Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12188/25318
DC Field | Value | Language |
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dc.contributor.author | Einstein, Andrew J | en_US |
dc.contributor.author | Hirschfeld, Cole | en_US |
dc.contributor.author | Williams, Michelle C | en_US |
dc.contributor.author | Vitola, Joao V | en_US |
dc.contributor.author | Better, Nathan | en_US |
dc.contributor.author | Villines, Todd C | en_US |
dc.contributor.author | Cerci, Rodrigo | en_US |
dc.contributor.author | Shaw, Leslee J | en_US |
dc.contributor.author | Choi, Andrew D | en_US |
dc.contributor.author | Dorbala, Sharmila | en_US |
dc.contributor.author | Karthikeyan, Ganesan | en_US |
dc.contributor.author | Lu, Bin | en_US |
dc.contributor.author | Sinitsyn, Valentin | en_US |
dc.contributor.author | Ansheles, Alexey A | en_US |
dc.contributor.author | Kudo, Takashi | en_US |
dc.contributor.author | Bucciarelli-Ducci, Chiara | en_US |
dc.contributor.author | Nørgaard, Bjarne Linde | en_US |
dc.contributor.author | Maurovich-Horvat, Pál | en_US |
dc.contributor.author | Campisi, Roxana | en_US |
dc.contributor.author | Milan, Elisa | en_US |
dc.contributor.author | Louw, Lizette | en_US |
dc.contributor.author | Allam, Adel H | en_US |
dc.contributor.author | Bhatia, Mona | en_US |
dc.contributor.author | Sewanan, Lorenzo | en_US |
dc.contributor.author | Malkovskiy, Eli | en_US |
dc.contributor.author | Cohen, Yosef | en_US |
dc.contributor.author | Randazzo, Michael | en_US |
dc.contributor.author | Narula, Jagat | en_US |
dc.contributor.author | Morozova, Olga | en_US |
dc.contributor.author | Pascual, Thomas N B | en_US |
dc.contributor.author | Pynda, Yaroslav | en_US |
dc.contributor.author | Dondi, Maurizio | en_US |
dc.contributor.author | Paez, Diana and he INCAPS COVID 2 Investigators Group | en_US |
dc.contributor.author | Mitevska, Irena | en_US |
dc.contributor.author | Vavlukis, Marija | en_US |
dc.date.accessioned | 2023-01-05T09:11:12Z | - |
dc.date.available | 2023-01-05T09:11:12Z | - |
dc.date.issued | 2022-05-24 | - |
dc.identifier.citation | Einstein AJ, Hirschfeld C, Williams MC, Vitola JV, Better N, Villines TC, Cerci R, Shaw LJ, Choi AD, Dorbala S, Karthikeyan G, Lu B, Sinitsyn V, Ansheles AA, Kudo T, Bucciarelli-Ducci C, Nørgaard BL, Maurovich-Horvat P, Campisi R, Milan E, Louw L, Allam AH, Bhatia M, Sewanan L, Malkovskiy E, Cohen Y, Randazzo M, Narula J, Morozova O, Pascual TNB, Pynda Y, Dondi M, Paez D; INCAPS COVID 2 Investigators Group. Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19. J Am Coll Cardiol. 2022 May 24;79(20):2001-2017. doi: 10.1016/j.jacc.2022.03.348. PMID: 35589162; PMCID: PMC9109706. | en_US |
dc.identifier.uri | http://hdl.handle.net/20.500.12188/25318 | - |
dc.description.abstract | Background: The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown. Objectives: The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery. Results: Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians' psychological stress were significant in predicting recovery of cardiac testing. Conclusions: Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing. | en_US |
dc.language.iso | en | en_US |
dc.publisher | ELSEVIER | en_US |
dc.relation | INCAPS COVID 2 Investigators Group | en_US |
dc.relation.ispartof | Journal of the American College of Cardiology | en_US |
dc.subject | COVID-19 | en_US |
dc.subject | cardiac testing | en_US |
dc.subject | cardiovascular disease | en_US |
dc.subject | coronavirus | en_US |
dc.subject | global health | en_US |
dc.title | Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19 | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1016/j.jacc.2022.03.348 | - |
dc.identifier.volume | 79 | - |
dc.identifier.issue | 20 | - |
item.grantfulltext | open | - |
item.fulltext | With Fulltext | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
Appears in Collections: | Faculty of Medicine: Journal Articles |
Files in This Item:
File | Description | Size | Format | |
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Since January 2020 Elsevier has created a COVID-19 resource centre.pdf | 3.54 MB | Adobe PDF | View/Open |
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