Evidence map›Paper›PMID 32965397›Full record

ArticleArquivos brasileiros de cardiologia2020

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

André Luiz Cerqueira Almeida, Thyago Monteiro do Espírito Santo, Maurício Silva Santana Mello, Alexandre Viana Cedro, Nilson Lima Lopes, Ana Paloma Martins Rocha Ribeiro, João Gustavo Cerqueira Mota, Rodrigo Serapião Mendes, Paulo André Abreu Almeida, Murilo Araújo Ferreira and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 26 citations in OpenAlex.

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  10. The Unapparent Non-COVID Consequences of the COVID-19 Pandemic.Arquivos brasileiros de cardiologia · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 2 institutions in 1 country.

André Luiz Cerqueira AlmeidaSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.ORCID 0000-0002-1777-477X
Thyago Monteiro do Espírito SantoSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Maurício Silva Santana MelloSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Alexandre Viana CedroSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Nilson Lima LopesSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Ana Paloma Martins Rocha RibeiroSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
João Gustavo Cerqueira MotaSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Rodrigo Serapião MendesSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Paulo André Abreu AlmeidaUNIFACS Curso de Medicina, Salvador, BA - Brasil.
Murilo Araújo FerreiraSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Diego Moreira ArrudaSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Adriana Aguiar Pepe SantosSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Vinícius Guedes RiosSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Maria Rosa Nascimento DantasSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.ORCID 0000-0002-3141-2310
Viviane Almeida SilvaSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Marcos Gomes da SilvaSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Patrick Harrison Santana SampaioSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
André Raimundo GuimarãesSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.
Edval Gomes SantosSanta Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.ORCID 0000-0002-3380-9338
Universidade Estadual de Feira de Santana · BRUniversidade Salvador · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe still do not have information regarding the impact of the COVID-19 pandemic on medical care activity in Brazil.

objectiveTo 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.

methodsCross-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).

resultsWe 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%.

conclusionCOVID-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).

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19Pneumonia, ViralBlood Pressure Monitoring, AmbulatoryBrazilCross-Sectional StudiesHumansPandemicsSARS-CoV-2Tertiary Care Centers

Identifiers

PMID32965397
PMCPMC8452210
OpenAlexW3088786974

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.