Regional Survey in Lombardy, Northern Italy, on Vascular Surgery Intervention Outcomes During The COVID-19 Pandemic.

Autor: Bellosta R; Vascular Surgery, Cardiovascular Department, Poliambulanza Foundation, Brescia, Italy., Piffaretti G; Vascular Surgery - Department of Medicine and Surgery, University of Insubria School of Medicine, ASST Settelaghi Circolo University Teaching Hospital, via F. Guicciardini 9, 21100, Varese, Italy. Electronic address: gabriele.piffaretti@uninsubria.it., Bonardelli S; Vascular Surgery, Department of Surgery, Spedali Civili University Teaching Hospital, University of Brescia School of Medicine, Brescia, Italy., Castelli P; Vascular Surgery - Department of Medicine and Surgery, University of Insubria School of Medicine, ASST Settelaghi Circolo University Teaching Hospital, via F. Guicciardini 9, 21100, Varese, Italy., Chiesa R; Vascular Surgery, University 'Vita Salute' San Raffaele Institute, Milan, Italy., Frigerio D; Vascular Surgery, ASST Vimercate, Vimercate, Italy., Lanza G; Vascular Surgery, IRCCS Multimedica, Castellanza, Italy., Pirrelli S; Vascular Surgery - Cardiovascular Department, ASST Papa Giovanni XXIII, Bergamo, Italy., Rossi G; Vascular Surgery, Cardiovascular Department, 'Alessandro Manzoni' Hospital, Lecco, Italy., Trimarchi S; Vascular Surgery, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy; Department of Clinical and Community Sciences, University of Milano, Milan, Italy.
Jazyk: angličtina
Zdroj: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2021 Apr; Vol. 61 (4), pp. 688-697. Date of Electronic Publication: 2021 Mar 13.
DOI: 10.1016/j.ejvs.2021.01.037
Abstrakt: Objective: The characteristics and outcomes of patients undergoing vascular surgery hospitalised and managed in Lombardy are described with a comparison of patients tested positive for COVID-19 (CV19-pos) vs. those tested negative (CV19-neg).
Methods: This was a multicentre, retrospective, observational cohort study which involved all vascular surgery services in Lombardy, Northern Italy. Data were retrospectively merged into a combined dataset covering the nine weeks of the Italian COVID-19 pandemic phase 1 (8 March 2020 to 3 May 2020). The primary outcome was freedom from in hospital death, secondary outcomes were re-thrombosis rate after peripheral revascularisation, and freedom from post-operative complication.
Results: Among 674 patients managed during the outbreak, 659 (97.8%) were included in the final analysis: 121 (18.4%) were CV19-pos. CV19-pos status was associated with a higher rate of complications (OR 4.5; p < .001, 95% CI 2.64 - 7.84), and a higher rate of re-thrombosis after peripheral arterial revascularisation (OR 2.2; p = .004, 95% CI 1.29 - 3.88). In hospital mortality was higher in CV19-pos patients (24.8% vs. 5.6%; OR 5.4, p < .001;95% CI 2.86 - 8.92). Binary logistic regression analysis identified CV19-pos status (OR 7.6; p < .001, 95% CI 3.75 - 15.28) and age > 80 years (OR 3.2; p = .001, 95% CI 1.61 - 6.57) to be predictors of in hospital death.
Conclusion: In this experience of the vascular surgery group of Lombardy, COVID-19 infection was a marker of poor outcomes in terms of mortality and post-operative complications for patients undergoing vascular surgery treatments.
(Copyright © 2021 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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