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首页> 外文期刊>Journal of cardiac surgery. >COVID-19: The rising cost of cardiac surgery and disease
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COVID-19: The rising cost of cardiac surgery and disease

机译：Covid-19：心脏手术和疾病的上升成本

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摘要

The coronavirus disease 19 (COVID-19) pandemic has resulted in widespread economic, health and social disruptions. The delivery of cardiovascular care has been stifled during the pandemic to adhere to infection control measures as a way of protecting patients and the workforce at large. This cautious approach has been protective since individuals with COVID-19 and cardiovascular disease are anticipated to have poorer outcomes and an increased risk of death. The combination of postponing elective cardiovascular surgeries, reduced acute care and long-term cardiac damage directly resulting from COVID-19 will likely have increased the demand for cardiac care, particularly from patients presenting with more severe symptoms. The combination of increased demand and inhibited supply will likely result in huge backlog of unmet patients' needs. The novelty, virulence and infectivity of severe acute respiratory syndrome coronavirus 2 has caused substantial morbidity and mortality, thus necessitating modifications to the UK government's healthcare strategy. Without improving cost efficiency, the UK's ageing population will likely need an increasing spend on cardiac surgery simply to maintain the same level of service. However, the government's short-term increase in spending is unsustainable especially in the face of ongoing economic uncertainty. This means that the long-term impact of COVID-19 will only increase the need to find innovative ways of delivering equivalent or superior cardiac care at a reduced unit cost.
机译：冠状病毒病19（COVID-19）大流行已导致广泛的经济、健康和社会混乱。在大流行期间，为了遵守感染控制措施，作为保护患者和广大工作人员的一种方式，心血管护理的提供受到了限制。由于2019冠状病毒疾病和心血管疾病的预后较差，死亡风险增加，这种谨慎的方法一直是有保护作用的。延迟心血管手术、2019冠状病毒疾病引起的急性心脏病和长期心脏损害的联合治疗，可能会增加心脏护理的需求，尤其是从症状更严重的患者。需求增加和供应抑制的结合可能会导致大量未满足患者需求的积压。严重急性呼吸综合征冠状病毒2的新颖性、毒性和传染性已经导致了大量的发病率和死亡率，因此需要修改英国政府的医疗战略。在不提高成本效益的情况下，英国老龄人口可能需要增加心脏手术的支出，以维持相同的服务水平。然而，政府的短期支出增长是不可持续的，尤其是在当前经济不确定性的情况下。这意味着2019冠状病毒疾病的长期影响只会增加需要寻找以更低的单位成本递送同等或优越的心脏护理的创新方式。

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