CC BY-NC-ND 4.0 · Endosc Int Open 2020; 08(06): E809-E814
DOI: 10.1055/a-1167-1703
Original article

Impact of enhanced personal protective equipment on colonoscopy performance during the COVID-19 pandemic

Kevin Kim Jun Teh
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Shu Wen Tay
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Kaina Chen
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Samantha Jingyun Koh
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Yu Jun Wong
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Andrew Boon Eu Kwek
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
James Weiquan Li
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Kwong Ming Fock
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Eng Kiong Teo
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Tiing Leong Ang
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
,
Malcolm Teck Kiang Tan
Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore
› Author Affiliations
  

Abstract

Background and study aims Using personal protective equipment (PPE) can reduce risk of disease transmission. During the COVID-19 pandemic, enhanced PPE (EPPE) is recommended when performing endoscopy. We aimed to evaluate the impact of EPPE on colonoscopy performance when compared to standard PPE (SPPE).

Patients and methods A review of electronic medical records and endoscopy reports of consecutive patients who underwent colonoscopy during two similar one-month time periods (in 2019 and during the COVID-19 pandemic in 2020) was performed. SPPE was used in 2019 and EPPE was used in 2020. Patient clinical data and procedure-related information were captured and analyzed. The primary outcomes were time to cecum (TTC) and total procedure time. Secondary outcomes were adenoma detection rate (ADR), polyp detection rate (PDR) and cecal intubation rate (CIR). Statistical analysis was performed using STATA v16.1.

Results Two hundred and forty-seven colonoscopy procedures were analyzed. Baseline demographics and indications for colonoscopy of patients in both groups were similar. There were no significant differences in median TTC (10.0 vs 10.0 min, P = 0.524) or total procedure time (22.5 vs 23.0 min, P = 0.946) between colonoscopy performed in SPPE and EPPE. The ADR, PDR and CIR were also similar.

Conclusion Our findings suggest that use of EPPE does not affect colonoscopy performance.



Publication History

Received: 21 April 2020

Accepted: 27 April 2020

Publication Date:
02 June 2020 (online)

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