[Collateral damage of COVID-19 pandemic in private healthcare centres of Argentina].
Identifieur interne : 000850 ( Main/Exploration ); précédent : 000849; suivant : 000851[Collateral damage of COVID-19 pandemic in private healthcare centres of Argentina].
Auteurs : Gerardo E. Bozovich [Argentine] ; Alberto Alves De Lima [Argentine] ; Matías Fosco [Argentine] ; Lucrecia M. Burgos [Argentine] ; Roberto Martínez [Argentine] ; Roberto Dupuy De Lôme [Argentine] ; Andrés Torn [Argentine] ; Javier Sala Mercado [Argentine]Source :
- Medicina [ 1669-9106 ] ; 2020.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (MeSH), Argentine (MeSH), Betacoronavirus (MeSH), Coûts indirects de la maladie (MeSH), Humains (MeSH), Hôpitaux privés (MeSH), Infections à coronavirus (MeSH), Isolement social (MeSH), Maladies non transmissibles (thérapie), Pandémies (MeSH), Pneumopathie virale (MeSH), Prestations des soins de santé (organisation et administration), Quarantaine (MeSH), Études rétrospectives (MeSH).
- MESH :
- organisation et administration : Prestations des soins de santé.
- thérapie : Maladies non transmissibles.
- Acceptation des soins par les patients, Argentine, Betacoronavirus, Coûts indirects de la maladie, Humains, Hôpitaux privés, Infections à coronavirus, Isolement social, Pandémies, Pneumopathie virale, Quarantaine, Études rétrospectives.
- Wicri :
- geographic : Argentine.
English descriptors
- KwdEn :
- Argentina (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus Infections (MeSH), Cost of Illness (MeSH), Delivery of Health Care (organization & administration), Hospitals, Private (MeSH), Humans (MeSH), Noncommunicable Diseases (therapy), Pandemics (MeSH), Patient Acceptance of Health Care (MeSH), Pneumonia, Viral (MeSH), Quarantine (MeSH), Retrospective Studies (MeSH), SARS-CoV-2 (MeSH), Social Isolation (MeSH).
- MESH :
- geographic : Argentina.
- organization & administration : Delivery of Health Care.
- therapy : Noncommunicable Diseases.
- Betacoronavirus, COVID-19, Coronavirus Infections, Cost of Illness, Hospitals, Private, Humans, Pandemics, Patient Acceptance of Health Care, Pneumonia, Viral, Quarantine, Retrospective Studies, SARS-CoV-2, Social Isolation.
Abstract
To contain the coronavirus pandemic (COVID-19), a strict nationwide lockdown has been enforced and the health systems have been reorganized to deal with this entity. During this period, changes in the care of non-infectious diseases have been observed. Our aim was to describe the impact of the COVID-19 pandemic in the care of non-communicable diseases. A structured retrospective survey was carried out in 31 healthcare centers affiliated with the Asociación de Clínicas, Sanatorios y Hospitales Privados de la República Argentina y Cámara de Entidades de Diagnóstico y Tratamiento. We compared data for April 2019 versus April 2020 regarding emergency room consultations, hospital admissions, invasive procedures and treatments, and bed occupancy. In April 2020, we observed a decrease in emergency room visits (75%) and hospitalizations (48%). A 62% decrease in admissions was noted for angina pectoris and acute coronary syndromes and a 46% decrease in admissions for stroke and transient ischemic attack. A meaningful decrease was found in coronary angioplasties (59%) and total percutaneous interventions (65%), and also a decrease in general surgeries (73%), and cardiac surgeries (58%). Although social distancing measures are a key public health strategy to flatten the infection curve, the observed decrease in medical visits and interventions may impact negatively on cardiovascular, cerebrovascular and cancer related morbidity and mortality. A collective effort is required to avoid the unintended consequences and collateral damage of the COVID-19 pandemic.
