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COVID-19 大流行对心脏血液科护理组织的影响——波兰单中心经验。

The Impact of the COVID-19 Pandemic on the Organization of Cardio-Hematology Care-A Polish Single Center Experience.

机构信息

Laboratory of Non-Invasive Cardiac Imaging, Independent Public Clinical Hospital Nr 1, Pomeranian Medical University, 71-252 Szczecin, Poland.

Department of Endocrinology, Metabolic and Internal Diseases, Pomeranian Medical University, 71-252 Szczecin, Poland.

出版信息

Medicina (Kaunas). 2022 Feb 23;58(3):337. doi: 10.3390/medicina58030337.

Abstract

: We present a retrospective report on the cardio-hematological care of hematology patients at a university hospital in Poland during the COVID-19 pandemic. : The number of hospitalizations at the Hematology Department and cardio-hematology consultations throughout 2019 and 2020 was analyzed. The types of cardiac procedures, risk factors, and complications were also assessed. : A significant reduction in the number of hospitalizations was observed in 2020 as compared to 2019. However, there were no significant differences in the incidence of hematological diseases between both of the analyzed years. In 2019, 299 cardiac consultations were performed in hematological patients, and there was a total of 352 such consultations performed in 2020 ( = 0.042). Less high-risk tests (transesophageal and stress echocardiography) were performed in 2020, in favor of the use of cardiac computed tomography in cardiac diagnostics as it was safer during the pandemic. At least one cardiovascular risk factor during cardiac consultation was noted in 42% and 48% of hematological patients in 2019 and 2020, respectively. Among 651 examined hematological patients, the most common findings were mild cardiac complications of hemato-oncological treatment, which were found in 57 patients. : This study seems to confirm that during a pandemic there is an increased demand for well-organized cardio-hematology consultations.

摘要

我们呈现了一份关于波兰一所大学附属医院在 COVID-19 大流行期间对血液科患者进行心血管血液学治疗的回顾性报告。

分析了 2019 年和 2020 年血液科住院人数和心血管血液学咨询次数。还评估了心脏手术类型、危险因素和并发症。

与 2019 年相比,2020 年住院人数显著减少。然而,这两年血液病的发病率没有显著差异。2019 年,对血液科患者进行了 299 次心脏咨询,而 2020 年总共进行了 352 次此类咨询(=0.042)。2020 年进行了较少的高危测试(经食管超声心动图和应激超声心动图),而更倾向于在心脏诊断中使用心脏计算机断层扫描,因为在大流行期间更安全。在 2019 年和 2020 年,分别有 42%和 48%的血液科患者在心脏咨询期间有至少一个心血管危险因素。在 651 名接受检查的血液科患者中,最常见的发现是血液肿瘤治疗引起的轻度心脏并发症,在 57 名患者中发现。

这项研究似乎证实,在大流行期间,对精心组织的心血管血液学咨询的需求增加了。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b178/8955866/11fcf7c313aa/medicina-58-00337-g001.jpg

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