关键词: COVID-19 pandemic blood diseases cardiac complications cardio-hematology care chemotherapy COVID-19 pandemic blood diseases cardiac complications cardio-hematology care chemotherapy COVID-19 pandemic blood diseases cardiac complications cardio-hematology care chemotherapy

Mesh : COVID-19 / epidemiology Hematology Humans Pandemics Poland / epidemiology Retrospective Studies

来  源:   DOI:10.3390/medicina58030337

Abstract:
Background and Objectives: We present a retrospective report on the cardio-hematological care of hematology patients at a university hospital in Poland during the COVID-19 pandemic. Materials and Methods: The number of hospitalizations at the Hematology Department and cardio-hematology consultations throughout 2019 and 2020 was analyzed. The types of cardiac procedures, risk factors, and complications were also assessed. Results: A significant reduction in the number of hospitalizations was observed in 2020 as compared to 2019. However, there were no significant differences in the incidence of hematological diseases between both of the analyzed years. In 2019, 299 cardiac consultations were performed in hematological patients, and there was a total of 352 such consultations performed in 2020 (p = 0.042). Less high-risk tests (transesophageal and stress echocardiography) were performed in 2020, in favor of the use of cardiac computed tomography in cardiac diagnostics as it was safer during the pandemic. At least one cardiovascular risk factor during cardiac consultation was noted in 42% and 48% of hematological patients in 2019 and 2020, respectively. Among 651 examined hematological patients, the most common findings were mild cardiac complications of hemato-oncological treatment, which were found in 57 patients. Conclusions: This study seems to confirm that during a pandemic there is an increased demand for well-organized cardio-hematology consultations.
摘要:
背景和目的:我们提供了一份关于COVID-19大流行期间波兰一所大学医院血液病患者的心脏血液护理的回顾性报告。材料与方法:对2019年和2020年全年血液科住院人数和心脏血液科会诊人数进行分析。心脏手术的类型,危险因素,并对并发症进行了评估.结果:与2019年相比,2020年的住院人数显着减少。然而,两个分析年份之间的血液病发病率没有显着差异。2019年,在血液科患者中进行了299次心脏咨询,2020年共进行了352次此类咨询(p=0.042)。2020年进行的高风险测试(经食管和压力超声心动图)较少,有利于在心脏诊断中使用心脏计算机断层扫描,因为在大流行期间更安全。在2019年和2020年,42%和48%的血液学患者在心脏会诊期间至少发现了一个心血管危险因素。在651名接受检查的血液学患者中,最常见的发现是血液肿瘤治疗的轻度心脏并发症,在57名患者中发现。结论:这项研究似乎证实,在大流行期间,对组织良好的心脏血液学咨询的需求增加。
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