Psychological Impact of the Pandemic on Ambulatory Cardiometabolic Patients Without Evidence of SARS-CoV-2 Infection. The CorCOVID Latam Psy Study

Piskorz, Daniel; Barragán, Adriana Puente; Santi, Ricardo López; Vázquez, Gustavo; Ortiz, Gustavo Solache; Zambrano, Leonardo Ramírez; Castillo, Maxima Mendez; Roa, Carmen; Baños, Manuel; Ramos, Mirecly Guzman; Cabral, Luz; Sánchez, Piero; Spitz, Bernardo; Santi, M.; Estrella, Javier; González, Manuel J. Checa; Rafael-Horna, Eliana; Alexander, Bryce; Baranchuk, Adrián

doi:10.1016/j.cpcardiol.2020.100737

Cited by 9 publications

(17 citation statements)

References 20 publications

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“…The rationale and design of the main study have been previously published [ 27 ]. It was a survey sponsored by the InterAmerican Society of Cardiology (SIAC) and performed by cardiologists from 13 Spanish-speaking countries to patients older than 18 years with prior CV or metabolic diseases, including arterial hypertension, coronary artery disease, cardiomyopathies, heart failure, valvular disease, pericardial disease, obesity, dyslipidemia, or diabetes, with no evidence or history of COVID-19 infection, with the aim to assess the impact of the COVID-19 pandemic on habits, lifestyle, access to healthcare and treatments, as well as psychological factors [ 28 ]. The information was gathered in an online platform (Google Forms platform, Mountain View, CA) between 15 June and 15 July 2020.…”

Section: Methodsmentioning

confidence: 99%

Influenza and Pneumococcal Vaccination in Non-Infected Cardiometabolic Patients from the Americas during the COVID-19 Pandemic. A Sub-Analysis of the CorCOVID-LATAM Study

et al. 2021

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Background: Influenza vaccination (IV) and Pneumococcus vaccination (PV) are recommended for patients with cardiometabolic diseases. This study aimed to evaluate the immunization rate of ambulatory cardiometabolic patients during the COVID-19 pandemic in the Americas. Methods: Electronic surveys were collected from 13 Spanish speaking countries between 15 June and 15 July 2020. Results: 4216 patients were analyzed. Mean age 60 (±15) years and 49% females. Global IV rate was 46.5% and PV 24.6%. Vaccinated patients were older (IV = 63 vs. 58 years; PV = 68 vs. 59, p < 0.01) but without gender difference. Vaccination rates were greater in higher-risk groups (65+, diabetics, heart failure), but not in coronary artery disease patients. In the Southern cone, the rate of IV and PV was approximately double that in the tropical regions of the Americas. In a multivariate model, geographic zone (IV = OR 2.02, PV = OR 2.42, p < 0.001), age (IV = OR 1.023, PV = OR 1.035, p < 0.001), and incomes (IV = OR 1.28, PV = OR 1.58, p < 0.001) were predictors for vaccination. Conclusions: During the COVID-19 pandemic, ambulatory patients with cardiometabolic diseases from the Americas with no evidence of COVID-19 infection had lower-than-expected rates of IV and PV. Geographic, social, and cultural differences were found, and they should be explored in depth.

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Section: Methodsmentioning

confidence: 99%

Influenza and Pneumococcal Vaccination in Non-Infected Cardiometabolic Patients from the Americas during the COVID-19 Pandemic. A Sub-Analysis of the CorCOVID-LATAM Study

et al. 2021

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“…Ten papers were cross-sectional studies [21][22][23][24][25][26][27][29][30][31], and one was a retrospective longitudinal study [28].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Among the included studies, five were from Europe [21][22][23][24]31], four were from Asia [25][26][27]30], one was from North America [28], and the last was from Latin America [29]. Specifically, the countries where the patients were recruited were: Italy [22,24], Spain [21], United Kingdom [23], France [31], Japan [27], Turkey [30], Vietnam [25], China [26], Canada [28] and various Spanish speaking countries of Latin America [29].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Factors Associated with Depression and Anxiety in Adults ≥60 Years Old during the COVID-19 Pandemic: A Systematic Review

