Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions.

Czerny, Martin; Gottardi, Roman; Puiu, Paul; Bernecker, Oliver Y; Citro, Rodolfo; Della Corte, Alessandro; di Marco, Luca; Fink, Martina; Gosslau, Yvonne; Haldenwang, Peter Lukas; Heijmen, Robin H; Hugas-Mallorqui, Maria; Iesu, Severino; Jacobsen, Oyvind; Jassar, Arminder S; Juraszek, Andrzej; Kolowca, Maciej; Lepidi, Sandro; Marrocco-Trischitta, Massimiliano M; Matsuda, Hitoshi; ... (2021). Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions. European journal of cardio-thoracic surgery, 59(5), pp. 1096-1102. Oxford University Press 10.1093/ejcts/ezaa452

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OBJECTIVES

To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on acute and elective thoracic and abdominal aortic procedures.

METHODS

Forty departments shared their data on acute and elective thoracic and abdominal aortic procedures between January and May 2020 and January and May 2019 in Europe, Asia and the USA. Admission rates as well as delay from onset of symptoms to referral were compared.

RESULTS

No differences in the number of acute thoracic and abdominal aortic procedures were observed between 2020 and the reference period in 2019 [incidence rates ratio (IRR): 0.96, confidence interval (CI) 0.89-1.04; P = 0.39]. Also, no difference in the time interval from acute onset of symptoms to referral was recorded (<12 h 32% vs > 12 h 68% in 2020, < 12 h 34% vs > 12 h 66% in 2019 P = 0.29). Conversely, a decline of 35% in elective procedures was seen (IRR: 0.81, CI 0.76-0.87; P < 0.001) with substantial differences between countries and the most pronounced decline in Italy (-40%, P < 0.001). Interestingly, in Switzerland, an increase in the number of elective cases was observed (+35%, P = 0.02).

CONCLUSIONS

There was no change in the number of acute thoracic and abdominal aortic cases and procedures during the initial wave of the COVID-19 pandemic, whereas the case load of elective operations and procedures decreased significantly. Patients with acute aortic syndromes presented despite COVID-19 and were managed according to current guidelines. Further analysis is required to prove that deferral of elective cases had no impact on premature mortality.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Hugas Mallorqui, Maria; Van den Berg, Josua Cornelis; Wyss, Thomas; Schmidli, Jürg and Tobler, Eva-Luca Renée

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1873-734X

Publisher:

Oxford University Press

Language:

English

Submitter:

Maria de Fatima Henriques Bernardo

Date Deposited:

05 Jan 2021 15:28

Last Modified:

11 May 2021 01:32

Publisher DOI:

10.1093/ejcts/ezaa452

PubMed ID:

33394040

Uncontrolled Keywords:

Acute and elective thoracic and abdominal aortic procedures Coronavirus disease 2019 pandemic

BORIS DOI:

10.48350/150672

URI:

https://boris.unibe.ch/id/eprint/150672

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