Key Strategies for Clinical Management and Improvement of Healthcare Services for Cardiovascular Disease and Diabetes Patients in the Coronavirus (COVID-19) Settings: Recommendations From the REPROGRAM Consortium.

Journal: Frontiers in cardiovascular medicine

Volume: 7

Issue: 

Year of Publication: 

Affiliated Institutions:  Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, CVD and Metabolic REPROGRAM Sub-committee†, Sydney, NSW, Australia.

Abstract summary 

Patients with cardiovascular disease and diabetes are at potentially higher risk of infection and fatality due to COVID-19. Given the social and economic costs associated with disability due to these conditions, it is imperative that specific considerations for clinical management of these patients be observed. Moreover, the reorganization of health services around the pandemic response further exacerbates the growing crisis around limited access, treatment compliance, acute medical needs, and mental health of patients in this specific subgroup. Existing recommendations and guidelines emanating from respective bodies have addressed some of the pressure points; however, there are variations and limitations patient with multiple comorbidities such as obesity. This article will pull together a comprehensive assessment of the association of cardiovascular disease, diabetes, obesity and COVID-19, its impact on the health systems and how best health systems can respond to mitigate current challenges and future needs. We anticipate that in the context of this pandemic, the cardiovascular disease and diabetes patients need a targeted strategy to ensure the harm to this group does not translate to huge costs to society and to the economy. Finally, we propose a triage and management protocol for patients with cardiovascular disease and diabetes in the COVID-19 settings to minimize harm to patients, health systems and healthcare workers alike.

Authors & Co-authors:  Bhaskar Sonu S Rastogi Aarushi A Chattu Vijay Kumar VK Adisesh Anil A Thomas Pravin P Alvarado Negman N Riahi Anis D AD Varun Chakrakodi N CN Pai Anupama R AR Barsam Sarah S Walker Antony H AH

Study Outcome 

Source Link: Visit source

Statistics
Citations :  John Hopkins University COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE). Johns Hopkins University; (2020). Available online at: https://coronavirus.jhu.edu/map.html (accessed April 6, 2020).
Authors :  11
Identifiers
Doi : 112
SSN : 2297-055X
Study Population
Male,Female
Mesh Terms
Other Terms
cardiovascular diseases (CVDs);clinical algorithm;coronavirus disease 2019 (COVID-19);diabetes;healthcare services;obesity;personal protective equipment (PPE)
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Switzerland