COVID-19 pandemic implications in paediatric and congenital heart surgery in Brazil
| Autor: | Fernando Antoniali, Fabio Biscegli Jatene, Leonardo Augusto Miana, Marcelo B. Jatene, Valdano Manuel |
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| Rok vydání: | 2021 |
| Předmět: |
Heart Defects
Congenital 2019-20 coronavirus outbreak medicine.medical_specialty Coronavirus disease 2019 (COVID-19) congenital heart surgery Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Health care Pandemic Humans Medicine Volume reduction 030212 general & internal medicine Child Pandemics SARS-CoV-2 business.industry pandemic High mortality COVID-19 General Medicine Surgery CHD Pediatrics Perinatology and Child Health Original Article online survey Cardiology and Cardiovascular Medicine business Brazil |
| Zdroj: | Cardiology in the Young |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951121001608 |
| Popis: | Introduction:The Coronavirus Disease 2019 (COVID-19) pandemic negatively impacted global healthcare. Consequences in Pediatric and Congenital Heart Surgery programmes and mortality of congenital heart patients infected with severe acute respiratory syndrome coronavirus-2 (SARS-Cov-2) is still to be determined.Objective:To study the COVID-19 pandemic implications in Brazilian Pediatric and Congenital Heart Surgery programmes.Methods:We conducted a national online survey covering all states that perform Pediatric and Congenital Heart Surgery from 10 November to 22 November, 2020, using a Google forms questionnaire. We formulated questions related to impact on surgical volume, case-mix, and mortality. Then we asked about short-term post-operative COVID-19 infection and outcomes.Results:We received responses from 46 centres representing all states where there were a Pediatric and Congenital Heart Surgery programme and all high-volume centres across the country. All but one centre experienced a significant decrease in surgical volume, and 23.9% of the responders revealed less than one-quarter of volume decrement. On the other hand, in over 70% of the centres, there was a significant surgical volume reduction. In addition to this, there was a shift in case-mix in 41 centres (89.1%) towards more complex cases. More than one-third of the responders revealed increased mortality in 2020 compared to previous years, and 43.5% of the programmes (20 centres) had at least one patient contaminated by SARS-Cov-2, accounting for 48 patients. Mortality in post-operative infected patients was 45.8% (22 patients).Conclusions:In general, Brazilian Pediatric and Congenital Heart Surgery programmes were severely affected by decreased surgical volume, unbalanced case-mix towards more complex cases, and increased mortality. Almost half of the programmes related post-operative COVID-19 contamination with high mortality. |
| Databáze: | OpenAIRE |
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