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10.1017/S1047951121001608

http://scihub22266oqcxt.onion/10.1017/S1047951121001608
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33820594!8082125!33820594
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suck abstract from ncbi


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pmid33820594      Cardiol+Young 2022 ; 32 (1): 31-35
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  • COVID-19 pandemic implications in paediatric and congenital heart surgery in Brazil #MMPMID33820594
  • Miana LA; Manuel V; Antoniali F; Jatene MB; Jatene FB
  • Cardiol Young 2022[Jan]; 32 (1): 31-35 PMID33820594show ga
  • 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.
  • |*COVID-19[MESH]
  • |*Heart Defects, Congenital/epidemiology/surgery[MESH]
  • |Brazil/epidemiology[MESH]
  • |Child[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]


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