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1.
J Card Surg ; 2020 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-32845035

RESUMO

BACKGROUND AND AIM: The coronavirus disease 2019 (COVID-19) pandemic has seen the cancellation of elective cardiac surgeries worldwide. Here we report the experience of a cardiac surgery unit in a developing country in response to the COVID-19 crisis. METHODS: From 6th April to 12th June 2020, 58 patients underwent urgent or emergency cardiac surgery. Data was reviewed from a prospectively entered unit-maintained cardiac surgery database. To ensure safe delivery of care to patients, a series of strict measures were implemented which included: a parallel healthcare system maintaining a COVID-19 cold site, social isolation of patients for one to 2 weeks before surgery, polymerase chain reaction testing for COVID-19, 72 hours before surgery, discrete staff assigned only to cardiac surgical cases socially isolated for 2 weeks as necessary. RESULTS: The mean age at surgery was 59.7 ± 11 years and 41 (70.7%) were male. Fifty-two patients were hypertensive (90%), and 32 were diabetic (55.2%). There were three emergency type A aortic dissections. Forty-seven patients underwent coronary artery bypass graft surgery with all but three performed off-pump. Fourteen cases required blood product transfusion. One patient had postoperative pneumonia associated with chronic obstructive pulmonary disease. The median length of stay was 5.7 ± 1.8 days. All patients were discharged home after rehabilitation. There were no cases of COVID-19 infection among healthcare workers during the study period. CONCLUSION: These strategies allowed us to maintain a service for urgent and emergency procedures and may prove useful for larger countries when there is decrease in COVID-19 cases and planning for the restart of elective cardiac surgery.

2.
Am J Trop Med Hyg ; 2020 Jun 09.
Artigo em Inglês | MEDLINE | ID: covidwho-595679

RESUMO

Trinidad and Tobago, a small island developing state, has been ranked as number one in a report published by the University of Oxford that assessed responses to COVID-19 based on four of the six WHO criteria for rolling back COVID-19 "lockdown" measures. The key mitigation and containment strategies implemented by the country were evidence-informed and demonstrated an "all-of-government" approach. The COVID-19 health system response of this country demonstrates that although developing countries face many health system challenges, political will, evidence-informed decision-making, respect for science, and timely, coordinated, collaborative actions can strengthen the resilience and response of the health system during a health emergency.

3.
Port of Spain; Ministry of Health, Trinidad and Tobago; June 4, 2020. 2 p. tab.
Monografia em Inglês | MedCarib | ID: biblio-1099473

RESUMO

In it's response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation [Au]


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
4.
Am J Trop Med Hyg ; 103(2): 590-592, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32524961

RESUMO

Trinidad and Tobago, a small island developing state, has been ranked as number one in a report published by the University of Oxford that assessed responses to COVID-19 based on four of the six WHO criteria for rolling back COVID-19 "lockdown" measures. The key mitigation and containment strategies implemented by the country were evidence-informed and demonstrated an "all-of-government" approach. The COVID-19 health system response of this country demonstrates that although developing countries face many health system challenges, political will, evidence-informed decision-making, respect for science, and timely, coordinated, collaborative actions can strengthen the resilience and response of the health system during a health emergency.


Assuntos
Controle de Doenças Transmissíveis , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Pneumonia Viral/epidemiologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Países em Desenvolvimento , Programas Governamentais , Comunicação em Saúde/normas , Humanos , Liderança , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Trinidad e Tobago
5.
Port of Spain; Ministry of Health; May 1, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096676

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
6.
Port of Spain; Ministry of Health; May 1, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096679

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
7.
Port of Spain; Ministry of Health; May 2, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096680

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
8.
Port of Spain; Ministry of Health; May 2, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096682

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
9.
Port of Spain; Ministry of Health; May 2, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096684

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
10.
Port of Spain; Ministry of Health; May 3, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1096686

RESUMO

In its response to safeguard the country in face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
11.
Port of Spain; Ministry of Health; May 4, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097096

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
12.
Port of Spain; Ministry of Health; May 5, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097097

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
13.
Port of Spain; Ministry of Health; May 5, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097100

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
14.
Port of Spain; Ministry of Health; May 5, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097104

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
15.
Port of Spain; Ministry of Health; May 6, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097106

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
16.
Port of Spain; Ministry of Health; May 6, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097107

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
17.
Port of Spain; Ministry of Health; May 8, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097109

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
18.
Port of Spain; Ministry of Health; May 8, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097110

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
19.
Port of Spain; Ministry of Health; May 8, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097111

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
20.
Port of Spain; Ministry of Health; May 9, 2020. 2 p.
Monografia em Inglês | MedCarib | ID: biblio-1097112

RESUMO

In its response to safeguard the country in the face of the global COVID-19 outbreak, the Trinidad and Tobago, Ministry of Health continues to provide up-to-date information of the country's response to this situation.


Assuntos
Humanos , Masculino , Feminino , Trinidad e Tobago , Coronavirus , Região do Caribe , Meios de Comunicação
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