Impact of COVID-19 Pandemic on the Italian Humanitarian Congenital Cardiac Surgery Activity: What No One Tells You.

COVID-19 cardiac surgery congenital heart diasease cooperation developing countries health humanitarian medicine

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2021
Historique:
received: 04 05 2021
accepted: 05 07 2021
entrez: 16 8 2021
pubmed: 17 8 2021
medline: 17 8 2021
Statut: epublish

Résumé

More than 4 millions of children with congenital heart disease (CHD) are waiting for cardiac surgery around the world. Few of these patients are treated only thanks to the support of many non-governmental organizations (NGOs). Starting in December 2019, the so-called coronavirus disease 2019 (COVID-19) has rapidly become a worldwide pandemic and has dramatically impacted on all the international humanitarian activities for congenital heart disease. We analyzed data from all the Italian congenital cardiac surgery centers with the aim to quantify the impact of the pandemic on their charities. Fifteen Italian centers participated in the study and contributed to data collection. We analyzed and compared data regarding humanitarian activities carried out abroad and on site from two periods: year 2019 (pre-COVID-19) and year 2020 (COVID-19 pandemic). In 2019, 53 international missions were carried out by Italian congenital cardiac surgeons, resulting in the treatment of 471 CHD patients. In the same period 11 Italian cardiac centers operated on 251 foreign patients in Italy. In 2020, the pandemic led to a reduction of this activity by 96% for the surgery performed overseas and 86% for the interventions carried out in Italy. In conclusion our study shows the important quantitative impact of the pandemic on the Italian humanitarian cardiac surgical activity overseas and in Italy. This shocking result highlights the failure of the systems adopted so far to solve the problem of CHD in developing countries.

Identifiants

pubmed: 34395564
doi: 10.3389/fcvm.2021.705029
pmc: PMC8355370
doi:

Types de publication

Journal Article

Langues

eng

Pagination

705029

Informations de copyright

Copyright © 2021 Giamberti, Caldaroni, Varrica, Pace Napoleone, Marianeschi, Uricchio, Vanini, Santoro, Luciani, Stellin, Gargiulo, Murzi, Filippelli, Oppido, Agati, Galletti and Frigiola.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Alessandro Giamberti (A)

Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Association "Bambini cardiopatici nel Mondo" Non-Governmental Organization (NGO), Milan, Italy.

Federica Caldaroni (F)

Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.

Alessandro Varrica (A)

Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.

Carlo Pace Napoleone (C)

Pediatric Cardiac Surgery, Regina Margherita Children's Hospital, Torino, Italy.

Stefano Maria Marianeschi (SM)

Pediatric Cardiac Surgery Unit, Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Nicola Uricchio (N)

Cardiac Surgery, Aziende Socio Sanitarie Territoriali (ASST) Papa Giovanni XXIII, Bergamo, Italy.

Vittorio Vanini (V)

Heart of Children Foundation, Bergamo, Italy.

Francesco Santoro (F)

Missioni Cardio Chirurgiche Internazionali, Gaslini Pediatric Hospital, Genova, Italy.

Giovanni Battista Luciani (GB)

Pediatric and Congenital Cardiac Surgery Unit, Department of Surgery, Dentistry, Pediatrics, and Gynecology, University of Verona, Verona, Italy.

Giovanni Stellin (G)

Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padua, Italy.

Gaetano Gargiulo (G)

Pediatric and Grown-up Congenital Cardiac Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy.

Bruno Murzi (B)

Pediatric Cardiac Surgery Unit, Heart Hospital, G. Monasterio Foundation, Massa, Italy.

Sergio Filippelli (S)

Department of Pediatric Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy.

Guido Oppido (G)

Congenital Cardiac Surgery Unit, Monaldi Hospital, Naples, Italy.

Salvatore Agati (S)

Centro Cardiologico Pediatrico del Mediterraneo - Bambino Gesù, "San Vincenzo" Hospital, Taormina, Italy.

Lorenzo Galletti (L)

Department of Pediatric Cardiac Surgery, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Alessandro Frigiola (A)

Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Association "Bambini cardiopatici nel Mondo" Non-Governmental Organization (NGO), Milan, Italy.

Classifications MeSH