Cardiology referral during the COVID-19 pandemic
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/212783 |
Resumo: | OBJECTIVES: This study presents the cardiology referral model adopted at the University of Sa˜o Paulo-Hospital das Clı´nicas complex during the initial period of the coronavirus disease (COVID-19) pandemic, main reasons for requesting a cardiologic evaluation, and clinical profile of and prognostic predictors in patients with COVID-19. METHODS: In this observational study, data of all cardiology referral requests between March 30, 2020 and July 6, 2020 were collected prospectively. A descriptive analysis of the reasons for cardiologic evaluation requests and the most common cardiologic diagnoses was performed. A multivariable model was used to identify independent predictors of in-hospital mortality among patients with COVID-19. RESULTS: Cardiologic evaluation was requested for 206 patients admitted to the ICHC-COVID. A diagnosis of COVID-19 was confirmed for 180 patients. Cardiologic complications occurred in 77.7% of the patients. Among these, decompensated heart failure was the most common complication (38.8%), followed by myocardial injury (35%), and arrhythmias, especially high ventricular response atrial fibrillation (17.7%). Advanced age, greater need of ventilatory support on admission, and pre-existing heart failure were independently associated with inhospital mortality. CONCLUSIONS: A hybrid model combining in-person referral with remote discussion and teaching is a viable alternative to overcome COVID-19 limitations. Cardiologic evaluation remains important during the pandemic, as patients with COVID-19 frequently develop cardiovascular complications or decompensation of the underlying heart disease. |
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oai:revistas.usp.br:article/212783 |
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USP-19 |
network_name_str |
Clinics |
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Cardiology referral during the COVID-19 pandemicCardiology ReferralCOVID-19Myocardial InjuryReferralCardiology TrainingOBJECTIVES: This study presents the cardiology referral model adopted at the University of Sa˜o Paulo-Hospital das Clı´nicas complex during the initial period of the coronavirus disease (COVID-19) pandemic, main reasons for requesting a cardiologic evaluation, and clinical profile of and prognostic predictors in patients with COVID-19. METHODS: In this observational study, data of all cardiology referral requests between March 30, 2020 and July 6, 2020 were collected prospectively. A descriptive analysis of the reasons for cardiologic evaluation requests and the most common cardiologic diagnoses was performed. A multivariable model was used to identify independent predictors of in-hospital mortality among patients with COVID-19. RESULTS: Cardiologic evaluation was requested for 206 patients admitted to the ICHC-COVID. A diagnosis of COVID-19 was confirmed for 180 patients. Cardiologic complications occurred in 77.7% of the patients. Among these, decompensated heart failure was the most common complication (38.8%), followed by myocardial injury (35%), and arrhythmias, especially high ventricular response atrial fibrillation (17.7%). Advanced age, greater need of ventilatory support on admission, and pre-existing heart failure were independently associated with inhospital mortality. CONCLUSIONS: A hybrid model combining in-person referral with remote discussion and teaching is a viable alternative to overcome COVID-19 limitations. Cardiologic evaluation remains important during the pandemic, as patients with COVID-19 frequently develop cardiovascular complications or decompensation of the underlying heart disease.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2021-12-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/21278310.6061/clinics/2021/e3538Clinics; Vol. 76 (2021); e3538Clinics; v. 76 (2021); e3538Clinics; Vol. 76 (2021); e35381980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/212783/194754Copyright (c) 2023 Clinicsinfo:eu-repo/semantics/openAccessSantorio, Nathalia ConciCardozo, Francisco Akira MaltaMiada, Rodrigo FreddiPitta, Fabio GrunspunTavares, Caio de Assis MouraHabrum, Fabio CetinicPinesi, Henrique TrombiniMagalhães, Iuri ResedáMenezes, Maria Clara SaadCaramelli, BrunoCalderaro, Daniela2023-07-06T13:04:04Zoai:revistas.usp.br:article/212783Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:04:04Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Cardiology referral during the COVID-19 pandemic |
