Cardiology Department Practices in the First Wave of the Coronavirus Disease Pandemic - A Nationwide Survey in Japan by the Japanese Circulation Society.
Cardiology Department Practices in the First Wave of the Coronavirus Disease Pandemic - A Nationwide Survey in Japan by the Japanese Circulation Society.
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DOI：
10.1253/circrep.cr-21-0002
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发表时间：
2021-02-05
期刊：
影响因子：
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通讯作者：
Node K
中科院分区：
文献类型：
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作者：
Mizuno A;Matsumoto C;Yoneoka D;Kishi T;Ishida M;Sanada S;Fukuda M;Saito Y;Yamauchi-Takihara K;Tsutsui H;Fukuda K;Komuro I;Node K
工作背景：从2019冠状病毒病（COVID-19）大流行的早期阶段开始，心脏病学家不仅关注COVID-19相关的心血管后遗症，还关注重新安排非紧急手术的治疗策略。本研究的主要目标是探索日本确诊的COVID-19心脏病病例经验和部门政策及其区域异质性。方法和结果：我们对日本循环学会于2020年4月13日进行的全国调查进行了回顾性分析。 调查问卷包括心脏科对确诊COVID-19病例的经验和限制政策，并发送给1，360家经认证的心脏科培训医院。对每个响应进行描述性分析和空间自相关分析，以揭示部门政策的异质性。答复率为56.8%（773份答复）。在所有做出回应的医院中，只有16%的医院出现了COVID-19心脏病病例。超过五分之一的医院限制了高风险手术，包括经食管超声心动图（34.9%）和预定导管插入术（39.5%）。COVID-19团队中的心脏病专家、委员会认证的心脏病专家数量、任何医疗资源短缺和紧急状态与任何类型的限制呈正相关。结论：我们发现，在日本的第一波COVID-19疫情期间，COVID-19的临床病例经验较低，心血管手术也受到限制。COVID-19导致的限制受到医院和国家层面变量的影响，例如紧急状态。
Background: From the early phase of the Coronavirus disease-2019 (COVID-19) pandemic, cardiologists have paid attention not only to COVID-19-associated cardiovascular sequelae, but also to treatment strategies for rescheduling non-urgent procedures. The chief objective of this study was to explore confirmed COVID-19 cardiology case experiences and departmental policies, and their regional heterogeneity in Japan. Methods and Results: We performed a retrospective analysis of a nationwide survey performed by the Japanese Circulation Society on April 13, 2020. The questionnaire included cardiology department experience with confirmed COVID-19 cases and restriction policies, and was sent to 1,360 certified cardiology training hospitals. Descriptive analysis and spatial autocorrelation analysis of each response were performed to reveal the heterogeneity of departmental policies. The response rate was 56.8% (773 replies). Only 16% of all responding hospitals experienced a COVID-19 cardiology case. High-risk procedures were restricted in more than one-fifth of hospitals, including transesophageal echocardiography (34.9%) and scheduled catheterization (39.5%). The presence of a cardiologist in the COVID-19 team, the number of board-certified cardiologists, any medical resource shortage and a state of emergency were positively correlated with any type of restriction. Conclusions: We found both low clinical case experiences with COVID-19 and restrictions of cardiovascular procedures during the first COVID-19 wave in Japan. Restrictions arising as a result of COVID-19 were affected by hospital- and country-level variables, such as a state of emergency.