Effects of the COVID-19 pandemic on the activity of clinical laboratories in Spain, evolution in the 2019–2021 period
Lasierra Monclús, Ana Belén (Universidad de Zaragoza) ; González, Álvaro ; Bernabéu Andreu, Francisco A. ; Caballé Martín, Imma ; Buño Soto, Antonio ; Ibarz, Mercè ; González Rodríguez, Concepción ; Puzo Foncillas, José (Universidad de Zaragoza)
Resumen: Objectives. To assess the impact of the COVID-19 pandemic on the activity of clinical laboratories in Spain.
Methods. A descriptive, observational, retrospective, multicenter study.
Results. Between March and December 2020, there was a statistically significant decrease in the number of test requests (−17.7%, p=<0.001) and total tests performed (−18.3%, p<0.001) with respect to the same period in 2019. A decrease was observed in the number of requests from primary care (−37.4%) (p<0.001) and in the number of foecal occult blood (−45.8%); qualitative urine (−30.1%); PSA (−28.5%); TSH (−27.8%); total cholesterol (−27.2%) and HbA1c (−24.7%) tests performed, p<0.001. A significant increase was found in the number of requests from ICUs (76.6%, p<0.001) and number of IL-6 (+22,350.9), D-dimer (+617.2%), troponin (+46.8%) and arterial blood gas (+3.9%) tests carried out, p<0.001. During the first months of 2021, there were significant changes in the number of requests for qualitative urine (−8.7%, p<0.001), PSA (−6.3%, p=0.009), IL-6 (+66,269.2, p<0.001), D-dimer (+603.6%, p<0.001), troponin (+28.7%, p<0.001), arterial blood gas (+26,2%, p=0.014) and ferritin (+16.0%, p=0.002) tests performed.
Conclusions. There were changes in the origin and number of test requested to clinical laboratories in Spain. The number of requests for the evaluation and monitoring of COVID-19 patients increased, whereas requests for the control of non-COVID patients and for population screening decreased. Long-term analysis reveals that the volume of tests performed for the control of chronic diseases returned to normal over time, whereas the increase observed in the volume of tests performed for the management of COVID-19 patients is maintained.
Idioma: Inglés
DOI: 10.1515/almed-2022-0107
Año: 2022
Publicado en: Advances in laboratory medicine 3, 4 (2022), 361-370
ISSN: 2628-491X
Factor impacto CITESCORE: 0.7 - Social Sciences (Q3) - Health Professions (Q4) - Medicine (Q4)
Factor impacto SCIMAGO: 0.199 - Medical Laboratory Technology (Q3) - Medicine (miscellaneous) (Q4) - Education (Q4)
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace.
Exportado de SIDERAL (2023-09-13-14:18:59)
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Methods. A descriptive, observational, retrospective, multicenter study.
Results. Between March and December 2020, there was a statistically significant decrease in the number of test requests (−17.7%, p=<0.001) and total tests performed (−18.3%, p<0.001) with respect to the same period in 2019. A decrease was observed in the number of requests from primary care (−37.4%) (p<0.001) and in the number of foecal occult blood (−45.8%); qualitative urine (−30.1%); PSA (−28.5%); TSH (−27.8%); total cholesterol (−27.2%) and HbA1c (−24.7%) tests performed, p<0.001. A significant increase was found in the number of requests from ICUs (76.6%, p<0.001) and number of IL-6 (+22,350.9), D-dimer (+617.2%), troponin (+46.8%) and arterial blood gas (+3.9%) tests carried out, p<0.001. During the first months of 2021, there were significant changes in the number of requests for qualitative urine (−8.7%, p<0.001), PSA (−6.3%, p=0.009), IL-6 (+66,269.2, p<0.001), D-dimer (+603.6%, p<0.001), troponin (+28.7%, p<0.001), arterial blood gas (+26,2%, p=0.014) and ferritin (+16.0%, p=0.002) tests performed.
Conclusions. There were changes in the origin and number of test requested to clinical laboratories in Spain. The number of requests for the evaluation and monitoring of COVID-19 patients increased, whereas requests for the control of non-COVID patients and for population screening decreased. Long-term analysis reveals that the volume of tests performed for the control of chronic diseases returned to normal over time, whereas the increase observed in the volume of tests performed for the management of COVID-19 patients is maintained.
Idioma: Inglés
DOI: 10.1515/almed-2022-0107
Año: 2022
Publicado en: Advances in laboratory medicine 3, 4 (2022), 361-370
ISSN: 2628-491X
Factor impacto CITESCORE: 0.7 - Social Sciences (Q3) - Health Professions (Q4) - Medicine (Q4)
Factor impacto SCIMAGO: 0.199 - Medical Laboratory Technology (Q3) - Medicine (miscellaneous) (Q4) - Education (Q4)
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace. Exportado de SIDERAL (2023-09-13-14:18:59)
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Registro creado el 2023-01-26, última modificación el 2023-09-14