RESUMEN
Although the focus on service provision in response to the COVID-19 pandemic has mainly been on acute and particularly intensive care, it is important to consider other services that are still needed. This is especially the case for vulnerable patients with long-term conditions, such as those under the care of an adult congenital heart disease (ACHD) service. The authors conducted a survey of ACHD nurse specialists in centres across the UK to acertain what they were planning in terms of the redeployment of nurse specialists. The results showed a range of plans with an average of half of nurses per centre being moved, but with 65% of the workforce planned to be redeployed to deal with the pandemic. The telephone advice service at the authors' own level 1 centre showed a significant increase in patients seeking advice when compared with the previous year, with large peaks following major Government announcements. Access to specialist advice for patients with complex conditions is of vital interest, for those in a wide range of specialities.
Asunto(s)
COVID-19 , Accesibilidad a los Servicios de Salud , Cardiopatías Congénitas , Enfermeras Especialistas , Pandemias , Adulto , COVID-19/epidemiología , COVID-19/enfermería , Cardiopatías Congénitas/enfermería , Humanos , Enfermeras Especialistas/organización & administración , Reino Unido/epidemiologíaAsunto(s)
Infecciones por Coronavirus , Transmisión de Enfermedad Infecciosa/prevención & control , Cardiopatías Congénitas/epidemiología , Pandemias , Neumonía Viral , Cuarentena , Ajuste de Riesgo , Medición de Riesgo/métodos , Adulto , Actitud del Personal de Salud , Betacoronavirus , COVID-19 , Consenso , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Femenino , Humanos , Masculino , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Cuarentena/métodos , Cuarentena/normas , Ajuste de Riesgo/métodos , Ajuste de Riesgo/normas , SARS-CoV-2 , Aislamiento Social , Reino Unido/epidemiologíaRESUMEN
The aim of this study was to characterize the echocardiographic phenotype of patients with COVID-19 pneumonia and its relation to biomarkers. Seventy-four patients (59 ± 13 years old, 78% male) admitted with COVID-19 were included after referral for transthoracic echocardiography as part of routine care. A level 1 British Society of Echocardiography transthoracic echocardiography was used to assess chamber size and function, valvular disease, and likelihood of pulmonary hypertension. The chief abnormalities were right ventricle (RV) dilatation (41%) and RV dysfunction (27%). RV impairment was associated with increased D-dimer and C-reactive protein levels. In contrast, left ventricular function was hyperdynamic or normal in most (89%) patients.