PubMed: 32658846
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Bozovich</name><affiliation wicri:level="1"><nlm:affiliation>Instituto Argentino de Diagnóstico y Tratamiento, Argentina. E-mail gbozovich@iadt.com.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Instituto Argentino de Diagnóstico y Tratamiento</wicri:regionArea></affiliation></author><author><name sortKey="Alves De Lima, Alberto" sort="Alves De Lima, Alberto" uniqKey="Alves De Lima A" first="Alberto" last="Alves De Lima">Alberto Alves De Lima</name><affiliation wicri:level="1"><nlm:affiliation>Instituto Cardiovascular de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Instituto Cardiovascular de Buenos Aires</wicri:regionArea></affiliation></author><author><name sortKey="Fosco, Matias" sort="Fosco, Matias" uniqKey="Fosco M" first="Matías" last="Fosco">Matías Fosco</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario de la Fundación Favaloro, Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Hospital Universitario de la Fundación Favaloro, Buenos Aires</wicri:regionArea><wicri:noRegion>Buenos Aires</wicri:noRegion></affiliation></author><author><name sortKey="Burgos, Lucrecia M" sort="Burgos, Lucrecia M" uniqKey="Burgos L" first="Lucrecia M" last="Burgos">Lucrecia M. Burgos</name><affiliation wicri:level="1"><nlm:affiliation>Instituto Cardiovascular de Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Instituto Cardiovascular de Buenos Aires</wicri:regionArea></affiliation></author><author><name sortKey="Martinez, Roberto" sort="Martinez, Roberto" uniqKey="Martinez R" first="Roberto" last="Martínez">Roberto Martínez</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Italiano de la Plata, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Hospital Italiano de la Plata</wicri:regionArea></affiliation></author><author><name sortKey="Dupuy De Lome, Roberto" sort="Dupuy De Lome, Roberto" uniqKey="Dupuy De Lome R" first="Roberto" last="Dupuy De Lôme">Roberto Dupuy De Lôme</name><affiliation wicri:level="1"><nlm:affiliation>Sanatorio Mater Dei, Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Sanatorio Mater Dei, Buenos Aires</wicri:regionArea><wicri:noRegion>Buenos Aires</wicri:noRegion></affiliation></author><author><name sortKey="Torn, Andres" sort="Torn, Andres" uniqKey="Torn A" first="Andrés" last="Torn">Andrés Torn</name><affiliation wicri:level="1"><nlm:affiliation>Asociación de Clínicas y Sanatorios de la República Argentina, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Asociación de Clínicas y Sanatorios de la República Argentina</wicri:regionArea></affiliation></author><author><name sortKey="Sala Mercado, Javier" sort="Sala Mercado, Javier" uniqKey="Sala Mercado J" first="Javier" last="Sala Mercado">Javier Sala Mercado</name><affiliation wicri:level="1"><nlm:affiliation>Instituto Modelo de Cardiología Privado, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Instituto Modelo de Cardiología Privado</wicri:regionArea></affiliation></author></analytic><series><title level="j">Medicina</title><idno type="eISSN">1669-9106</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Argentina (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>Cost of Illness (MeSH)</term><term>Delivery of Health Care (organization & administration)</term><term>Hospitals, Private (MeSH)</term><term>Humans (MeSH)</term><term>Noncommunicable Diseases (therapy)</term><term>Pandemics (MeSH)</term><term>Patient Acceptance of Health Care (MeSH)</term><term>Pneumonia, Viral (MeSH)</term><term>Quarantine (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Social Isolation (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (MeSH)</term><term>Argentine (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coûts indirects de la maladie (MeSH)</term><term>Humains (MeSH)</term><term>Hôpitaux privés (MeSH)</term><term>Infections à coronavirus (MeSH)</term><term>Isolement social (MeSH)</term><term>Maladies non transmissibles (thérapie)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (MeSH)</term><term>Prestations des soins de santé (organisation et administration)</term><term>Quarantaine (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Argentina</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Prestations des soins de santé</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Delivery of Health Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Noncommunicable Diseases</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladies non transmissibles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term><term>COVID-19</term><term>Coronavirus Infections</term><term>Cost of Illness</term><term>Hospitals, Private</term><term>Humans</term><term>Pandemics</term><term>Patient Acceptance of Health Care</term><term>Pneumonia, Viral</term><term>Quarantine</term><term>Retrospective Studies</term><term>SARS-CoV-2</term><term>Social Isolation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par les patients</term><term>Argentine</term><term>Betacoronavirus</term><term>Coûts