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COVID‐19‐Related Downscaling of In‐Hospital Liver Care Decreased Patient Satisfaction and Increased Liver‐Related Mortality

The coronavirus disease 2019 (COVID‐19) pandemic necessitated down‐scaling of in‐hospital care to prohibit the spread of severe acute respiratory syndrome–coronavirus‐2. We (1) assessed patient perceptions on quality of care by telesurvey (cohort 1) and written questionnaire (cohort 2), and (2) anal...

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Published in:Hepatology communications 2021-10, Vol.5 (10), p.1660-1675
Main Authors: Hartl, Lukas, Semmler, Georg, Hofer, Benedikt Silvester, Schirwani, Nawa, Jachs, Mathias, Simbrunner, Benedikt, Bauer, David Josef Maria, Binter, Teresa, Pomej, Katharina, Pinter, Matthias, Trauner, Michael, Mandorfer, Mattias, Reiberger, Thomas, Scheiner, Bernhard
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Language:English
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Summary:The coronavirus disease 2019 (COVID‐19) pandemic necessitated down‐scaling of in‐hospital care to prohibit the spread of severe acute respiratory syndrome–coronavirus‐2. We (1) assessed patient perceptions on quality of care by telesurvey (cohort 1) and written questionnaire (cohort 2), and (2) analyzed trends in elective and nonelective admissions before (December 2019 to February 2020) and during (March to May 2020) the COVID‐19 pandemic in Austria. A total of 279 outpatients were recruited into cohort 1 and 138 patients into cohort 2. All admissions from December 2019 to May 2020 to the Division of Gastroenterology/Hepatology at the Vienna General Hospital were analyzed. A total of 32.6% (n = 91 of 279) of cohort 1 and 72.5% (n = 95 of 131) of cohort 2 had telemedical contact, whereas 59.5% (n = 166 of 279) and 68.2% (n = 90 of 132) had face‐to‐face visits. A total of 24.1% (n = 32 of 133) needed acute medical help during health care restrictions; however, 57.3% (n = 51 of 89) reported that contacting their physician during COVID‐19 was difficult or impossible. Patient‐reported satisfaction with treatment decreased significantly during restrictions in cohort 1 (visual analog scale [VAS] 0‐10: 9.0 ± 1.6 to 8.6 ± 2.2; P 
ISSN:2471-254X
2471-254X
DOI:10.1002/hep4.1758