{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T12:50:03Z","timestamp":1793969403299,"version":"4.8.0"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo  Contexto Na pandemia de covid-19, os servi\u00e7os de sa\u00fade diminu\u00edram os atendimentos e procedimentos eletivos. Pacientes de cirurgia vascular s\u00e3o grupo de risco para adquirir formas graves da infec\u00e7\u00e3o, ao mesmo tempo que s\u00e3o suscet\u00edveis a apresentar complica\u00e7\u00f5es de suas doen\u00e7as de base caso n\u00e3o tenham acompanhamento rotineiro. Dessa forma, faz-se necess\u00e1rio entender os impactos e as consequ\u00eancias diretas e indiretas da pandemia com rela\u00e7\u00e3o aos pacientes vasculares.  Objetivos Avaliar o impacto de 1 ano de pandemia em um servi\u00e7o de Cirurgia Vascular, assim como a mudan\u00e7a do perfil de cirurgias no mesmo per\u00edodo.  M\u00e9todos Foi feita a an\u00e1lise de prontu\u00e1rios de pacientes submetidos a cirurgias eletivas e de urg\u00eancia entre 2019 e 2021. Em conjunto, foi realizada uma revis\u00e3o de literatura com as palavras-chave \u201ccirurgia vascular\u201d, \u201ccovid-19\u201d e \u201camputa\u00e7\u00f5es\u201d. Os dados foram analisados com o programa computacional Stata\/SE v.14.1 (StataCorpLP, EUA).  Resultados Foram identificadas 1.043 cirurgias no per\u00edodo de estudo, sendo 51,6% pr\u00e9-pandemia e 48,4% durante a pandemia. Observou-se redu\u00e7\u00e3o no n\u00famero de cirurgias eletivas e aumento no n\u00famero de amputa\u00e7\u00f5es de membros inferiores e desbridamentos cir\u00fargicos. Foi poss\u00edvel observar tamb\u00e9m aumento de pacientes com doen\u00e7a arterial obstrutiva perif\u00e9rica com classifica\u00e7\u00e3o de Rutherford avan\u00e7ada, assim como de casos de p\u00e9 diab\u00e9tico.  Conclus\u00f5es A diminui\u00e7\u00e3o dos atendimentos eletivos e o receio dos pacientes em procurar os servi\u00e7os de sa\u00fade durante o per\u00edodo da pandemia s\u00e3o os prov\u00e1veis motivos que justificam o aumento da gravidade dos quadros dos pacientes, com maior necessidade de amputa\u00e7\u00e3o de membros inferiores, desbridamento cir\u00fargico e mudan\u00e7as no perfil de cirurgia do servi\u00e7o.<\/jats:p>","DOI":"10.1590\/1677-5449.202200271","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T14:08:27Z","timestamp":1653401307000},"source":"Crossref","is-referenced-by-count":7,"title":["Impacto da COVID-19 no perfil cir\u00fargico dos pacientes de cirurgia vascular em servi\u00e7o de refer\u00eancia em Curitiba"],"prefix":"10.1590","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5441-8937","authenticated-orcid":false,"given":"Giovanna Golin","family":"Guarinello","sequence":"first","affiliation":[{"name":"Hospital 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