Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.

L Bremner; J Vitola; R Cerci; R Campisi; Ríos R Araujo; T Massardo; C Gutierrez-Villamil; F Solis; A Peix; H Speckter; Velez M Sanchez; AC Flores; E Madu; E Alexánderson-Rosas; J Ortellado; R Morales; F Mut; L Vera; CB Hirschfeld; TC Villines; N Better; S Dorbala; G Karthikeyan; E Malkovskiy; YA Cohen; M Randazzo; TNB Pascual; Y Pynda; M Dondi; D Paez; AJ Einstein; INCAPS COVID 2 Investigators Group

doi:10.1016/j.ijcha.2024.101404

Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.

L Bremner, J Vitola, R Cerci, R Campisi, Ríos R Araujo, T Massardo, C Gutierrez-Villamil, F Solis, A Peix, H Speckter, Velez M Sanchez, AC Flores, E Madu, E Alexánderson-Rosas, J Ortellado, R Morales, F Mut, L Vera, CB Hirschfeld, TC VillinesN Better, S Dorbala, G Karthikeyan, E Malkovskiy, YA Cohen, M Randazzo, TNB Pascual, Y Pynda, M Dondi, D Paez, AJ Einstein, INCAPS COVID 2 Investigators Group

Research output: Contribution to journal › Article › peer-review

Abstract

BackgroundThe COVID-19 pandemic disproportionately impacted Latin America (LATAM), significantly disrupting cardiovascular testing. This study evaluated cardiac procedure recovery in LATAM one year after the outbreak.MethodsThe International Atomic Energy Agency (IAEA) surveyed 669 centers in 107 countries worldwide, including 135 facilities in 19 LATAM countries, to assess cardiovascular procedure volumes in March 2019, April 2020, and April 2021, and changes in center practices and staffing conditions one year into the COVID-19 pandemic.FindingsLATAM centers reported a 21 % decrease in procedure volumes in April 2021 from pre-pandemic-baseline, vs. a 0 % change in the rest of the world (RoW), and greater volume reductions for almost all procedure types. Centers in Central America and Mexico reported the largest procedure reductions (47 % reduction) compared to the Caribbean (15 %), and South America (14 %, p = 0.01), and this LATAM region was a significant predictor of lower procedure recovery in multivariable regression. More LATAM centers reported reduced salaries and increased layoffs of clinical staff compared to RoW, and LATAM respondents estimated that half of physician and non-physician staff experienced excess psychological stress related to the pandemic, compared to 25 % and 30 % in RoW (p ConclusionsCardiovascular testing recovery in LATAM trailed behind RoW for most procedure types, with centers in Central America and Mexico reporting the greatest volume reductions. This study found lasting impacts of COVID-19 on cardiovascular care in LATAM and the need for mental health support for LATAM healthcare workers in current and future pandemics.

Original language	English
Article number	101404
Number of pages	8
Journal	International journal of cardiology. Heart & vasculature
Volume	52
Early online date	4 Apr 2024
DOIs	https://doi.org/10.1016/j.ijcha.2024.101404
Publication status	E-pub ahead of print - 4 Apr 2024

Bibliographical note

The INCAPS COVID Investigators Group, listed by name in the Appendix, thank cardiology and imaging professional societies worldwide for their assistance in disseminating the survey to their memberships. These include alphabetically, but are not limited to, American Society of Nuclear Cardiology, Arab Society of Nuclear Medicine, Australasian Association of Nuclear Medicine Specialists, Australia-New Zealand Society of Nuclear Medicine, Belgian Society of Nuclear Medicine, Brazilian Nuclear Medicine Society, British Society of Cardiovascular Imaging, Conjoint Committee for the Recognition of Training in CT Coronary Angiography Australia and New Zealand, Consortium of Universities and Institutions in Japan, Danish Society of Cardiology, Gruppo Italiano Cardiologia Nucleare, Indonesian Society of Nuclear Medicine, Japanese Society of Nuclear Cardiology, Moscow Regional Department of Russian Nuclear Medicine Society, Philippine Society of Nuclear Medicine, Russian Society of Radiology, Sociedad Española de Medicina Nuclear e Imagen Molecular, Society of Cardiovascular Computed Tomography, and Thailand Society of Nuclear Medicine.

