The arrival of COVID-19 in Brazil and the impact on coronary artery bypass surgery
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Citações na Scopus
2
Tipo de produção
article
Data de publicação
2021
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY
Autores
OLIVEIRA, Marco A. P.
SOUSA, Alexandre G. de
NAKAZONE, Marcelo A.
Citação
JOURNAL OF CARDIAC SURGERY, v.36, n.9, p.3070-3077, 2021
Resumo
Background and Aim of the Study This study analyzed the arrival of coronavirus disease 2019 (COVID-19) in Brazil and its impact on coronary artery bypass grafting (CABG) surgery. Methods Patients undergoing isolated CABG in six hospitals in Brazil were divided into two periods: pre-COVID-19 (March-May 2019, N = 468) and COVID-19 era (March-May 2020, N = 182). Perioperative data were included on a dedicated REDCap platform. Patients with clinical and tomographic criteria and/or PCR (+) for severe acute respiratory syndrome coronavirus 2 infection were considered COVID-19 (+). Logistic regression analysis was performed to create a multiple predictive model for mortality after CABG in COVID-19 era. Results Compared to 2019, in 2020, CABG surgeries had a 2.8-fold increased mortality risk (95% confidence interval [CI]: 1-7.6, p = .041), patients who evolved with COVID-19 had a 11-fold increased mortality risk (95% CI: 2.2-54.9, p < .003), rates of morbidities and readmission to the intensive care unit. The surgical volume was decreased by 60%. The model to predict mortality after CABG in the COVID-19 era was validated with good calibration (Hosmer-Lemeshow = 1.43) and discrimination (receiver operating characteristic = 0.78). Conclusion The COVID-19 pandemic had an adverse impact on mortality, morbidity and volume of patients undergoing CABG.
Palavras-chave
coronary artery bypass grafting, COVID-19, mortality, outcomes
Referências
- Aiken LH, 2002, JAMA-J AM MED ASSOC, V288, P1987, DOI 10.1001/jama.288.16.1987
- [Anonymous], 2020, AM COLL SURG, V15, P0230235
- [Anonymous], 2020, BBC NEWS, P1
- [Anonymous], 2020, ITV NEWS, P1
- Bakaeen FG, 2020, J THORAC CARDIOV SUR, V160, P722, DOI 10.1016/j.jtcvs.2020.04.101
- Chen NS, 2020, LANCET, V395, P507, DOI 10.1016/S0140-6736(20)30211-7
- Chikwe J, 2020, ANN THORAC SURG, V110, P725, DOI 10.1016/j.athoracsur.2020.05.004
- COVIDsurg Collaborative, 2020, LANCET, V396, P27, DOI 10.1016/S0140-6736(20)31182-X
- Doglietto F, 2020, JAMA SURG, V155, P691, DOI 10.1001/jamasurg.2020.2713
- Engelman DT, 2020, ANN THORAC SURG, V110, pE142, DOI 10.1016/j.athoracsur.2020.05.002
- Engelman DT, 2020, ANN THORAC SURG, V110, pE137, DOI 10.1016/j.athoracsur.2020.04.007
- Gaudino M, 2020, CIRCULATION, V142, P300, DOI 10.1161/CIRCULATIONAHA.120.047865
- Gershengorn HB, 2017, JAMA INTERN MED, V177, P388, DOI 10.1001/jamainternmed.2016.8457
- Guo T, 2020, JAMA CARDIOL, V5, P811, DOI 10.1001/jamacardio.2020.1017
- Haft JW, 2020, ANN THORAC SURG, V110, P697, DOI 10.1016/j.athoracsur.2020.04.003
- Hewitt J, 2020, LANCET PUBLIC HEALTH, V5, pE444, DOI 10.1016/S2468-2667(20)30146-8
- Lei SQ, 2020, ECLINICALMEDICINE, V21, DOI 10.1016/j.eclinm.2020.100331
- Lobdell KW, 2016, ANN THORAC SURG, V102, P1052, DOI 10.1016/j.athoracsur.2016.08.051
- Madjid M, 2020, JAMA CARDIOL, V5, P831, DOI 10.1001/jamacardio.2020.1286
- Orlandi BMM, 2020, PLOS ONE, V15, DOI 10.1371/journal.pone.0223343
- McNeely C, 2016, ANN THORAC SURG, V102, P132, DOI 10.1016/j.athoracsur.2016.01.016
- Mitchell, 2020, NURSING TIME, V2020, P4
- Nahshon C, 2020, WORLD J SURG, V44, P2477, DOI 10.1007/s00268-020-05575-2
- Neumann FJ, 2019, EUR HEART J, V40, P87, DOI 10.1093/eurheartj/ehy394
- Nguyen Long H, 2020, Lancet Public Health, V5, pe475, DOI [10.1101/2020.04.29.20084111, 10.1016/S2468-2667(20)30164-X]
- Patel V, 2020, J AM HEART ASSOC, V9, DOI 10.1161/JAHA.120.017042
- Ssentongo P, 2020, PLOS ONE, V15, DOI 10.1371/journal.pone.0238215
- Wood DA, 2020, ANN THORAC SURG, V110, P733, DOI 10.1016/j.athoracsur.2020.04.017
- Yan YL, 2020, BMJ OPEN DIAB RES CA, V8, DOI 10.1136/bmjdrc-2020-001343
- Yates MT, 2020, INTERACT CARDIOV TH, V31, P483, DOI 10.1093/icvts/ivaa143
Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11
Artigos e Materiais de Revistas Científicas - ODS/03
Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11
Artigos e Materiais de Revistas Científicas - ODS/03