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Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study
BACKGROUND: A significant restructuring of the healthcare services has taken place since the declaration of the coronavirus disease 2019 (COVID‐19) pandemic, with elective surgery put on hold to concentrate intensive care resources to treat COVID‐19 as well as to protect patients who are waiting for...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8013563/ https://www.ncbi.nlm.nih.gov/pubmed/33442890 http://dx.doi.org/10.1111/jocs.15307 |
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author | Lopez‐Marco, Ana Harky, Amer Verdichizzo, Danilo Hope, Emma Rosser, Barbara McPherson, Iain Kelly, Ronan Holland, Luke Ye Oo, Aung |
author_facet | Lopez‐Marco, Ana Harky, Amer Verdichizzo, Danilo Hope, Emma Rosser, Barbara McPherson, Iain Kelly, Ronan Holland, Luke Ye Oo, Aung |
author_sort | Lopez‐Marco, Ana |
collection | PubMed |
description | BACKGROUND: A significant restructuring of the healthcare services has taken place since the declaration of the coronavirus disease 2019 (COVID‐19) pandemic, with elective surgery put on hold to concentrate intensive care resources to treat COVID‐19 as well as to protect patients who are waiting for relatively low risk surgery from exposure to potentially infected hospital environment. METHODS: Multicentre study, with 19 participating centers, to define the impact of the pandemic on the provision of aortovascular services and patients' outcomes after having adapted the thresholds for intervention to guarantee access to treatment for emergency and urgent conditions. Retrospective analysis of prospectively collected data, including all patients with aortovascular conditions admitted for surgical or conservative treatment from the 1st March to the 20th May 2020. RESULTS: A total of 189 patients were analyzed, and 182 underwent surgery. Diagnosis included: aneurysm (45%), acute aortic syndrome (44%), pseudoaneurysm (4%), aortic valve endocarditis (4%), and other (3%). Timing for surgery was: emergency (40%), urgent (34%), or elective (26%). In‐hospital mortality was 12%. Thirteen patients were diagnosed with COVID‐19 during the peri‐operative period, and this subgroup was not associated with a higher mortality. CONCLUSIONS: There was a significant change in service provision for aortovascular patients in the UK. Although the emergency and urgent surgical activity were maintained, elective treatment was minimal during early months of the pandemic. The preoperative COVID‐19 screening protocol, combined with self‐isolation and shielding, contributed to the low incidence of COVID‐19 in our series and a mortality similar to that of pre‐pandemic outcomes. |
format | Online Article Text |
id | pubmed-8013563 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80135632021-04-01 Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study Lopez‐Marco, Ana Harky, Amer Verdichizzo, Danilo Hope, Emma Rosser, Barbara McPherson, Iain Kelly, Ronan Holland, Luke Ye Oo, Aung J Card Surg Original Articles BACKGROUND: A significant restructuring of the healthcare services has taken place since the declaration of the coronavirus disease 2019 (COVID‐19) pandemic, with elective surgery put on hold to concentrate intensive care resources to treat COVID‐19 as well as to protect patients who are waiting for relatively low risk surgery from exposure to potentially infected hospital environment. METHODS: Multicentre study, with 19 participating centers, to define the impact of the pandemic on the provision of aortovascular services and patients' outcomes after having adapted the thresholds for intervention to guarantee access to treatment for emergency and urgent conditions. Retrospective analysis of prospectively collected data, including all patients with aortovascular conditions admitted for surgical or conservative treatment from the 1st March to the 20th May 2020. RESULTS: A total of 189 patients were analyzed, and 182 underwent surgery. Diagnosis included: aneurysm (45%), acute aortic syndrome (44%), pseudoaneurysm (4%), aortic valve endocarditis (4%), and other (3%). Timing for surgery was: emergency (40%), urgent (34%), or elective (26%). In‐hospital mortality was 12%. Thirteen patients were diagnosed with COVID‐19 during the peri‐operative period, and this subgroup was not associated with a higher mortality. CONCLUSIONS: There was a significant change in service provision for aortovascular patients in the UK. Although the emergency and urgent surgical activity were maintained, elective treatment was minimal during early months of the pandemic. The preoperative COVID‐19 screening protocol, combined with self‐isolation and shielding, contributed to the low incidence of COVID‐19 in our series and a mortality similar to that of pre‐pandemic outcomes. John Wiley and Sons Inc. 2021-01-13 2021-03 /pmc/articles/PMC8013563/ /pubmed/33442890 http://dx.doi.org/10.1111/jocs.15307 Text en © 2021 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals LLC This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Lopez‐Marco, Ana Harky, Amer Verdichizzo, Danilo Hope, Emma Rosser, Barbara McPherson, Iain Kelly, Ronan Holland, Luke Ye Oo, Aung Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study |
title | Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study |
title_full | Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study |
title_fullStr | Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study |
title_full_unstemmed | Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study |
title_short | Early experience of aortic surgery during the COVID‐19 pandemic in the UK: A multicentre study |
title_sort | early experience of aortic surgery during the covid‐19 pandemic in the uk: a multicentre study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8013563/ https://www.ncbi.nlm.nih.gov/pubmed/33442890 http://dx.doi.org/10.1111/jocs.15307 |
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