000121379 001__ 121379
000121379 005__ 20230914083656.0
000121379 0247_ $$2doi$$a10.1515/almed-2022-0107
000121379 0248_ $$2sideral$$a131892
000121379 037__ $$aART-2022-131892
000121379 041__ $$aeng
000121379 100__ $$aLasierra Monclús, Ana Belén$$uUniversidad de Zaragoza
000121379 245__ $$aEffects of the COVID-19 pandemic on the activity of clinical laboratories in Spain, evolution in the 2019–2021 period
000121379 260__ $$c2022
000121379 5060_ $$aAccess copy available to the general public$$fUnrestricted
000121379 5203_ $$aObjectives. To assess the impact of the COVID-19 pandemic on the activity of clinical laboratories in Spain.
Methods. A descriptive, observational, retrospective, multicenter study.
Results. Between March and December 2020, there was a statistically significant decrease in the number of test requests (−17.7%, p=<0.001) and total tests performed (−18.3%, p<0.001) with respect to the same period in 2019. A decrease was observed in the number of requests from primary care (−37.4%) (p<0.001) and in the number of foecal occult blood (−45.8%); qualitative urine (−30.1%); PSA (−28.5%); TSH (−27.8%); total cholesterol (−27.2%) and HbA1c (−24.7%) tests performed, p<0.001. A significant increase was found in the number of requests from ICUs (76.6%, p<0.001) and number of IL-6 (+22,350.9), D-dimer (+617.2%), troponin (+46.8%) and arterial blood gas (+3.9%) tests carried out, p<0.001. During the first months of 2021, there were significant changes in the number of requests for qualitative urine (−8.7%, p<0.001), PSA (−6.3%, p=0.009), IL-6 (+66,269.2, p<0.001), D-dimer (+603.6%, p<0.001), troponin (+28.7%, p<0.001), arterial blood gas (+26,2%, p=0.014) and ferritin (+16.0%, p=0.002) tests performed.
Conclusions. There were changes in the origin and number of test requested to clinical laboratories in Spain. The number of requests for the evaluation and monitoring of COVID-19 patients increased, whereas requests for the control of non-COVID patients and for population screening decreased. Long-term analysis reveals that the volume of tests performed for the control of chronic diseases returned to normal over time, whereas the increase observed in the volume of tests performed for the management of COVID-19 patients is maintained.
000121379 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000121379 592__ $$a0.199$$b2022
000121379 593__ $$aMedical Laboratory Technology$$c2022$$dQ3
000121379 593__ $$aMedicine (miscellaneous)$$c2022$$dQ4
000121379 593__ $$aEducation$$c2022$$dQ4
000121379 594__ $$a0.7$$b2022
000121379 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000121379 700__ $$aGonzález, Álvaro
000121379 700__ $$aBernabéu Andreu, Francisco A.
000121379 700__ $$aCaballé Martín, Imma
000121379 700__ $$aBuño Soto, Antonio
000121379 700__ $$aIbarz, Mercè
000121379 700__ $$aGonzález Rodríguez, Concepción
000121379 700__ $$0(orcid)0000-0002-1309-4363$$aPuzo Foncillas, José$$uUniversidad de Zaragoza
000121379 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000121379 773__ $$g3, 4 (2022), 361-370$$pAdv. lab. med$$tAdvances in laboratory medicine$$x2628-491X
000121379 8564_ $$s1461451$$uhttps://zaguan.unizar.es/record/121379/files/texto_completo.pdf$$yVersión publicada
000121379 8564_ $$s2760792$$uhttps://zaguan.unizar.es/record/121379/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000121379 909CO $$ooai:zaguan.unizar.es:121379$$particulos$$pdriver
000121379 951__ $$a2023-09-13-14:18:59
000121379 980__ $$aARTICLE