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Bremner, L., Vitola, J., Cerci, R., Campisi, R., Araujo, R. R., Massardo, T., Gutierrez-Villamil, C., Solis, F., Peix, A., Speckter, H., Sanchez, V. M., Flores, AC., Madu, E., Alexánderson-Rosas, E., Ortellado, J., Morales, R., Mut, F., Vera, L., Hirschfeld, CB., ... INCAPS COVID 2 Investigators Group (2024). Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey. International journal of cardiology. Heart & vasculature, 52, Article 101404. Advance online publication. https://doi.org/10.1016/j.ijcha.2024.101404

Bremner, L, Vitola, J, Cerci, R, Campisi, R, Araujo, RR, Massardo, T, Gutierrez-Villamil, C, Solis, F, Peix, A, Speckter, H, Sanchez, VM, Flores, AC, Madu, E, Alexánderson-Rosas, E, Ortellado, J, Morales, R, Mut, F, Vera, L, Hirschfeld, CB, Villines, TC, Better, N, Dorbala, S, Karthikeyan, G, Malkovskiy, E, Cohen, YA, Randazzo, M, Pascual, TNB, Pynda, Y, Dondi, M, Paez, D, Einstein, AJ & INCAPS COVID 2 Investigators Group 2024, 'Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.', International journal of cardiology. Heart & vasculature, vol. 52, 101404. https://doi.org/10.1016/j.ijcha.2024.101404

@article{f9bcbf8760a143519011846ebbcf8700,

title = "Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.",

abstract = "BackgroundThe COVID-19 pandemic disproportionately impacted Latin America (LATAM), significantly disrupting cardiovascular testing. This study evaluated cardiac procedure recovery in LATAM one year after the outbreak.MethodsThe International Atomic Energy Agency (IAEA) surveyed 669 centers in 107 countries worldwide, including 135 facilities in 19 LATAM countries, to assess cardiovascular procedure volumes in March 2019, April 2020, and April 2021, and changes in center practices and staffing conditions one year into the COVID-19 pandemic.FindingsLATAM centers reported a 21 % decrease in procedure volumes in April 2021 from pre-pandemic-baseline, vs. a 0 % change in the rest of the world (RoW), and greater volume reductions for almost all procedure types. Centers in Central America and Mexico reported the largest procedure reductions (47 % reduction) compared to the Caribbean (15 %), and South America (14 %, p = 0.01), and this LATAM region was a significant predictor of lower procedure recovery in multivariable regression. More LATAM centers reported reduced salaries and increased layoffs of clinical staff compared to RoW, and LATAM respondents estimated that half of physician and non-physician staff experienced excess psychological stress related to the pandemic, compared to 25 % and 30 % in RoW (p ConclusionsCardiovascular testing recovery in LATAM trailed behind RoW for most procedure types, with centers in Central America and Mexico reporting the greatest volume reductions. This study found lasting impacts of COVID-19 on cardiovascular care in LATAM and the need for mental health support for LATAM healthcare workers in current and future pandemics.",

author = "L Bremner and J Vitola and R Cerci and R Campisi and Araujo, {R{\'i}os R} and T Massardo and C Gutierrez-Villamil and F Solis and A Peix and H Speckter and Sanchez, {Velez M} and AC Flores and E Madu and E Alex{\'a}nderson-Rosas and J Ortellado and R Morales and F Mut and L Vera and CB Hirschfeld and TC Villines and N Better and S Dorbala and G Karthikeyan and E Malkovskiy and YA Cohen and M Randazzo and TNB Pascual and Y Pynda and M Dondi and D Paez and AJ Einstein and {INCAPS COVID 2 Investigators Group} and Brian Morrissey",

note = "The INCAPS COVID Investigators Group, listed by name in the Appendix, thank cardiology and imaging professional societies worldwide for their assistance in disseminating the survey to their memberships. These include alphabetically, but are not limited to, American Society of Nuclear Cardiology, Arab Society of Nuclear Medicine, Australasian Association of Nuclear Medicine Specialists, Australia-New Zealand Society of Nuclear Medicine, Belgian Society of Nuclear Medicine, Brazilian Nuclear Medicine Society, British Society of Cardiovascular Imaging, Conjoint Committee for the Recognition of Training in CT Coronary Angiography Australia and New Zealand, Consortium of Universities and Institutions in Japan, Danish Society of Cardiology, Gruppo Italiano Cardiologia Nucleare, Indonesian Society of Nuclear Medicine, Japanese Society of Nuclear Cardiology, Moscow Regional Department of Russian Nuclear Medicine Society, Philippine Society of Nuclear Medicine, Russian Society of Radiology, Sociedad Espa{\~n}ola de Medicina Nuclear e Imagen Molecular, Society of Cardiovascular Computed Tomography, and Thailand Society of Nuclear Medicine.",

year = "2024",

month = apr,

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doi = "10.1016/j.ijcha.2024.101404",

language = "English",

volume = "52",

journal = "International journal of cardiology. Heart & vasculature",

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TY - JOUR

T1 - Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.

