ResumenObjetivos: Describir el impacto de la pandemia por COVID-19 en la actividad de la enfermera,en enfermedad inflamatoria intestinal (EII) de la unidad, e identificar las razones de la asistenciatelemática y la relación con las variables recogidas.Antecedentes: La pandemia de COVID-19 ha dado lugar a un aumento en la demanda de atenciónremota en pacientes con EII que requieren un seguimiento y un acceso frecuente a los serviciosde salud.Dise ̃no y métodos: Estudio retrospectivo de toda la actividad (presencia, llamada telefónica ocorreo electrónico), realizado en la unidad durante la fase aguda de la pandemia, en un hospitalde referencia en Espa ̃na. Se recogió el número de actividades llevadas a cabo por la enfermera,motivo de asistencia telemática y datos sociodemográficos y clínicos. El análisis estadístico serealizó utilizando la prueba de frecuencia, 2y el análisis de varianza.Resultados: Fueron registradas 1.095 actividades por 561 pacientes atendidos, siendo1.042 (95,2%) actividades de telemedicina, lo que supuso un incremento del 47,3% con respectoal a ̃no anterior. Las demandas relacionadas con COVID-19 fueron 588 (59,5%). Por otro lado,134 (13,7%) fueron consultas por brote de su enfermedad, un 145% más que en 2019. Sehan encontrado diferencias significativas entre los motivos del uso de la telemedicina y eldiagnóstico, la situación laboral, la semana en que se realizó el contacto y el tratamiento.Conclusión: La fase aguda de la pandemia ha cambiado la actividad gestionada por enfer-mería en la unidad. Identificar y analizar estos cambios nos ha proporcionado información paraconseguir una gestión más eficiente y de calidad al cuidado de los pacientes en situacionesexcepcionales.© 2021 El Autor(s). Publicado por Elsevier Espa ̃na, S.L.U. Este es un art ́ıculo Open Access bajola licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/).IntroductionOn January 7, 2020, a new SARS-CoV-2 was identified inChina.1The disease associated with this virus was namedcoronavirus disease 2019 (COVID-19) which subsequentlyspread rapidly,2and was declared a pandemic by the WorldHealth Organization (WHO) on March 11, 2020.3The COVID-19 pandemic is an unprecedented global chal-lenge both at an economic level and on the resilience ofhealth systems worldwide. Strategic plans have been cre-ated, focused on the emerging care of COVID-19. However, itseems that the approach to patients with chronic conditionshas been left to the experts of each specialty. Specifically,there are several recommendations on the management ofInflammatory Bowel Disease (IBD) during the current COVID-19 pandemic.4 — 6IBD is defined as a group of chronic inflammatory disor-ders of unknown cause affecting the gastrointestinal tract,comprising two diseases: Crohn’s disease (CD) and Ulcera-tive Colitis (UC).7It is characterized by a chronic coursethat usually alternates periods of active disease (relapse)with periods of remission, with potential complications thatoften require urgent or less preferential care. IBD affectsmainly young people from a productive or formative age,and has an impact on their quality of life8; all this increasesthe use of health resources at an economic cost, and alsohas a great impact on the labor force.9The Crohn-Colitis Care Unit (UACC) of the Hospital Uni-versitari de la Vall d’Hebron in Barcelona follows a model ofcomprehensive patient-centered care through face-to-faceand distance care. It is the Advanced IBD Nurse (AIN) whotakes an outstanding leadership role in telehealth assistance(TA), known as telemedicine, due to their clinical profile andprofessional skills.10,11As in other countries, this pandemic has had an impact onmaterial and human resources of the UACC and has resultedin an increase of telemedicine provided to IBD patients.12—16This can probably be related to patient uncertainty, fear oftreatments, health system collapse and home-stay, amongother reasons. We think it is compulsory to analyze the typeof activities carried out by the AIN, in order to improve thecare of our patients in exceptional situations such as thosewe have experienced. Patients with IBD require continuityof care because of the chronic nature of their disease and482.