Results of the COVID-19 Survey. Impact on Cardiovascular Care in the ARGEN-IAM-ST National Infarction Registry

Introduction: The pandemic declared by WHO for the SARS-CoV-2 virus prepared the Argentine health system for the care ofCOVID-19 cases, but in this scenario the impact on prevalent diseases, such as cardiovascular diseases, is unknown.Methods: A cross-sectional survey was conducted in the centers pa...

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Veröffentlicht in:Revista Argentina de Cardiología 2020, Vol.88 (3), p.222-230
Hauptverfasser: Gagliardi, Juan, D'Imperio, Heraldo, Charask, Adrián, Macín, Stella Maris, Castillo Costa, Yanina, Zoni, César Rodrigo, Quiroga, Walter, Maturano, María P
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Zusammenfassung:Introduction: The pandemic declared by WHO for the SARS-CoV-2 virus prepared the Argentine health system for the care ofCOVID-19 cases, but in this scenario the impact on prevalent diseases, such as cardiovascular diseases, is unknown.Methods: A cross-sectional survey was conducted in the centers participating in the ARGEN-IAM-ST registry, to investigatethe institutional organization, outpatient care, hospitalization in critical care areas and the situation of health care workers.Results: A total of 80 centers were surveyed; 55% were public institutions and 97% had critical care areas. Ninety-one percentof the institutions created a crisis committee due to the pandemic and 65% took measures for outpatient care due to socialdistancing.In 89% of the centers hospitalizations due to cardiovascular diseases declined by 57% (SD ± 18) and in 24% of the centershealth care workers became infected with SARS-CoV-2.Conclusion: A high percentage of centers participating in the ARGEN-IAM-ST continuous registry created crisis committeesto reorganize the delivery of health care services; almost two thirds of them took measures for outpatient follow-up and therewas a significant decline in bed occupancy for patients with cardiovascular diseases. Introducción: La pandemia declarada por la OMS por el virus SARS CoV2 llevó al sistema de salud argentino a prepararsepara la atención de casos de COVID-19, pero se desconoce el impacto en este escenario sobre patologías prevalentes, comolas cardiovasculares.Material y métodos: Se realizó una encuesta transversal en los centros que participan del registro ARGEN-IAM-ST, que sedesarrolló para indagar sobre la organización institucional, la atención ambulatoria, la internación en cuidados críticos y elpersonal de la salud.Resultados: Se encuestaron 80 centros; el 55% eran de dependencias públicas y el 97% con servicio de cuidados críticos. El 91%de las instituciones formó un comité de crisis por la pandemia. El 65% de los centros tomó medidas de atención ambulatoriapor el distanciamiento social.Para el 89% se redujeron los ingresos por patologías cardiovasculares, y la magnitud de la caída tuvo una media de 57% (DE± 18). En 24% de los centros se registró personal de la salud contagiados con SARS-Cov2.Conclusión: Un elevado porcentaje de centros que participan del registro continuo ARGEN-IAM-ST crearon comités de crisispara reorganizar la atención; casi dos tercios de ellos tomaron medidas para seguimiento ambulatorio y se registró una