Impact of the COVID‐19 pandemic on coronary artery bypass graft surgery in Brazil: A nationwide perspective

Autor:	Omar Mejía, Jaqueline Maria de Oliveira Lima, Felipe Borsu de Salles, Arnaldo Akio Okino, Dominique Vervoort, Giovana Munhoz Khalil, Michel Pompeu Barros de Oliveira Sá, Marcos Alfredo de Andrade Pires, Kalil Hussein Khalil, Leonardo Roever, Pedro Felipe Gomes Nicz, Ricardo de Carvalho Lima
Rok vydání:	2021
Předmět:	Pulmonary and Respiratory Medicine 2019-20 coronavirus outbreak medicine.medical_specialty Coronavirus disease 2019 (COVID-19) 030204 cardiovascular system & hematology SARS‐CoV‐2 03 medical and health sciences risk adjustment 0302 clinical medicine coronary artery bypass graft COVID‐19 death rate Health care Pandemic Humans Medicine Coronary Artery Bypass Pandemics database SARS-CoV-2 business.industry Mortality rate COVID-19 Surgical procedures medicine.anatomical_structure 030228 respiratory system health care policy Emergency medicine Original Article Surgery Christian ministry Cardiology and Cardiovascular Medicine business Brazil Artery
Zdroj:	Journal of Cardiac Surgery
ISSN:	1540-8191 0886-0440
DOI:	10.1111/jocs.15765
Popis:	Introduction The coronavirus disease 2019 (COVID‐19) pandemic has been a worldwide challenge, and efforts to “flatten the curve,” including restrictions imposed by policymakers and medical societies, have forced a reduction in the number of procedures performed in the Brazilian Health Care System. The aim of this study is to evaluate the outcomes of coronary artery bypass graft (CABG) from 2008 to 2020 in the SUS and to assess the impacts of the COVID‐19 pandemic in the number of procedures and death rate of CABG performed in 2020 through the database DATASUS. Methods This study is based on publicly available material obtained from DATASUS, the Brazilian Ministry of Health's data processing system, on numbers of surgical procedures and death rates. Only isolated CABG procedures were included in our study. We used the TabNet software from the DATASUS website to generate reports. Results We identified 281,760 CABG procedures performed from January 2008 to December 2020. The average number of procedures until the end of 2019 was of 22,104. During 2020 there was a 25% reduction CABG procedures, to 16,501. There was an increase in the national death rate caused by a statistical significant increase in death rates in Brazil's Southeast and Central‐west regions. Conclusion The COVID‐19 pandemic remains a global challenge for Brazil's health care system. During the year of 2020 there was a reduction in access to CABG related to an increase in the number of COVID‐19 cases. There was also an increase in the national CABG death rate.
Databáze:	OpenAIRE
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