AU - Bremner, L

AU - Vitola, J

AU - Cerci, R

AU - Campisi, R

AU - Araujo, Ríos R

AU - Massardo, T

AU - Gutierrez-Villamil, C

AU - Solis, F

AU - Peix, A

AU - Speckter, H

AU - Sanchez, Velez M

AU - Flores, AC

AU - Madu, E

AU - Alexánderson-Rosas, E

AU - Ortellado, J

AU - Morales, R

AU - Mut, F

AU - Vera, L

AU - Hirschfeld, CB

AU - Villines, TC

AU - Better, N

AU - Dorbala, S

AU - Karthikeyan, G

AU - Malkovskiy, E

AU - Cohen, YA

AU - Randazzo, M

AU - Pascual, TNB

AU - Pynda, Y

AU - Dondi, M

AU - Paez, D

AU - Einstein, AJ

AU - INCAPS COVID 2 Investigators Group

AU - Morrissey, Brian

N1 - The INCAPS COVID Investigators Group, listed by name in the Appendix, thank cardiology and imaging professional societies worldwide for their assistance in disseminating the survey to their memberships. These include alphabetically, but are not limited to, American Society of Nuclear Cardiology, Arab Society of Nuclear Medicine, Australasian Association of Nuclear Medicine Specialists, Australia-New Zealand Society of Nuclear Medicine, Belgian Society of Nuclear Medicine, Brazilian Nuclear Medicine Society, British Society of Cardiovascular Imaging, Conjoint Committee for the Recognition of Training in CT Coronary Angiography Australia and New Zealand, Consortium of Universities and Institutions in Japan, Danish Society of Cardiology, Gruppo Italiano Cardiologia Nucleare, Indonesian Society of Nuclear Medicine, Japanese Society of Nuclear Cardiology, Moscow Regional Department of Russian Nuclear Medicine Society, Philippine Society of Nuclear Medicine, Russian Society of Radiology, Sociedad Española de Medicina Nuclear e Imagen Molecular, Society of Cardiovascular Computed Tomography, and Thailand Society of Nuclear Medicine.

PY - 2024/4/4

Y1 - 2024/4/4

N2 - BackgroundThe COVID-19 pandemic disproportionately impacted Latin America (LATAM), significantly disrupting cardiovascular testing. This study evaluated cardiac procedure recovery in LATAM one year after the outbreak.MethodsThe International Atomic Energy Agency (IAEA) surveyed 669 centers in 107 countries worldwide, including 135 facilities in 19 LATAM countries, to assess cardiovascular procedure volumes in March 2019, April 2020, and April 2021, and changes in center practices and staffing conditions one year into the COVID-19 pandemic.FindingsLATAM centers reported a 21 % decrease in procedure volumes in April 2021 from pre-pandemic-baseline, vs. a 0 % change in the rest of the world (RoW), and greater volume reductions for almost all procedure types. Centers in Central America and Mexico reported the largest procedure reductions (47 % reduction) compared to the Caribbean (15 %), and South America (14 %, p = 0.01), and this LATAM region was a significant predictor of lower procedure recovery in multivariable regression. More LATAM centers reported reduced salaries and increased layoffs of clinical staff compared to RoW, and LATAM respondents estimated that half of physician and non-physician staff experienced excess psychological stress related to the pandemic, compared to 25 % and 30 % in RoW (p ConclusionsCardiovascular testing recovery in LATAM trailed behind RoW for most procedure types, with centers in Central America and Mexico reporting the greatest volume reductions. This study found lasting impacts of COVID-19 on cardiovascular care in LATAM and the need for mental health support for LATAM healthcare workers in current and future pandemics.

AB - BackgroundThe COVID-19 pandemic disproportionately impacted Latin America (LATAM), significantly disrupting cardiovascular testing. This study evaluated cardiac procedure recovery in LATAM one year after the outbreak.MethodsThe International Atomic Energy Agency (IAEA) surveyed 669 centers in 107 countries worldwide, including 135 facilities in 19 LATAM countries, to assess cardiovascular procedure volumes in March 2019, April 2020, and April 2021, and changes in center practices and staffing conditions one year into the COVID-19 pandemic.FindingsLATAM centers reported a 21 % decrease in procedure volumes in April 2021 from pre-pandemic-baseline, vs. a 0 % change in the rest of the world (RoW), and greater volume reductions for almost all procedure types. Centers in Central America and Mexico reported the largest procedure reductions (47 % reduction) compared to the Caribbean (15 %), and South America (14 %, p = 0.01), and this LATAM region was a significant predictor of lower procedure recovery in multivariable regression. More LATAM centers reported reduced salaries and increased layoffs of clinical staff compared to RoW, and LATAM respondents estimated that half of physician and non-physician staff experienced excess psychological stress related to the pandemic, compared to 25 % and 30 % in RoW (p ConclusionsCardiovascular testing recovery in LATAM trailed behind RoW for most procedure types, with centers in Central America and Mexico reporting the greatest volume reductions. This study found lasting impacts of COVID-19 on cardiovascular care in LATAM and the need for mental health support for LATAM healthcare workers in current and future pandemics.

UR - https://doi.org/10.1016/j.ijcha.2024.101404

U2 - 10.1016/j.ijcha.2024.101404

DO - 10.1016/j.ijcha.2024.101404

M3 - Article

C2 - 38590383

VL - 52

JO - International journal of cardiology. Heart & vasculature

JF - International journal of cardiology. Heart & vasculature

M1 - 101404

ER -

Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.

Abstract

Bibliographical note

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