COVID-19 大流行对一家三甲医院护理实践的影响。

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

机构信息

Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.

Escola de Ecocardiografia da Bahia, Feira de Santana, BA - Brasil.

出版信息

Arq Bras Cardiol. 2020 Nov;115(5):862-870. doi: 10.36660/abc.20200436.

DOI:10.36660/abc.20200436

PMID:32965397

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8452210/

Abstract

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).

摘要

背景

我们仍然没有关于 COVID-19 大流行对巴西医疗保健活动影响的信息。

目的

描述 COVID-19 大流行对一家三级医院常规护理的影响，该医院是心脏病学和肿瘤学的区域参考医院。

方法

横断面队列研究。我们对 2020 年 3 月 23 日（当地商业关闭时）至 2020 年 4 月 23 日（P20）期间的医疗就诊情况进行了调查，并与 2019 年同期（P19）进行了比较。

结果

我们发现心脏病学咨询、运动试验、动态心电图监测、动态血压监测、心电图和超声心动图的数量分别减少了 90%、84%、94%、92%、94%和 81%。心脏手术和心导管术的数量分别减少了 48%和 60%。经皮冠状动脉介入治疗的数量增加了 33%，永久性起搏器植入术增加了 29%。P19 期间有 97 人入住 ICU，而 P20 期间有 78 人，减少了 20%。心脏急救室就诊人数（45%）和心内科病房入院人数（36%）也有所下降。肿瘤学咨询量下降了 30%。化疗次数从 1944 次减少到 1066 次（45%），放疗次数减少了 19%。

结论

COVID-19 导致心脏病学、肿瘤学和其他专科门诊就诊人数大幅减少。大流行初期，心脏手术、化疗次数和放疗次数减少。心脏急救室就诊人数和心内科病房及 ICU 入院人数也有所下降，这令人担忧，因为在大流行期间，这些患有 COVID-19 以外疾病的患者的病情和预后可能会发生变化。（Arq Bras Cardiol. 2020; [在线].提前印刷，PP.0-0）。