Evidence map›Paper›PMID 33419537›Full record

Observational studyThe Journal of thoracic and cardiovascular surgery2021

Impact of early Coronavirus Disease 2019 pandemic on pediatric cardiac surgery in China.

Guocheng Shi, Jihong Huang, Mingan Pi, Xinxin Chen, Xiaofeng Li, Yiqun Ding, Hao Zhang, National Association of Pediatric Cardiology and Cardiac Surgery Working Group

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of thoracic and cardiovascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Impacts of COVID-19 on pediatric patients with congenital heart disease: a small systematic and integrative literature review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
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  5. Changes in Access to Health Services during the COVID-19 Pandemic: A Scoping Review.International journal of environmental research and public health · 2022
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  8. Commentary: Are these times still unprecedented?The Journal of thoracic and cardiovascular surgery · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Guocheng ShiDepartment of Cardiothoracic Surgery, Heart Center and Shanghai Institution of Pediatric Congenital Heart Diseases, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Clinical Research Center, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jihong HuangDepartment of Cardiothoracic Surgery, Heart Center and Shanghai Institution of Pediatric Congenital Heart Diseases, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Clinical Research Center, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Mingan PiDepartment of Cardiothoracic Surgery, Wuhan Children's Hospital, Wuhan, Hubei, China.
Xinxin ChenDepartment of Cardiothoracic Surgery, Guangzhou Woman and Children's Hospital, Guangzhou, Guangdong, China.
Xiaofeng LiDepartment of Cardiac Surgery, Beijing Children's Hospital, National Center for Children Health, Beijing, China.
Yiqun DingDepartment of Cardiothoracic Surgery, Shenzhen Children's Hospital, Shenzhen, Guangdong, China. Electronic address: yiqun.ding@139.com.
Hao ZhangDepartment of Cardiothoracic Surgery, Heart Center and Shanghai Institution of Pediatric Congenital Heart Diseases, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: drzhanghao@yahoo.com.
National Association of Pediatric Cardiology and Cardiac Surgery Working Group
Shanghai Jiao Tong University · CNBeijing Children’s Hospital · CNGuangdong Province Women and Children Hospital · CNShenzhen Children's Hospital · CNWuhan Children's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to provide an insight into the impact of the early outbreak of the novel Coronavirus Disease 2019 on the care management for patients with congenital heart disease.

methodsThis study respectively enrolled a cohort of surgical patients who underwent surgery in 2018 (group I), 2019 (group II), and 2020 (group III) and a cohort of follow-up patients who had follow-up in 2017 (group A), 2018 (group B), and 2019 (group C) in 13 children hospitals.

resultsDuring the Coronavirus Disease 2019 era, there was a significant decrease in total surgical volume and a change in case mix in terms of an increase in the proportion of emergency operations. Decrease in migration scale index was correlated to the decrease in both surgical volume (r = 0.64, P = .02) and outpatient visit volume (r = 0.61, P = .03). There was a significantly higher proportion of patients who had follow-up through the internet or phone in group C (26.4% vs 9.6% in group B and 8.9% in group A; P < .0001). There was no statistical difference in death or rehospitalization among the 3 follow-up groups (P = .49). There was higher parents' anxiety score (P < .0001) and more use of telemedicine (P = .004) in group C compared with groups A and B.

conclusionsThe Coronavirus Disease 2019 pandemic has resulted in a considerable decrease in total surgical volume and a change of case mix, which seems to be related to the strict traffic ban. Follow-up through the online medical service appears to be an effective alternative to the conventional method.

Indexed as

PandemicsCardiac Surgical ProceduresChildChinaCOVID-19Disease OutbreaksHeart Defects, CongenitalHumansPatient Care ManagementRetrospective StudiesSARS-CoV-2Thoracic Surgerycongenital heart diseaseCOVID-19follow-upsurgery

Identifiers

PMID33419537
PMCPMC7704339
OpenAlexW3107587665

What OpenQuestion holds

Textmetadata
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.