Impacto da pandemia de COVID-19 na assistência aos pacientes com infarto agudo do miocárdio

Autores

DOI:

https://doi.org/10.33448/rsd-v11i17.32400

Palavras-chave:

Infarto Agudo do Miocárdio; COVID-19; STEMI.

Resumo

Introdução: A pandemia desencadeada pelo SARS-CoV-2 trouxe desafios à assistência ao paciente com IAM afetando no atendimento adequado. Nesse estudo, objetivou-se realizar uma revisão integrativa para analisar o impacto da pandemia de COVID-19 no atraso da assistência ao paciente com IAM e, consequentemente, no seu prognóstico. Metodologia: Trata-se de uma revisão integrativa da literatura, qualitativa, com abordagem descritiva. Foi realizado um levantamento de artigos nas principais bases de dados utilizando os descritores “COVID-19”, “Myocardial Infarction” e “STEMI”; e o operador booleano AND. Os critérios de inclusão foram: artigo original, disponível na íntegra para livre acesso, publicado em 2020 e 2021, nos idiomas português, inglês e/ou espanhol. A amostra final foi de 32 artigos. Resultados: Foram utilizados no artigo, estudo de coorte retrospectivo, estudo retrospectivo observacional e meta-análises. Esses estudos relataram uma redução de quase 80% na admissão de pacientes com IAM. O prognóstico foi pior durante o período pandêmico com um aumento do número de complicações e aumento da morbimortalidade. A mortalidade por IAM aumentou em 1,3% a 80% no período da pandemia quando comparado ao mesmo período do ano anterior pré-pandemia. Além disso, alguns estudos verificaram que a mortalidade de pacientes com IAM e COVID-19 podia aumentar em até quatro vezes quando comparado ao paciente apenas com COVID. Conclusão: Nota-se uma redução nas admissões de casos de IAM que pode estar ligada ao medo de contaminação e às medidas de isolamento social que, associado a sobrecarga do sistema de saúde, tem levado a um atraso na procura por atendimento.

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20/12/2022

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LOPES, G. D. .; BRITO FILHO, M. T. de .; SANTOS, J. A. da S. .; BARBOSA, S. de B. .; SANTANA, M. L. da S. de .; SILVA, C. de S. .; JESUS, Y. V. G. S. de .; JESUS, C. V. F. de . Impacto da pandemia de COVID-19 na assistência aos pacientes com infarto agudo do miocárdio. Research, Society and Development, [S. l.], v. 11, n. 17, p. e69111732400, 2022. DOI: 10.33448/rsd-v11i17.32400. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/32400. Acesso em: 19 maio. 2024.

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