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- 2024-01-03 (2)
- 2023-12-28 (1)
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Abstract
ABSTRACT
This article aims to analyze the implications of the Covid-19 pandemic in cardiovascular surgical procedures and the adaptations observed in these. It is an integrative review of the literature based on articles found in the Medline database through a pre-selection, using the descriptors "Cardiovascular Surgical Procedures" and "Covid-19", joined by the Boolean operator "AND", and a selection, based on a scientific question elaborated by the PICO strategy and inclusion and exclusion criteria. The articles were classified by country of study, type of surgery, level of evidence by the Agency for Healthcare Research and Quality classification, and implications and adaptations to the pandemic. A total of 112 articles were obtained with 21 articles selected. The most addressed procedures were cardiac valve replacement and implantation (23.81%) and congenital cardiac surgery (14.28%), while nationalities were the United States and United Kingdom, with 10 articles. Pandemic impacts were the reduction in the number of procedures (85.71%) and higher patients mortalily (47.62%). As alternatives used to overcome these difficulties, the use of telemedicine (42.86%) and advancing procedures for patients positive for Covid-19 (38.10%) stand out.
Key-words: COVID-19, Cardiovascular Surgical Procedures, Hospital Administration, Telemedicine, Health Services Accessibility.