title |
Cardiology referral during the COVID-19 pandemic |
spellingShingle |
Cardiology referral during the COVID-19 pandemic Santorio, Nathalia Conci Cardiology Referral COVID-19 Myocardial Injury Referral Cardiology Training |
title_short |
Cardiology referral during the COVID-19 pandemic |
title_full |
Cardiology referral during the COVID-19 pandemic |
title_fullStr |
Cardiology referral during the COVID-19 pandemic |
title_full_unstemmed |
Cardiology referral during the COVID-19 pandemic |
title_sort |
Cardiology referral during the COVID-19 pandemic |
author |
Santorio, Nathalia Conci |
author_facet |
Santorio, Nathalia Conci Cardozo, Francisco Akira Malta Miada, Rodrigo Freddi Pitta, Fabio Grunspun Tavares, Caio de Assis Moura Habrum, Fabio Cetinic Pinesi, Henrique Trombini Magalhães, Iuri Resedá Menezes, Maria Clara Saad Caramelli, Bruno Calderaro, Daniela |
author_role |
author |
author2 |
Cardozo, Francisco Akira Malta Miada, Rodrigo Freddi Pitta, Fabio Grunspun Tavares, Caio de Assis Moura Habrum, Fabio Cetinic Pinesi, Henrique Trombini Magalhães, Iuri Resedá Menezes, Maria Clara Saad Caramelli, Bruno Calderaro, Daniela |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Santorio, Nathalia Conci Cardozo, Francisco Akira Malta Miada, Rodrigo Freddi Pitta, Fabio Grunspun Tavares, Caio de Assis Moura Habrum, Fabio Cetinic Pinesi, Henrique Trombini Magalhães, Iuri Resedá Menezes, Maria Clara Saad Caramelli, Bruno Calderaro, Daniela |
dc.subject.por.fl_str_mv |
Cardiology Referral COVID-19 Myocardial Injury Referral Cardiology Training |
topic |
Cardiology Referral COVID-19 Myocardial Injury Referral Cardiology Training |
description |
OBJECTIVES: This study presents the cardiology referral model adopted at the University of Sa˜o Paulo-Hospital das Clı´nicas complex during the initial period of the coronavirus disease (COVID-19) pandemic, main reasons for requesting a cardiologic evaluation, and clinical profile of and prognostic predictors in patients with COVID-19. METHODS: In this observational study, data of all cardiology referral requests between March 30, 2020 and July 6, 2020 were collected prospectively. A descriptive analysis of the reasons for cardiologic evaluation requests and the most common cardiologic diagnoses was performed. A multivariable model was used to identify independent predictors of in-hospital mortality among patients with COVID-19. RESULTS: Cardiologic evaluation was requested for 206 patients admitted to the ICHC-COVID. A diagnosis of COVID-19 was confirmed for 180 patients. Cardiologic complications occurred in 77.7% of the patients. Among these, decompensated heart failure was the most common complication (38.8%), followed by myocardial injury (35%), and arrhythmias, especially high ventricular response atrial fibrillation (17.7%). Advanced age, greater need of ventilatory support on admission, and pre-existing heart failure were independently associated with inhospital mortality. CONCLUSIONS: A hybrid model combining in-person referral with remote discussion and teaching is a viable alternative to overcome COVID-19 limitations. Cardiologic evaluation remains important during the pandemic, as patients with COVID-19 frequently develop cardiovascular complications or decompensation of the underlying heart disease. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/212783 10.6061/clinics/2021/e3538 |
url |
https://www.revistas.usp.br/clinics/article/view/212783 |
identifier_str_mv |
10.6061/clinics/2021/e3538 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/212783/194754 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 76 (2021); e3538 Clinics; v. 76 (2021); e3538 Clinics; Vol. 76 (2021); e3538 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222766073380864 |