Repercussions of the COVID-19 Pandemic on the Care Practices of a Tertiary Hospital.

Autor:	Almeida ALC; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Santo TMDE; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Mello MSS; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Cedro AV; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Instituto Nobre de Cardiologia,Feira de Santana, BA - Brasil., Lopes NL; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil., Ribeiro APMR; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Universidade Estadual de Feira de Santana, Feira de Santana, BA - Brasil., Mota JGC; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil., Mendes RS; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil., Almeida PAA; UNIFACS Curso de Medicina, Salvador, BA - Brasil., Ferreira MA; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Arruda DM; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Santos AAP; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Rios VG; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil., Dantas MRN; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Silva VA; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil., Silva MGD; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil., Sampaio PHS; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Instituto Nobre de Cardiologia,Feira de Santana, BA - Brasil., Guimarães AR; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Instituto Nobre de Cardiologia,Feira de Santana, BA - Brasil., Santos EG Jr; Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.; Universidade Estadual de Feira de Santana, Feira de Santana, BA - Brasil.
Jazyk:	English; Portuguese
Zdroj:	Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2020 Nov; Vol. 115 (5), pp. 862-870.
DOI:	10.36660/abc.20200436
Abstrakt:	Background: We still do not have information regarding the impact of the COVID-19 pandemic on medical care activity in Brazil. Objective: To describe the repercussions of the COVID-19 pandemic on the care routine of a tertiary hospital, which is a regional reference in cardiology and oncology. Methods: Cross-sectional cohort study. We conducted a survey of medical visits from March 23, 2020 (when local commerce was closed) to April 23, 2020 (P20), in comparison with the same period in 2019 (P19). Results: We found decreases in the number of cardiology consultations, exercise tests, Holter, ambulatory blood pressure monitoring, electrocardiogram, and echocardiogram (90%, 84%, 94%, 92%, 94%, and 81%, respectively). In relation to cardiac surgery and cardiac catheterization, there were 48% and 60% decreases, respectively. There was an increase in the number of percutaneous transluminal coronary angioplasties (33%) and definitive pacemaker implantations (29%). There were 97 admissions to the ICU during P19, in contrast with 78 during P20, a 20% decrease. Visits to the cardiac emergency room (45%) and admissions to the cardiology ward (36%) also decreased. The decrease in oncology consultations was 30%. Chemotherapy sessions decreased from 1,944 to 1,066 (45%), and radiotherapy sessions decreased by 19%. Conclusion: COVID-19 has led to a considerable decrease in the number of consultations in outpatient clinics for cardiology, oncology, and other specialties. There was a concerning decrease in the number of cardiac surgeries, chemotherapy sessions, and radiotherapy sessions during the initial weeks of the pandemic. The number of people seeking care in the cardiac emergency room and the number of admissions to the cardiology ward and ICU also decreased, generating concern regarding the evolution and prognosis of these patients with pathologies other than COVID-19 during this pandemic time. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0).
Databáze:	MEDLINE
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