دورية أكاديمية

Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak.

التفاصيل البيبلوغرافية
العنوان: Surgical Approach and Management Strategies in a Pediatric Cardiovascular Surgery Clinic During the COVID-19 Outbreak.
المؤلفون: Arslanoğlu E; Department of Pediatric Cardiovascular Surgery, Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Istanbul, Turkey., Işık ME; Department of Infectious Disease, Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Istanbul, Turkey., Kara KA; Department of Pediatric Cardiovascular Surgery, Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Istanbul, Turkey., Çine N; Department of Infectious Disease, Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Istanbul, Turkey., Tunçer E; Department of Infectious Disease, Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Istanbul, Turkey., Ceyran H; Department of Infectious Disease, Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi, Istanbul, Turkey.
المصدر: Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2022 Aug 16; Vol. 37 (4), pp. 466-471. Date of Electronic Publication: 2022 Aug 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Brazilian Society of Cardiovascular Surgery Country of Publication: Brazil NLM ID: 101677045 Publication Model: Electronic Cited Medium: Internet ISSN: 1678-9741 (Electronic) Linking ISSN: 01027638 NLM ISO Abbreviation: Braz J Cardiovasc Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: São Paulo, SP, Brasil : Brazilian Society of Cardiovascular Surgery, [2015]-
مواضيع طبية MeSH: COVID-19* , Thoracic Surgery*, Child ; Disease Outbreaks ; Female ; Humans ; Male ; Pandemics/prevention & control ; SARS-CoV-2
مستخلص: Introduction: The coronavirus disease 2019 (COVID-19) pandemic has required changes in the management of pediatric cardiac surgery. We would like to share the patient treatment and surgical management strategies employed in our Pediatric Cardiovascular Surgery Clinic during the COVID-19 pandemic.
Methods: A total of 112 patients were followed up in our clinic between 11.03.2020 and 02.07.2020. Their mean age was 1,118 (4-5,740) days. Management and treatment were performed by our pediatric heart team (pediatric cardiac anesthetists, general pediatricians, pediatric cardiologists, pediatric cardiac surgeons, and an infectious diseases specialist). We prepared new protocols and a surveillance system specific to the pandemic to prevent in-hospital transmission and reduce postoperative mortality and morbidity; our operations were performed according to these protocols. All decisions pertaining to the operation timing and treatment strategy of our COVID-19-positive patients were made by the same team.
Results: During the study period, a total of 112 patients, 69 boys and 43 girls, were hospitalized in our clinic. A total of 333 COVID-19 real-time polymerase chain reaction tests were performed on patients and accompanying persons; positive results were found in three patients and two accompanying individuals.
Conclusion: By employing new protocols and a surveillance system throughout the healthcare system, we think that early diagnosis and treatment of the pediatric congenital heart disease population, which is susceptible to infections, can continue unperturbed. This and similar approaches can increase postoperative success and prevent transmission in the pediatric population - which are frequently COVID-19 asymptomatic.
References: World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):485-487. (PMID: 32316830)
Arch Pediatr Adolesc Med. 2000 Feb;154(2):190-4. (PMID: 10665608)
JAMA Cardiol. 2020 Jul 1;5(7):811-818. (PMID: 32219356)
Pediatrics. 2020 Jun;145(6):. (PMID: 32179660)
Ann Rheum Dis. 2020 Aug;79(8):999-1006. (PMID: 32527868)
Indian J Pediatr. 2020 Jul;87(7):537-546. (PMID: 32410003)
Egypt Heart J. 2018 Dec;70(4):255-260. (PMID: 30591739)
Circulation. 2011 Mar 1;123(8):841-9. (PMID: 21321151)
J Clin Med. 2020 Jun 08;9(6):. (PMID: 32521643)
Lancet. 2020 Feb 15;395(10223):497-506. (PMID: 31986264)
Ann Thorac Surg. 2020 Aug;110(2):701-706. (PMID: 32302660)
N Engl J Med. 2020 Apr 23;382(17):1663-1665. (PMID: 32187458)
Int J Surg. 2020 Apr;76:71-76. (PMID: 32112977)
فهرسة مساهمة: Keywords: Cardiac Surgical Procedures; Child; Congenital Heart Disease; Covid-19; Delivery of Health Care; Early Diagnosis; Real Time Polymerase Chain Reaction
تواريخ الأحداث: Date Created: 20220608 Date Completed: 20220819 Latest Revision: 20220916
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9423802
DOI: 10.21470/1678-9741-2020-0614
PMID: 35675493
قاعدة البيانات: MEDLINE
الوصف
تدمد:1678-9741
DOI:10.21470/1678-9741-2020-0614