Implications of the COVID-19 pandemic in monitoring health and cardiovascular diseases: survey study.

OBJECTIVE: To analyze the implications of COVID-19 in the monitoring of health and cardiovascular diseases in health services. METHOD: This is a descriptive, cross-sectional, survey-type study with 798 adults, selected by snowball on social networks, between June and July 2020. Data were collected in an electronic form validated for this study. RESULTS: There was a negative impact on monitoring health and cardiovascular diseases with missed appointments and elective exams. Symptoms such as chest pain and hypertensive crisis were neglected due to fear of contagion, lack of knowledge or structural lack of services, in addition to impaired monitoring of chronic conditions. CONCLUSION: The severity of results is noted considering the COVID-19 progression and the risk of complications. It is necessary to organize flows and structures compatible with each care profile, in health services, to guarantee care and promote diagnosis and control of chronic conditions in the set of actions to contain pandemics. It is crucial to prioritize primary care in health follow-ups during pandemic periods, as this has a direct impact on the progression of critical conditions at other levels of care.

Implications of the COVID-19 pandemic in monitoring health and cardiovascular diseases: survey study / Implicaciones de la pandemia de COVID-19 en el seguimiento de la salud y las enfermedades cardiovasculares: encuesta tipo encuesta / Implicações da pandemia de COVID-19 no acompanhamento de saúde e doenças cardiovasculares: levantamento tipo survey

ABSTRACT Objective: To analyze the implications of COVID-19 in the monitoring of health and cardiovascular diseases in health services. Method: This is a descriptive, cross-sectional, survey-type study with 798 adults, selected by snowball on social networks, between June and July 2020. Data were collected in an electronic form validated for this study. Results: There was a negative impact on monitoring health and cardiovascular diseases with missed appointments and elective exams. Symptoms such as chest pain and hypertensive crisis were neglected due to fear of contagion, lack of knowledge or structural lack of services, in addition to impaired monitoring of chronic conditions. Conclusion: The severity of results is noted considering the COVID-19 progression and the risk of complications. It is necessary to organize flows and structures compatible with each care profile, in health services, to guarantee care and promote diagnosis and control of chronic conditions in the set of actions to contain pandemics. It is crucial to prioritize primary care in health follow-ups during pandemic periods, as this has a direct impact on the progression of critical conditions at other levels of care.

RESUMEN Objetivo: Analizar las implicaciones de la COVID-19 en el seguimiento de la salud y las enfermedades cardiovasculares en los servicios de salud. Método: Estudio descriptivo, transversal, encuesta, con 798 adultos, seleccionados en bola de nieve en las redes sociales, entre junio y julio de 2020. Los datos fueron recolectados en un formulario electrónico validado para este estudio. Resultados: Hubo un impacto negativo en el seguimiento de la salud y enfermedades cardiovasculares con citas perdidas y exámenes electivos. Síntomas como dolor torácico y crisis hipertensiva fueron desatendidas por miedo al contagio, desconocimiento o carencia estructural de servicios, además del deterioro del seguimiento de las condiciones crónicas. Conclusión: Hay gravedad en los resultados ante la evolución de la COVID-19 y el riesgo de complicaciones. Es necesario organizar flujos y estructuras compatibles con cada perfil de atención, en los servicios de salud, para garantizar la atención y promover el diagnóstico y control de las condiciones crónicas en el conjunto de acciones para la contención de pandemias. Es crucial priorizar la atención primaria en los seguimientos de salud durante los períodos de pandemia, ya que esto tiene un impacto directo en la evolución de las condiciones críticas en otros niveles de atención.

RESUMO Objetivo: Analisar as implicações da COVID-19 no acompanhamento de saúde e doenças cardiovasculares em serviços de saúde. Método: Estudo descritivo, transversal, tipo survey, com 798 adultos, selecionados em bola de neve em redes sociais, entre junho e julho de 2020. Dados foram coletados em formulário eletrônico validado para este estudo. Resultados: Houve impacto negativo no acompanhamento de saúde e doenças cardiovasculares com perda de consultas e exames eletivos. Sintomas como dor torácica e crise hipertensiva foram negligenciados por medo de contágio, desconhecimento ou carência estrutural dos serviços, além do prejuízo no acompanhamento de condições crônicas. Conclusão: Nota-se gravidade nos resultados frente à evolução da COVID-19 e risco de complicações. É necessário organizar fluxos e estruturas compatíveis com cada perfil assistencial, nos serviços de saúde, para garantir atendimento e promover diagnóstico e controle de condições crônicas no conjunto de ações de contenção de pandemias. É determinante priorizar a atenção primária nos acompanhamentos de saúde em períodos pandêmicos, pois isso impacta diretamente na evolução dos quadros críticos dos demais níveis de atenção.