatory or interstitial lung disease (9.7%), and therapeutic bronchoscopy or other indications (38.5%). In the post- lockdown period, 39% of bronchoscopies were performed with an indication of PLC, of which 19.2% pertained to advanced disease, 26.5% with an indication of infection, 8.6% with an indication of inflammatory or interstitial lung disease, while the remaining were performed for therapeutic reasons or other indications. Bronchoscopies with an indication of advanced malignancy were statistically significantly more in the post-lockdown period [Fig.1]. Compared to the respective periods of 2019, significantly fewer bronchoscopies were performed for infectious causes during the lockdown period. No statistically significant differences were identified for any other indications.
Conclusion: Compared to the lockdown period, bronchoscopies performed with an indication of advanced PLC increased significantly during the post-lockdown period. This highlights the potentially negative impact the lockdown may have had in the early diagnosis of PLC cases.
        THE EFFECT OF THE LOCKDOWN DURING THE FIRST COVID-19 PANDEMIC (01/03/2020-15/05/2020) ON THE WORK OF THE BRONCHOSCOPY SERVICE OF PATRAS UNIVERSITY HOSPITAL
Fotios Sampsonas, Mathaios Katsaras, Ourania Papaioannou, Theodoros Karampitsakos, Elli Malakounidou, Eirini Zarkadi, Argyrios Tzouvelekis
University Hospital of Patras, Patras, Greece
          References:
1. Wahidi, M.M., et al. Chest, 2020. 158 (3): p. 1268-1281.
2. Daneshvar, C., et al. BMJ Open Respir Res, 2019. 6 (1): p. e000429
Figure 1: Bronchoscopy for advanced lung cancer cases during and after the lockdown of 01/03/2020-15/05/2020
ECBIP 2021 67
6th European Congress
for Bronchology and Interventional Pulmonology
OCTOBER ECBIP 15 - 17
ATHENS - GREECE 2021
Book of Abstracts
    













































































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