indirects de la maladie</term><term>Humains</term><term>Hôpitaux privés</term><term>Infections à coronavirus</term><term>Isolement social</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Quarantaine</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Argentine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To contain the coronavirus pandemic (COVID-19), a strict nationwide lockdown has been enforced and the health systems have been reorganized to deal with this entity. During this period, changes in the care of non-infectious diseases have been observed. Our aim was to describe the impact of the COVID-19 pandemic in the care of non-communicable diseases. A structured retrospective survey was carried out in 31 healthcare centers affiliated with the Asociación de Clínicas, Sanatorios y Hospitales Privados de la República Argentina y Cámara de Entidades de Diagnóstico y Tratamiento. We compared data for April 2019 versus April 2020 regarding emergency room consultations, hospital admissions, invasive procedures and treatments, and bed occupancy. In April 2020, we observed a decrease in emergency room visits (75%) and hospitalizations (48%). A 62% decrease in admissions was noted for angina pectoris and acute coronary syndromes and a 46% decrease in admissions for stroke and transient ischemic attack. A meaningful decrease was found in coronary angioplasties (59%) and total percutaneous interventions (65%), and also a decrease in general surgeries (73%), and cardiac surgeries (58%). Although social distancing measures are a key public health strategy to flatten the infection curve, the observed decrease in medical visits and interventions may impact negatively on cardiovascular, cerebrovascular and cancer related morbidity and mortality. A collective effort is required to avoid the unintended consequences and collateral damage of the COVID-19 pandemic.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32658846</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>07</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1669-9106</ISSN><JournalIssue CitedMedium="Internet"><Volume>80 Suppl 3</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Medicina</Title><ISOAbbreviation>Medicina (B Aires)</ISOAbbreviation></Journal><ArticleTitle>[Collateral damage of COVID-19 pandemic in private healthcare centres of Argentina].</ArticleTitle><Pagination><MedlinePgn>37-41</MedlinePgn></Pagination><Abstract><AbstractText>To contain the coronavirus pandemic (COVID-19), a strict nationwide lockdown has been enforced and the health systems have been reorganized to deal with this entity. During this period, changes in the care of non-infectious diseases have been observed. Our aim was to describe the impact of the COVID-19 pandemic in the care of non-communicable diseases. A structured retrospective survey was carried out in 31 healthcare centers affiliated with the Asociación de Clínicas, Sanatorios y Hospitales Privados de la República Argentina y Cámara de Entidades de Diagnóstico y Tratamiento. We compared data for April 2019 versus April 2020 regarding emergency room consultations, hospital admissions, invasive procedures and treatments, and bed occupancy. In April 2020, we observed a decrease in emergency room visits (75%) and hospitalizations (48%). A 62% decrease in admissions was noted for angina pectoris and acute coronary syndromes and a 46% decrease in admissions for stroke and transient ischemic attack. A meaningful decrease was found in coronary angioplasties (59%) and total percutaneous interventions (65%), and also a decrease in general surgeries (73%), and cardiac surgeries (58%). Although social distancing measures are a key public health strategy to flatten the infection curve, the observed decrease in medical visits and interventions may impact negatively on cardiovascular, cerebrovascular and cancer related morbidity and mortality. A collective effort is required to avoid the unintended consequences and collateral damage of the COVID-19 pandemic.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bozovich</LastName><ForeName>Gerardo E</ForeName><Initials>GE</Initials><AffiliationInfo><Affiliation>Instituto Argentino de Diagnóstico y Tratamiento, Argentina. E-mail gbozovich@iadt.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alves De Lima</LastName><ForeName>Alberto</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Instituto Cardiovascular de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fosco</LastName><ForeName>Matías</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Hospital Universitario de la Fundación Favaloro, Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Burgos</LastName><ForeName>Lucrecia M</ForeName><Initials>LM</Initials><AffiliationInfo><Affiliation>Instituto Cardiovascular de Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martínez</LastName><ForeName>Roberto</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hospital Italiano de la Plata, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dupuy De Lôme</LastName><ForeName>Roberto</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Sanatorio Mater Dei, Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Torn</LastName><ForeName>Andrés</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Asociación de Clínicas y Sanatorios de la República Argentina, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sala Mercado</LastName><ForeName>Javier</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Instituto Modelo de Cardiología Privado, Argentina.