Ciuffreda

Cabanillas‐Barea

Carrasco‐Uribarren

et al. 2021

IJERPH

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COVID-19 represents a threat to public health and the mental health of the aged population. Prevalence and risk factors of depression and anxiety have been reported in previous reviews in other populations; however, a systematic review on the factors associated with depression and anxiety in older adults is not currently present in the literature. We searched PubMed, Embase, Scopus, ProQuest Psychology Database, Science Direct, Cochrane Library and SciELO databases (23 February 2021). The results were obtained by entering a combination of MeSH or Emtree terms with keywords related to COVID-19, elderly, depression and anxiety in the databases. A total of 11 studies were included in the systematic review. Female gender, loneliness, poor sleep quality and poor motor function were identified as factors associated with both depression and anxiety. Aspects related to having a stable and high monthly income represent protective factors for both depression and anxiety, and exercising was described as protective for depression. This study synthesised information and analysed the main factors associated with depression and anxiety in the older population during the COVID-19 pandemic. However, the cross-sectional design of most of the included studies does not allow a causal relationship between the factors analysed and depression or anxiety.

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“…Among them, the perception of depression showed an association with social determinants of health such as low-income and educational level, factors that have previously been shown to enhance cardiovascular mortality [ 36 ]. We recently published the most detailed results regarding psychological impact and 1,590 individuals (37.71%; IC95% 36.24–39.19) were considered suffering major depression independently associated with female gender (OR 1.72; 95%CI 1.40–2.11; p < 0.0001), low physical activity <100 minutes weekly (OR 1.36; 95%CI 1.10–1.67; p < 0.004), and low fruits and vegetables intake (OR 1.46; 95%CI 1.05–2.03; p < 0.024) [ 37 ]. The consequences of these neglected aspects will surely be reflected in an increase in mental disorders such as major depression and stress, which have a proven relationship with cardiovascular outcomes [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Ambulatory Patients with Cardiometabolic Disease and Without Evidence of COVID-19 During the Pandemic. The CorCOVID LATAM Study

Santi

Márquez

Piskorz

et al. 2021

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Background: SARS-CoV-2 pandemic has modified the cardiovascular care of ambulatory patients. The aim of this survey was to study changes in lifestyle habits, treatment adherence, and mental health status in patients with cardiometabolic disease, but no clinical evidence of COVID-19. Methods: A cross-sectional survey was conducted in ambulatory patients with cardiometabolic disease using paper/digital surveys. Variables investigated included socioeconomic status, physical activity, diet, tobacco use, alcohol intake, treatment discontinuation, and psychological symptoms. Results: A total of 4,216 patients (50.9% males, mean age 60.3 ± 15.3 years old) from 13 Spanish-speaking Latin American countries were enrolled. Among the study population, 46.4% of patients did not have contact with a healthcare provider, 31.5% reported access barriers to treatments and 17% discontinued some medication. Multivariate analysis showed that non-adherence to treatment was more prevalent in the secondary prevention group: peripheral vascular disease (OR 1.55, CI 1.08–2.24; p = 0.018), heart failure (OR 1.36, CI 1.05–1.75; p = 0.017), and coronary artery disease (OR 1.29 CI 1.04–1.60; p = 0.018). No physical activity was reported by 38% of patients. Only 15% of patients met minimum recommendations of physical activity (more than 150 minutes/week) and vegetable and fruit intake. Low/very low income (45.5%) was associated with a lower level of physical activity (p < 0.0001), less fruit and vegetables intake (p < 0.0001), more tobacco use (p < 0.001) and perception of depression (p < 0.001). Low educational level was also associated with the perception of depression (OR 1.46, CI 1.26–1.70; p < 0.01). Conclusions: Patients with cardiometabolic disease but without clinical evidence of COVID-19 showed significant medication non-adherence, especially in secondary prevention patients. Deterioration in lifestyle habits and appearance of depressive symptoms during the pandemic were frequent and related to socioeconomic status.

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Psychological Impact of the Pandemic on Ambulatory Cardiometabolic Patients Without Evidence of SARS-CoV-2 Infection. The CorCOVID Latam Psy Study

Cited by 9 publications

References 20 publications

Influenza and Pneumococcal Vaccination in Non-Infected Cardiometabolic Patients from the Americas during the COVID-19 Pandemic. A Sub-Analysis of the CorCOVID-LATAM Study

Influenza and Pneumococcal Vaccination in Non-Infected Cardiometabolic Patients from the Americas during the COVID-19 Pandemic. A Sub-Analysis of the CorCOVID-LATAM Study

Factors Associated with Depression and Anxiety in Adults ≥60 Years Old during the COVID-19 Pandemic: A Systematic Review

Ambulatory Patients with Cardiometabolic Disease and Without Evidence of COVID-19 During the Pandemic. The CorCOVID LATAM Study

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