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

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

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Main Authors: Czerny, Martin (Author) , Gottardi, Roman (Author) , Puiu, Paul (Author) , Bernecker, Oliver Y (Author) , Citro, Rodolfo (Author) , Della Corte, Alessandro (Author) , di Marco, Luca (Author) , Fink, Martina (Author) , Gosslau, Yvonne (Author) , Haldenwang, Peter Lukas (Author) , Heijmen, Robin H (Author) , Hugas-Mallorqui, Maria (Author) , Iesu, Severino (Author) , Jacobsen, Oyvind (Author) , Jassar, Arminder S (Author) , Juraszek, Andrzej (Author) , Kolowca, Maciej (Author) , Lepidi, Sandro (Author) , Marrocco-Trischitta, Massimiliano M (Author) , Matsuda, Hitoshi (Author) , Meisenbacher, Katrin (Author) , Micari, Antonio (Author) , Minatoya, Kenji (Author) , Park, Kay-Hyun (Author) , Peterss, Sven (Author) , Petrich, Michael (Author) , Piffaretti, Gabriele (Author) , Probst, Chris (Author) , Reutersberg, Benedikt (Author) , Rosati, Fabrizio (Author) , Schachner, Bruno (Author) , Schachner, Thomas (Author) , Sorokin, Vitaly A (Author) , Szeberin, Zoltan (Author) , Szopinski, Piotr (Author) , Di Tommaso, Luigi (Author) , Trimarchi, Santi (Author) , Verhoeven, Eric L G (Author) , Vogt, Ferdinand (Author) , Voetsch, Andreas (Author) , Walter, Tim (Author) , Weiss, Gabriel (Author) , Yuan, Xun (Author) , Benedetto, Filippo (Author) , De Bellis, Antonio (Author) , D´ Oria, Mario (Author) , Discher, Philipp (Author) , Zierer, Andreas (Author) , Rylski, Bartosz (Author) , van den Berg, Jos C (Author) , Wyss, Thomas R (Author) , Bossone, Eduardo (Author) , Schmidli, Jürg (Author) , Nienaber, Christoph (Author) , Accarino, Giulio (Author) , Baldascino, Francesco (Author) , Böckler, Dittmar (Author) , Corazzari, Claudio (Author) , D´ Alessio, Ilenia (Author) , Beaufort, Hector de (Author) , De Troia, Christopher (Author) , Dumfarth, Julia (Author) , Galbiati, Denise (Author) , Gorgatti, Filippo (Author) , Hagl, Christian (Author) , Hamiko, Marwan (Author) , Huber, Florian (Author) , Hyhlik-Dürr, Alexander (Author) , Ianelli, Gabriele (Author) , Iesu, Ivana (Author) , Jung, Joon-Chui (Author) , Kainz, Frieda-Maria (Author) , Katsargyris, Athanasios (Author) , Koter, Stephan (Author) , Kusmierczyk, Mariusz (Author) , Kolsut, Piotr (Author) , Lengyel, Balazs (Author) , Lomazzi, Chiara (Author) , Muneretto, Claudio (Author) , Nava, Giovanni (Author) , Nolte, Thomas (Author) , Pacini, Davide (Author) , Pleban, Eliza (Author) , Rychla, Miriam (Author) , Sakamoto, Kazuhisa (Author) , Shijo, Takayuki (Author) , Yokawa, Koki (Author) , Siepe, Matthias (Author) , Sirch, Joachim (Author) , Strauch, Justus (Author) , Sule, Jai Ajitchandra (Author) , Tobler, Eva-Luca (Author) , Walter, Corinna (Author) , Weigang, Ernst (Author)
Format: Article (Journal)
Language:English
Published: 2021
In: European journal of cardio-thoracic surgery
Year: 2021, Volume: 59, Issue: 5, Pages: 1096-1102
ISSN:1873-734X
DOI:10.1093/ejcts/ezaa452
Online Access:Verlag, lizenzpflichtig, Volltext: https://academic.oup.com/ejcts/article/59/5/1096/6062318
Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/ejcts/ezaa452
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Author Notes:Martin Czerny, Roman Gottardi, Paul Puiu, Oliver Y Bernecker, Rodolfo Citro, Alessandro Della Corte, Luca di Marco, Martina Fink, Yvonne Gosslau, Peter Lukas Haldenwang, Robin H Heijmen, Maria Hugas-Mallorqui, Severino Iesu, Oyvind Jacobsen, Arminder S Jassar, Andrzej Juraszek, Maciej Kolowca, Sandro Lepidi, Massimiliano M Marrocco-Trischitta, Hitoshi Matsuda, Katrin Meisenbacher, Antonio Micari, Kenji Minatoya, Kay-Hyun Park, Sven Peterss, Michael Petrich, Gabriele Piffaretti, Chris Probst, Benedikt Reutersberg, Fabrizio Rosati, Bruno Schachner, Thomas Schachner, Vitaly A Sorokin, Zoltan Szeberin, Piotr Szopinski, Luigi Di Tommaso, Santi Trimarchi, Eric L G Verhoeven, Ferdinand Vogt, Andreas Voetsch, Tim Walter, Gabriel Weiss, Xun Yuan, Filippo Benedetto, Antonio De Bellis, Mario D´ Oria, Philipp Discher, Andreas Zierer, Bartosz Rylski, Jos C van den Berg, Thomas R Wyss, Eduardo Bossone, Jürg Schmidli, and Christoph Nienaber, Collaborators: Giulio Accarino, Francesco Baldascino, Dittmar Böckler, Claudio Corazzari, Ilenia D´ Alessio, Hector de Beaufort, Christopher De Troia, Julia Dumfarth, Denise Galbiati, Filippo Gorgatti, Christian Hagl, Marwan Hamiko, Florian Huber, Alexander Hyhlik-Duerr, Gabriele Ianelli, Ivana Iesu, Joon-Chui Jung, Frieda-Maria Kainz, Athanasios Katsargyris, Stephan Koter, Mariusz Kusmierczyk, Piotr Kolsut, Balazs Lengyel, Chiara Lomazzi, Claudio Muneretto, Giovanni Nava, Thomas Nolte, Davide Pacini, Eliza Pleban, Miriam Rychla, Kazuhisa Sakamoto, Takayuki Shijo, Koki Yokawa, Matthias Siepe, Joachim Sirch, Justus Strauch, Jai Ajitchandra Sule, Eva-Luca Tobler, Corinna Walter, and Ernst Weigang
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Summary:To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on acute and elective thoracic and abdominal aortic procedures. 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.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).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 Description:Advanced access publication 4 January 2021
Gesehen am 20.08.2021
Physical Description:Online Resource
ISSN:1873-734X
DOI:10.1093/ejcts/ezaa452

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