</Affiliation></AffiliationInfo></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Daño colateral de la pandemia por COVID-19 en centros privados de salud de Argentina.</VernacularTitle></Article><MedlineJournalInfo><Country>Argentina</Country><MedlineTA>Medicina (B Aires)</MedlineTA><NlmUniqueID>0204271</NlmUniqueID><ISSNLinking>0025-7680</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001118" MajorTopicYN="N" Type="Geographic">Argentina</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017281" MajorTopicYN="N">Cost of Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="N">Delivery of Health Care</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016304" MajorTopicYN="N">Hospitals, Private</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073296" MajorTopicYN="N">Noncommunicable Diseases</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="Y">Patient Acceptance of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011790" MajorTopicYN="N">Quarantine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012934" MajorTopicYN="N">Social Isolation</DescriptorName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="spa"><AbstractText>Para contener la pandemia de COVID-19 se han adoptado medidas nacionales estrictas de aislamiento social y se han reorganizado los sistemas de salud. En este período, se observaron cambios en la atención de enfermedades no infecciosas. El objetivo de este trabajo fue describir las consecuencias de la pandemia de COVID-19 sobre la atención de enfermedades no transmisibles. Se realizó una encuesta estructurada retrospectiva a 31 centros asistenciales de la Asociación de Clínicas, Sanatorios y Hospitales Privados de la República Argentina y Cámara de Entidades de Diagnóstico y Tratamiento. Se compararon indicadores de abril de 2019 versus abril 2020. Se recolectaron datos sobre consultas de emergencia, ingresos hospitalarios, procedimientos invasivos, tratamiento y ocupación de áreas de internación. En ese periodo las consultas a emergencias y las hospitalizaciones disminuyeron en 75% y 48% respectivamente; los ingresos por angina de pecho y síndrome coronario agudo en 62% y los debidos a accidentes cerebrovascular e isquémico transitorio en 46%. Se encontró una disminución de las angioplastias coronarias (59%) e intervenciones percutáneas totales (65%), y un descenso tanto de las cirugías generales (73%) como de las cardíacas centrales (58%). Si bien el aislamiento social obligatorio es una estrategia clave de salud pública para aplanar la curva de propagación de la infección, la marcada disminución porcentual de consultas e intervenciones podría influir negativamente sobre la morbimortalidad cardiovascular, cerebrovascular y oncológica. Se requiere un esfuerzo conjunto para evitar una posible expansión del daño colateral del COVID-19.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">cancer</Keyword><Keyword MajorTopicYN="N">cardiovascular disease</Keyword><Keyword MajorTopicYN="N">coronavirus</Keyword><Keyword MajorTopicYN="N">epidemiology</Keyword><Keyword MajorTopicYN="N">stroke</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32658846</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Argentine</li></country></list><tree><country name="Argentine"><noRegion><name sortKey="Bozovich, Gerardo E" sort="Bozovich, Gerardo E" uniqKey="Bozovich G" first="Gerardo E" last="Bozovich">Gerardo E. Bozovich</name></noRegion><name sortKey="Alves De Lima, Alberto" sort="Alves De Lima, Alberto" uniqKey="Alves De Lima A" first="Alberto" last="Alves De Lima">Alberto Alves De Lima</name><name sortKey="Burgos, Lucrecia M" sort="Burgos, Lucrecia M" uniqKey="Burgos L" first="Lucrecia M" last="Burgos">Lucrecia M. Burgos</name><name sortKey="Dupuy De Lome, Roberto" sort="Dupuy De Lome, Roberto" uniqKey="Dupuy De Lome R" first="Roberto" last="Dupuy De Lôme">Roberto Dupuy De Lôme</name><name sortKey="Fosco, Matias" sort="Fosco, Matias" uniqKey="Fosco M" first="Matías" last="Fosco">Matías Fosco</name><name sortKey="Martinez, Roberto" sort="Martinez, Roberto" uniqKey="Martinez R" first="Roberto" last="Martínez">Roberto Martínez</name><name sortKey="Sala Mercado, Javier" sort="Sala Mercado, Javier" uniqKey="Sala Mercado J" first="Javier" last="Sala Mercado">Javier Sala Mercado</name><name sortKey="Torn, Andres" sort="Torn, Andres" uniqKey="Torn A" first="Andrés" last="Torn">Andrés Torn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LockdownV1
| This area was generated with Dilib version V0.6.38. |  |