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2022, Number 4

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Rev Cubana Cardiol Cir Cardiovasc 2022; 28 (4)

Impact of the COVID-19 pandemic on hospital admission and clinical evolution

Chipi RY, Pérez RT, Martínez GG, Martínez BP, Carrero VAM, González MY

Language: Spanish
References: 13
Page: 1-5
PDF size: 447.82 Kb.


ABSTRACT

Introduction: The COVID-19 pandemic is considered to be the greatest healthcare challenge that has occurred in the world. Prevention and treatment services for chronic noncommunicable diseases have been severely affected. Objective: To identify the impact of the COVID-19 pandemic on the admission and clinical evolution of patients with cardiovascular pathologies treated in the Coronary Intensive Care Unit of the "Enrique Cabrera Cossío" General Teaching Hospital. Methods: A cross-sectional observational study was carried out. The universe consisted of all patients included in the unit's database (1360); the sample consisted of 213 and 159 patients attended six months prior to the pandemic (September 1 to February 28) and six months after its onset (March 1 to August 31), respectively; regardless of diagnosis. The results of the two periods were compared in terms of the following variables: number of admissions, clinical-epidemiological characteristics, clinical diagnosis on admission, and diagnosis on admission of the deceased. Results: We found a decrease in the number of admissions during the pandemic period of more cases, in the age group between 60 and 79 years. Mortality increased by 40.3%. Admissions for acute myocardial infarction increased (48.8%) and decreased for heart failure (70%) after the onset of the pandemic (p < 0.05); deaths due to acute myocardial infarction doubled and those caused by heart failure were reduced to zero in this same period. Conclusions: The COVID-19 pandemic has had a significant impact on the admission and clinical evolution of patients with cardiovascular pathologies.


REFERENCES

  1. Rodríguez O, Álvarez B, Pérez de Prado A, Rosselló X, Ojeda S, Serrador A, et al. Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience. Rev Esp Cardiol. 2020 [acceso 18/07/2021];73(12): 994-1002. Disponible en: https://www.pubmed.ncbi.nih.gov .

  2. Parra E, Lanio CA. Comportamiento epidemiológico de COVID-19 durante la fase inicial de la pandemia en Cuba. Medwave. 2021 [acceso 18/07/2021];21(1):e8111. Disponible en: https://www.medwave.cl

  3. Espinosa A. COVID-19: rápida revisión general. Anales de la Academia de Ciencias de Cuba. 2020 [acceso 17/07/2021];10(2). Disponible en: http://www.revistaccuba.sld.cu/index

  4. Sitio oficial de Gobierno del Ministerio de Salud Pública en Cuba. Coronavirus en Cuba. Información oficial del MINSAP. Parte del cierre del día 15 de octubre 2022 [acceso 15/10/2022]; [aprox. 3 p]. Disponible en: https://salud.msp.gob.cu

  5. Canel MD, Núñez J. Gestión gubernamental y ciencia cubana en el enfrentamiento a la COVID-19. Anales de la Academia de Ciencias de Cuba: especial COVID-19. 2020 [acceso 19/08/2021];10(2) 2. Disponible en: https://www.revistaccuba.sld.cu/index

  6. Organización Mundial de la Salud. Actualización de la estrategia frente a la COVID-19 [actualizado 14 de abril]. 2020 [acceso 17/08/2021]; aprox. 2 p]. Disponible en: https://www.who.int

  7. Organización Mundial de la Salud. La COVID-19 afecta significativamente a los servicios de salud relacionados con las enfermedades no transmisibles. Comunicado de prensa 1 de junio 2020 [acceso 15/07/2021]: [aprox. 2 p]. Disponible en: www.who.int/es/news/item/0106http://www.who.int/es/news/item/01-06-20202020

  8. Cannata A, Watson SA, Daniel A, Giacca M, Shah AM, McDonagh TA, et al. Impact of the COVID-19 pandemic on in-hospital mortality in cardiovascular disease: a meta-analysis. Eur J Prev Cardiol. 2021 [acceso 15/07/2021]; 23:119. Disponible en: https://academic.oup.com

  9. Mafham MM, Spata E, Goldacre R, Gair D, Curnow P, Bray M, et al. COVID19 pandemic and admission rates for and management of acute coronary syndromes in England. Lancet. 2020 [acceso 18/07/2021];396:381–9. Disponible en: https://www.thelancet.com

  10. Clerici M, Durbano F, Spinogatti F, Vita A, de Girolamo G, Micciolo R. Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data. Ir J Psychol Med. 2020 [acceso 14/07/2021];37:283–90. Disponible en: https://www.ncbi.nlm.nih.gov

  11. Dopfer C, Wetzke M, Zychlinsky A, Mueller F, Dressler F, Baumann U, et al. COVID-19 related reduction in pediatric emergency healthcare utilization—a concerning trend. BMC Pediatr. 2020 [acceso 16/07/2021];20:427. Disponible en: https://bmcpediatr.biomedcentral.com

  12. Rodríguez O, Cid B, Ojeda S, Martín J, Rumoroso JR, López R, et al. Impacto de la pandemia de COVID-19 sobre la actividad asistencial en cardiología intervencionista en España. REC Interv Cardiol. 2020 [acceso 18/07/2021]; 2(2):82–9. Disponible en: https://www.recintervcardio.org/en

  13. Padial LR, Arias MA. El riesgo competitivo puede explicar en gran medida la disminución de los ingresos por enfermedad cardiovascular aguda durante la pandemia de COVID-19. Rev Esp Cardiol. 2020 [acceso 29/07/2021];73:778-810. Disponible en: https://www.revespcardiol.org




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