Reduction in Hospital Admissions Associated with Coronary Events during the COVID-19 Pandemic in the Brazilian Private Health System: Data from the UNIMED-BH System

Abstract INTRODUCTION: We aimed to evaluate the impact of the new coronavirus disease 2019 on coronary hospitalizations in the Brazilian private health system. METHODS: Data on coronary admissions in 2020 and a 2-year historical series were collected from the UNIMED-BH insurance system. RESULTS: Admission rates in 2020 reduced by 26% (95%CI, 22-30) in comparison with 2018/2019, markedly from March to May (37%) compared to the peak of the pandemic (June-September, 19%). Mortality was higher in 2020 (5.4%, 95%CI 4.5-6.4) than in 2018/2019 (3.6%, 95%CI 3.2-4.1). CONCLUSIONS: There was a significant decrease in coronary admissions, with higher mortality during the COVID-19 pandemic.

Associaçäo de colecistectomia e abdominoplastia: experiência inicial / Association of cholecystectomy and abdominoplasty: first experience

Os autores apresentaram sua experiência inicial com a associaçäo de colecistectomia e abdominoplastia, ressaltando-se a segurança do método e a simplicidade da técnica. Enfatizam as indicaçöes e contra-indicaçöes, a importância de rigorosa avaliaçäo pré-operatória e o valor da ultra-sonografia abdominal. Destacam, ainda, a necessidade de hospitais gerais devidamente aparelhados e equipes cirúrgicas treinadas e entrosadas. Säo analisados o tempo de permanência, os custos hospitalares e a comodidade do paciente, näo se constatando complicaçöes que pudessem ser atribuídas ao método proposto.