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Impact of COVID-19 pandemic on pediatric cardiac services in India.
Choubey, Mrigank; Ramakrishnan, Sivasubramanian; Sachdeva, Sakshi; Mani, Kalaivani; Gangopadhyay, Debasree; Sivakumar, Kothandam; Kappanayil, Mahesh; Jayranganath, Mahimarangaiah; Koneti, Nageswara Rao; Awasthy, Neeraj; Bobhate, Prashant; Gupta, Saurabh Kumar; Azad, Sushil; Dhulipudi, Bhargavi; Sonawane, Bhushan; Bandopadhyay, Biswajit; Muthukumaran, Chinnaswamy Sivaprakasam; Das, Debasis; Sivalingam, Devaprasath; Ramamurthy, Harpanahalli Ravi; Nayak, Hemant Kumar; Mishra, Jayashree; Muthusamy, Kalyanasundaram; Chakrabarti, Manisha; Islam, Nurul; Mahawar, Prashant; Shah, Prashant; Rajan, Saileela; Remadevi, Kavasseri Subramaniaiyer; Abqari, Shaad; Chaudhary, Shiv Kumar; Kasturi, Soumya; Kumar, Raghavannair Suresh; Saxena, Anita; Iyer, Krishna Subramony; Sharma, Rajesh; Kumar, Raman Krishna; Radhakrishnan, Sitaraman; Kothari, Shyam Sunder; Kulkarni, Snehal; Rao, Suresh G.
  • Choubey M; Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
  • Ramakrishnan S; Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
  • Sachdeva S; Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
  • Mani K; Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
  • Gangopadhyay D; Department of Pediatric Cardiology, Narayana Hrudalaya Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India.
  • Sivakumar K; Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
  • Kappanayil M; Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
  • Jayranganath M; Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
  • Koneti NR; Department of Pediatric Cardiology, Rainbow Children's Heart Institute, Hyderabad, Telangana, India.
  • Awasthy N; Department of Pediatric Cardiology, Max Super Speciality Hospital, New Delhi, India.
  • Bobhate P; Department of Pediatric Cardiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
  • Gupta SK; Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
  • Azad S; Department of Pediatric Cardiac Surgery, Fortis Escorts Heart Institute, New Delhi, India.
  • Dhulipudi B; Department of Pediatric Cardiology, Rainbow Children's Heart Institute, Hyderabad, Telangana, India.
  • Sonawane B; Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
  • Bandopadhyay B; Department of Pediatric Cardiology, Narayana Hrudalaya Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India.
  • Muthukumaran CS; Department of Pediatric Cardiology, Apollo Hospital, Chennai, Tamil Nadu, India.
  • Das D; Department of Cardiac Surgery, Narayana Superspeciality Hospital, Howrah, Kolkata, West Bengal, India.
  • Sivalingam D; Department of Pediatric Cardiology, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India.
  • Ramamurthy HR; Department of Pediatrics, Division of Pediatric cardiology and Grown up Congenital Heart Diseases, Army Hospital (R and R), New Delhi, India.
  • Nayak HK; Department of Pediatric Cardiology, Mission Hospital, Durgapur, West Bengal, India.
  • Mishra J; Department of Pediatric Cardiology, Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India.
  • Muthusamy K; Department of Pediatric Cardiology, GKNM hospital, Coimbatore, Tamil Nadu, India.
  • Chakrabarti M; Department of Pediatric Cardiology, Apollo Hospital, New Delhi, India.
  • Islam N; Department of Pediatric Cardiology, Healthworld Hospitals, Durgapur, West Bengal, India.
  • Mahawar P; Department of Pediatric Cardiology, Narayana Hrudalaya, Jaipur, Rajasthan, India.
  • Shah P; Department of Pediatric Cardiology, Soorya Hospital, Chennai, Tamil Nadu, India.
  • Rajan S; Department of Pediatric Cardiology, MIOT Centre for Children's Cardiac Care, MIOT Hospitals, Chennai, Tamil Nadu, India.
  • Remadevi KS; Department of Pediatric Cardiology, Aster Hospital, Calicut, Kerala, India.
  • Abqari S; Department of Pediatrics, Division of Pediatric Cardiology, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
  • Chaudhary SK; Department of Cardio-thoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
  • Kasturi S; Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.
  • Kumar RS; Department of Pediatric Cardiology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India.
  • Saxena A; Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
  • Iyer KS; Department of Pediatric and Congenital Heart Surgery, Fortis Escorts Heart Institute, New Delhi, India.
  • Sharma R; Department of Pediatric Cardiac Surgery, Indraprastha Apollo Hospitals, New Delhi, India.
  • Kumar RK; Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
  • Radhakrishnan S; Department of Pediatric Cardiac Surgery, Fortis Escorts Heart Institute, New Delhi, India.
  • Kothari SS; Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
  • Kulkarni S; Department of Pediatric Cardiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
  • Rao SG; Children's Heart Center, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
Ann Pediatr Cardiol ; 14(3): 260-268, 2021.
Article in English | MEDLINE | ID: covidwho-1395102
ABSTRACT

BACKGROUND:

COVID-19 pandemic has disrupted pediatric cardiac services across the globe. Limited data are available on the impact of COVID.19 on pediatric cardiac care in India.

AIMS:

The aims are to study the impact of COVID-19 pandemic on the care of children with heart disease in India in terms of number of outpatient visits, hospitalizations, catheter-based interventions, and cardiac surgeries. SETTINGS AND

DESIGN:

This is a retrospective, multicentric, observational study.

METHODS:

We collected monthly data on the number and characteristics of outpatient visits, hospitalizations, catheter-based interventions, and cardiac surgeries and major hospital statistics, over a period of 5 months (April to August 2020), which coincided with the first wave of COVID-19 pandemic in India and compared it with data from the corresponding months in 2019.

RESULTS:

The outpatient visits across the 24 participating pediatric cardiac centers decreased by 74.5% in 2020 (n = 13,878) as compared to the corresponding period in 2019 (n = 54,213). The reduction in the number of hospitalizations, cardiac surgeries, and catheterization procedures was 66.8%, 73.0%, and 74.3%, respectively. The reduction in hospitalization was relatively less pronounced among neonates as compared to infants/children (47.6% vs. 70.1% reduction) and for emergency surgeries as compared to elective indications (27.8% vs. 79.2%). The overall in-hospital mortality was higher in 2020 (8.1%) as compared to 2019 (4.8%), with a higher postoperative mortality (9.1% vs. 4.3%).

CONCLUSIONS:

The current COVID-19 pandemic significantly impacted the delivery of pediatric cardiac care across India with two-third reduction in hospitalizations and cardiac surgeries. In an already resource-constrained environment, the impact of such a massive reduction in the number of surgeries could be significant over the coming years. These findings may prove useful in formulating strategy to manage subsequent waves of ongoing COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Journal: Ann Pediatr Cardiol Year: 2021 Document Type: Article Affiliation country: Apc.apc_133_21

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Journal: Ann Pediatr Cardiol Year: 2021 Document Type: Article Affiliation country: Apc.apc_133_21