Article ; Online: COVID-19 pandemic implications in paediatric and congenital heart surgery in Brazil.
2021 Volume 32, Issue 1, Page(s) 31–35
Abstract: ... determined.: Objective: To study the COVID-19 pandemic implications in Brazilian Pediatric and Congenital ... healthcare. Consequences in Pediatric and Congenital Heart Surgery programmes and mortality of congenital ... that perform Pediatric and Congenital Heart Surgery from 10 November to 22 November, 2020, using a Google forms ...
| Abstract | 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. |
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| MeSH term(s) | Brazil/epidemiology ; COVID-19 ; Child ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/surgery ; Humans ; Pandemics ; SARS-CoV-2 | |||||
| Language | English | |||||
| Publishing date | 2021-04-06 | |||||
| Publishing country | England | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1078466-4 | |||||
| ISSN | 1467-1107 ; 1047-9511 | |||||
| ISSN (online) | 1467-1107 | |||||
| ISSN | 1047-9511 | |||||
| DOI | 10.1017/S1047951121001608 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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