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Differences in risk factors in spontaneous coronary artery dissection vs. type 1 myocardial infarction
No full textMechanical Diagnosis and Therapy in Postpartum Isolated Coccygeal Pain of Lumbar Origin: A Case Report
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Demographics of Primary Sclerosing Cholangitis: A Contemporary Analysis From a Community Healthcare System
No full textRisk of Adverse Oncological Outcomes (Residual or Recurrent Cancer) After ESD for Early-Stage Gastrointestinal Cancers: A Retrospective Cohort Study
No full textImpact of COVID-19 on prenatal diagnosis and surgical outcomes of congenital heart disease: Fetal Heart Society and Society of Thoracic Surgeons collaborative study
No full textBackground:Fetal echocardiography is the mainstay of prenatal diagnosis of congenital heart disease. The COVID-19 pandemic led to shifts in triage of prenatal services. Our objective was to evaluate the impact of COVID-19 restrictions on prenatal diagnosis, surgical outcomes, and disparities in neonatal critical congenital heart disease (CCHD) management in the United States during the pandemic\u27s first year.
Methods and results:A multi-institutional retrospective cohort study compared neonatal CCHD outcomes (requiring surgery within 60 days of birth) 1 year prior (prepandemic era) and during the peak pandemic era, supplemented by a Fetal Heart Society survey assessing regional practice changes. Data on prenatal diagnosis, demographics, outcomes, and 2020 state Area Deprivation Index were analyzed using Wilcoxon rank sum and χ2 tests. The survey, completed by 72 fetal cardiologists from 9 US census regions, showed 75% of institutions implemented restrictions by March 2020, affecting triage, referrals, and number of prenatal cardiology visits. Compared with CCHD neonates born prepandemic (n=4637), those born during the pandemic (n=1806) had a higher proportion of prenatal diagnosis (66% versus 63%, P
Conclusions:Although pandemic-driven care delivery adjustments affected perinatal cardiology referrals and triage, prenatal diagnosis, perioperative outcomes, and survival remained robust. The management of CCHD demonstrates health care resilience, maintaining core prenatal and perioperative care. Regional variations highlight the need for targeted strategies to address disparities during health care crises
