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

BACKGROUND : COVID-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. AIMS : The aims are to study the impact of COVID-19 pandemic on the care of children with heart disease in India in terms...

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Detalles Bibliográficos
Autores principales: Choubey, Mrigank, Ramakrishnan, Sivasubramanian, Sachdeva, Sakshi, Mani, Kalaivani, Gangopadhyay, Debasree, Sivakumar, Kothandam, Kappanayil, Mahesh, Jayranganath, Mahimarangaiah, Koneti, Nageswara Rao, Awasthy, Neeraj, Bobhate, Prashant, Gupta, Saurabh Kumar, Azad, Sushil, Dhulipudi, Bhargavi, Sonawane, Bhushan, Bandopadhyay, Biswajit, Muthukumaran, Chinnaswamy Sivaprakasam, Das, Debasis, Sivalingam, Devaprasath, Ramamurthy, Harpanahalli Ravi, Nayak, Hemant Kumar, Mishra, Jayashree, Muthusamy, Kalyanasundaram, Chakrabarti, Manisha, Islam, Nurul, Mahawar, Prashant, Shah, Prashant, Rajan, Saileela, Remadevi, Kavasseri Subramaniaiyer, Abqari, Shaad, Chaudhary, Shiv Kumar, Kasturi, Soumya, Kumar, Raghavannair Suresh, Saxena, Anita, Iyer, Krishna Subramony, Sharma, Rajesh, Kumar, Raman Krishna, Radhakrishnan, Sitaraman, Kothari, Shyam Sunder, Kulkarni, Snehal, Rao, Suresh G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457266/
https://www.ncbi.nlm.nih.gov/pubmed/34667395
http://dx.doi.org/10.4103/apc.apc_133_21
Descripción
Sumario:BACKGROUND : COVID-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. AIMS : The 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 DESIGN : This is a retrospective, multicentric, observational study. METHODS : We 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. RESULTS : The outpatient visits across the 24 participating pediatric cardiac centers decreased by 74.5% in 2020 (n = 13,878) as compared to the corresponding period in 2019 (n = 54,213). The reduction in the number of hospitalizations, cardiac surgeries, and catheterization procedures was 66.8%, 73.0%, and 74.3%, respectively. The reduction in hospitalization was relatively less pronounced among neonates as compared to infants/children (47.6% vs. 70.1% reduction) and for emergency surgeries as compared to elective indications (27.8% vs. 79.2%). The overall in-hospital mortality was higher in 2020 (8.1%) as compared to 2019 (4.8%), with a higher postoperative mortality (9.1% vs. 4.3%). CONCLUSIONS : The 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.

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