Surviving the Struggle of COVID-19: Practical Recommendations for Pediatric/Adult Cardiology and Cardiac Surgical

Kevin Pilarczyk1,2, Vinicius Nina3,4, Lynn Boshkov5

  • 1RobinAid Foundation, Hamburg, Germany.

Insights

This systematic review offers perioperative strategies to maintain cardiovascular services during the COVID-19 pandemic. Implementing protective measures and patient triage is crucial for safe cardiac surgery resumption.

Area of Science:

  • Cardiovascular Medicine
  • Infectious Diseases
  • Healthcare Management

Background:

  • The COVID-19 pandemic significantly impacted healthcare services, including cardiology and cardiac surgery.
  • Reduced services led to increased mortality for patients with COVID-19.
  • Healthcare workers faced high infection risks during the pandemic.

Purpose of the Study:

  • To provide perioperative strategies for preserving cardiovascular services.
  • To address financial and personnel constraints during the COVID-19 pandemic.
  • To ensure the safe resumption of cardiological and cardiac surgical activities.

Main Methods:

  • Systematic literature search of databases like MEDLINE, EMBASE, and CCTR.
  • Inclusion of search terms related to cardiac procedures and COVID-19.
  • Screening of relevant medical society webpages for additional information.

Main Results:

  • Cardiac surgery and cardiology practices decreased by 50-75% during the pandemic.
  • Significant increase in mortality observed in COVID-19 patients.
  • Healthcare workers are identified as a high-risk group for COVID-19 infection.

Conclusions:

  • Hospitals must prioritize protective equipment and training for healthcare workers.
  • Recommended patient triage based on clinical status and available resources.
  • Reorganization of hospital resources and protective measures is essential for safe resumption of cardiovascular services.
Abstract

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