Management of acute and chronic aortic disease during the COVID-19 pandemic-Results from a web-based ad hoc platform.

Czerny, Martin; van den Berg, Jos; Chiesa, Roberto; Jacobs, Michael; Jakob, Stephan; Jenni, Hans-Jörg; Lorusso, Roberto; Pacini, Davide; Quintana, Eduardo; Rylski, Bartosz; Staier, Klaus; Tsilimparis, Nikolaos; Wyss, Thomas; Gottardi, Roman; Schmidli, Juerg (2021). Management of acute and chronic aortic disease during the COVID-19 pandemic-Results from a web-based ad hoc platform. Journal of cardiac surgery, 36(5), pp. 1683-1692. Wiley-Blackwell 10.1111/jocs.15093

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BACKGROUND

To share the results of a web-based expert panel discussion focusing on the management of acute and chronic aortic disease during the coronavirus (COVID-19) pandemic.

METHODS

A web-based expert panel discussion on April 18, 2020, where eight experts were invited to share their experience with COVID-19 disease touching several aspects of aortic medicine. After each talk, specific questions were asked by the online audience, and results were immediately evaluated and shared with faculty and participants.

RESULTS

As of April 18, 73.3% answered that more than 200 patients have been treated at their respective settings. Sixty-four percent were reported that their hospital was well prepared for the pandemic. In 57.7%, the percentage of infected healthcare professionals was below 5% whereas 19.2% reported the percentage to be between 10% and 20%. Sixty-seven percent reported the application of extracorporeal membrane oxygenation in less than 2% of COVID-19 patients whereas 11.8% reported application in 5%-10% of COVID-19 patients. Thirty percent of participants reported the occurrence of pulmonary embolism in COVID-19 patients. Three percent reported to have seen aortic ruptures in primarily elective patients having been postponed because of the anticipated need to provide sufficient ICU capacity because of the pandemic. Nearly 70% reported a decrease in acute aortic syndrome referrals since the start of the pandemic.

CONCLUSION

The current COVID-19 pandemic has-besides the stoppage of elective referrals-also led to a decrease of referrals of acute aortic syndromes in many settings. The reluctance of patients seeking medical help seems to be a major driver. The number of patients, who have been postponed due to the provisioning of ICU resources but having experienced aortic rupture in the waiting period, is still low. Further, studies are needed to learn more about the influence that the COVID-19 pandemic has on the treatment of patients with acute and chronic aortic disease.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care

UniBE Contributor:

Jakob, Stephan; Jenni, Hansjoerg and Schmidli, Jürg

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0886-0440

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Jsabelle Arni

Date Deposited:

09 Oct 2020 17:23

Last Modified:

16 Apr 2021 01:31

Publisher DOI:

10.1111/jocs.15093

PubMed ID:

33032387

Uncontrolled Keywords:

COVID-19 acute and chronic aortic disease

BORIS DOI:

10.7892/boris.146947

URI:

https://boris.unibe.ch/id/eprint/146947

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