Evidence map›Paper›PMID 34667395›Full record

ArticleAnnals of pediatric cardiology

Impact of COVID-19 pandemic on pediatric cardiac services in India.

Mrigank Choubey, Sivasubramanian Ramakrishnan, Sakshi Sachdeva, Kalaivani Mani, Debasree Gangopadhyay, Kothandam Sivakumar, Mahesh Kappanayil, Mahimarangaiah Jayranganath, Nageswara Rao Koneti, Neeraj Awasthy and 32 more

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In one paragraph

Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 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
    Pooled it
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  3. Free surgery for CHD through philanthropy-a sustainable model?Indian journal of thoracic and cardiovascular surgery · 2025
    Review
  4. Article
  5. Article
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  7. Article
  8. Annals of pediatric cardiology
    Article
  9. Pediatric cardiology: Is India self-reliant?Annals of pediatric cardiology
    Article
  10. Article
  11. Pediatric cardiology: In search for evidence.Annals of pediatric cardiology
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

42 authors at 20 institutions in 1 country.

Mrigank ChoubeyDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Sivasubramanian RamakrishnanDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Sakshi SachdevaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Kalaivani ManiDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Debasree GangopadhyayDepartment of Pediatric Cardiology, Narayana Hrudalaya Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India.
Kothandam SivakumarDepartment of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
Mahesh KappanayilDepartment of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Mahimarangaiah JayranganathDepartment of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
Nageswara Rao KonetiDepartment of Pediatric Cardiology, Rainbow Children's Heart Institute, Hyderabad, Telangana, India.
Neeraj AwasthyDepartment of Pediatric Cardiology, Max Super Speciality Hospital, New Delhi, India.
Prashant BobhateDepartment of Pediatric Cardiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
Saurabh Kumar GuptaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Sushil AzadDepartment of Pediatric Cardiac Surgery, Fortis Escorts Heart Institute, New Delhi, India.
Bhargavi DhulipudiDepartment of Pediatric Cardiology, Rainbow Children's Heart Institute, Hyderabad, Telangana, India.
Bhushan SonawaneDepartment of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
Biswajit BandopadhyayDepartment of Pediatric Cardiology, Narayana Hrudalaya Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India.
Chinnaswamy Sivaprakasam MuthukumaranDepartment of Pediatric Cardiology, Apollo Hospital, Chennai, Tamil Nadu, India.
Debasis DasDepartment of Cardiac Surgery, Narayana Superspeciality Hospital, Howrah, Kolkata, West Bengal, India.
Devaprasath SivalingamDepartment of Pediatric Cardiology, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India.
Harpanahalli Ravi RamamurthyDepartment of Pediatrics, Division of Pediatric cardiology and Grown up Congenital Heart Diseases, Army Hospital (R and R), New Delhi, India.
Hemant Kumar NayakDepartment of Pediatric Cardiology, Mission Hospital, Durgapur, West Bengal, India.
Jayashree MishraDepartment of Pediatric Cardiology, Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India.
Kalyanasundaram MuthusamyDepartment of Pediatric Cardiology, GKNM hospital, Coimbatore, Tamil Nadu, India.
Manisha ChakrabartiDepartment of Pediatric Cardiology, Apollo Hospital, New Delhi, India.
Nurul IslamDepartment of Pediatric Cardiology, Healthworld Hospitals, Durgapur, West Bengal, India.
Prashant MahawarDepartment of Pediatric Cardiology, Narayana Hrudalaya, Jaipur, Rajasthan, India.
Prashant ShahDepartment of Pediatric Cardiology, Soorya Hospital, Chennai, Tamil Nadu, India.
Saileela RajanDepartment of Pediatric Cardiology, MIOT Centre for Children's Cardiac Care, MIOT Hospitals, Chennai, Tamil Nadu, India.
Kavasseri Subramaniaiyer RemadeviDepartment of Pediatric Cardiology, Aster Hospital, Calicut, Kerala, India.
Shaad AbqariDepartment of Pediatrics, Division of Pediatric Cardiology, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Shiv Kumar ChaudharyDepartment of Cardio-thoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
Soumya KasturiDepartment of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
Raghavannair Suresh KumarDepartment of Pediatric Cardiology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India.
Anita SaxenaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Krishna Subramony IyerDepartment of Pediatric and Congenital Heart Surgery, Fortis Escorts Heart Institute, New Delhi, India.
Rajesh SharmaDepartment of Pediatric Cardiac Surgery, Indraprastha Apollo Hospitals, New Delhi, India.
Raman Krishna KumarDepartment of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Sitaraman RadhakrishnanDepartment of Pediatric Cardiac Surgery, Fortis Escorts Heart Institute, New Delhi, India.
Shyam Sunder KothariDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Snehal KulkarniDepartment of Pediatric Cardiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
Suresh G RaoChildren's Heart Center, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
PCSI-COVID-19 study group
All India Institute of Medical Sciences · INAmrita Institute of Medical Sciences and Research Centre · INFortis Escorts Heart Institute · INKokilaben Dhirubhai Ambani Hospital · INApollo Hospitals · INMadras Medical Mission · INRabindranath Tagore International Institute of Cardiac Sciences · INRainbow Children's Hospital · INSri Jayadeva Institute of Cardiovascular Sciences and Research · INAligarh Muslim University · INArmy Hospital Research and Referral · INBai Jerbai Wadia Hospital for Children · ING. Kuppuswamy Naidu Memorial Hospital · INIndraprastha Apollo Hospitals · INMadras Institute of Orthopaedics and Traumatology · INMax Super Speciality Hospital · INMission Hospital Durgapur · INNethradhama Superspeciality Eye Hospital · INSooriya Hospital · INSri Ramakrishna Institute of Paramedical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 pandemic has disrupted pediatric cardiac services across the globe. Limited data are available on the impact of COVID.19 on pediatric cardiac care in India.

aimsThe aims are to study the impact of COVID-19 pandemic on the care of children with heart disease in India in terms of number of outpatient visits, hospitalizations, catheter-based interventions, and cardiac surgeries. SETTINGS AND

designThis is a retrospective, multicentric, observational study.

methodsWe collected monthly data on the number and characteristics of outpatient visits, hospitalizations, catheter-based interventions, and cardiac surgeries and major hospital statistics, over a period of 5 months (April to August 2020), which coincided with the first wave of COVID-19 pandemic in India and compared it with data from the corresponding months in 2019.

resultsThe outpatient visits across the 24 participating pediatric cardiac centers decreased by 74.5% in 2020 (

conclusionsThe current COVID-19 pandemic significantly impacted the delivery of pediatric cardiac care across India with two-third reduction in hospitalizations and cardiac surgeries. In an already resource-constrained environment, the impact of such a massive reduction in the number of surgeries could be significant over the coming years. These findings may prove useful in formulating strategy to manage subsequent waves of ongoing COVID-19 pandemic.

Indexed as

Congenital heart diseasegrown up with congenital heart diseaselow- and middle-income countriessevere acute respiratory syndrome and cardiac surgery

Identifiers

PMID34667395
PMCPMC8457266
OpenAlexW3195567120

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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.