COVID-19 in Ecuador, how the pandemic strained the surgical healthcare systems over the edge

Molina, Gabriel A; Rojas, C. Liebana de; Aguayo, William G.; C, Miguel A Moyón; Moyon, Fernando X; Herrera, Joan; Jiménez, Galo Enrique; Ayala, Andrés; Fuentes, Germanico; Endara, Santiago A.

doi:10.1016/j.ijso.2020.08.012

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…The entire ramifications of this pandemic are yet to be seen, and a unique awareness of atypical presentations allows SARS-CoV-2 to be a differential so that it can be appropriately investigated [ 18 ]. Knowledge of other pathologies prevents COVID-19 from overshadowing other diagnoses, hence preventing delayed diagnosis or even misdiagnosis and consequent adverse outcomes for patients “in a time of zebras, don’t forget about the horses” [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 infection and cardiac angiosarcoma: a dangerous combination—a case report

et al. 2021

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Background The COVID-19 pandemic has strained all medical systems, especially in countries like Ecuador, where health services were already limited. These conditions, combined with a deadly and unusual disease, like primary heart angiosarcoma, can lead to severe outcomes. Angiosarcomas represent the most common and aggressive primary malignant heart tumor; regretfully, its clinical manifestations are vague and can be easily missed. Most patients become symptomatic when there is local invasion, embolization, or metastases, leading to late diagnosis and poor survival. High clinical awareness, adequate diagnosis, and prompt treatment are vital in these rare diseases, in which time is of paramount importance. Case presentation We report the case of a 28-year-old female who had cough, hemoptysis, and ground-glass opacities in the CT (computed tomography). Since Ecuador is in the middle of this pandemic, she was misdiagnosed and mistreated. Primary heart angiosarcoma was diagnosed, and regretfully, the patient suffered multiple complications due to diagnosis and died. Conclusion To this day, most cardiac angiosarcomas are found in a late-stage with distal metastasis and advanced local invasion. Sadly, this tumor is frequently missed due to its incidence and broad-spectrum of clinical symptoms. Considering that its manifestations can be misleading, misdiagnosis can occur, especially in pandemic times. Therefore, knowledge of other pathologies prevents COVID-19 from overshadowing other diagnoses, hence preventing delayed diagnosis or even misdiagnosis and consequent adverse outcomes for patients.

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Section: Discussionmentioning

confidence: 99%

COVID-19 infection and cardiac angiosarcoma: a dangerous combination—a case report

et al. 2021

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“…As the Covid-19 pandemic continues to evolve, the full ramifications of this disease are yet to be seen; we have seen an increase in complications due to delayed surgical care and hesitancy of patients to seek care due to the fear of the virus, coordinated action is required to minimize the aftermath of this pandemic [ 12 ]. This case is an example of the many complications we expect due to the pandemic; delay in treatment leads to troublesome complications.…”

Section: Discussionmentioning

confidence: 99%

A bleeding GIST in pandemic times, a cooperative approach to a delayed complication, a case report

Aguayo¹,

Moyon²,

Molina

et al. 2020

International Journal of Surgery Case Reports

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“…The prevalence of chronic diseases has proliferated, causing high economic and human costs to the national healthcare system [ 52 ]. Furthermore, the COVID-19 pandemic has affected national health systems, as unpreparedness, scarce medical supply, high demand for medical services and slow operational capacity have increased infections and deaths [ 53 , 54 ]. Additionally, patients’ hesitancy to seek care due to fear of contamination and lack of access to hospitals and other healthcare institutions diminished contact with patients, reduced the accessibility of treatment, and increased misinformation [ 54 ].…”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, the COVID-19 pandemic has affected national health systems, as unpreparedness, scarce medical supply, high demand for medical services and slow operational capacity have increased infections and deaths [ 53 , 54 ]. Additionally, patients’ hesitancy to seek care due to fear of contamination and lack of access to hospitals and other healthcare institutions diminished contact with patients, reduced the accessibility of treatment, and increased misinformation [ 54 ]. Digital health through teleconsultation, telemonitoring, and videoconferences was an alternative for overcoming the existing challenges.…”

Section: Methodsmentioning

confidence: 99%

Smart product-service systems in the healthcare industry: Intelligent connected products and stakeholder communication drive digital health service adoption

Negash¹,

Sarmiento²

2023

Heliyon

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COVID-19 in Ecuador, how the pandemic strained the surgical healthcare systems over the edge

Cited by 5 publications

References 6 publications

COVID-19 infection and cardiac angiosarcoma: a dangerous combination—a case report

COVID-19 infection and cardiac angiosarcoma: a dangerous combination—a case report

A bleeding GIST in pandemic times, a cooperative approach to a delayed complication, a case report

Smart product-service systems in the healthcare industry: Intelligent connected products and stakeholder communication drive digital health service adoption

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