Turn down of acute aortic syndrome cases during COVID-19: Results from UK multicentre studies
| Autor: | Amer Harky, Kelvin H. H. Lim, Marius Roman, Giovanni Mariscalco, Andrew Brazier, George Gradinariu, Aung Oo, Ana Lopez-Marco |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Aortic Diseases conservative treatment 030204 cardiovascular system & hematology surgery 03 medical and health sciences 0302 clinical medicine Pandemic medicine Retrospective analysis Humans Pandemics Aged Retrospective Studies Acute aortic syndrome Aged 80 and over business.industry SARS-CoV-2 Incidence (epidemiology) Incidence Patient Selection COVID-19 Retrospective cohort study COVID‐19 pandemic Syndrome Aortic surgery medicine.disease United Kingdom Cardiac surgery 030228 respiratory system acute aortic syndrome Emergency medicine Acute Disease Female Original Article Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiac Surgery |
| ISSN: | 1540-8191 |
| Popis: | Objective The coronavirus disease 2019 (COVID‐19) pandemic has restructured the healthcare systems, prioritizing resources to treat COVID‐19 patients. The aim of this study was to establish if patients affected by acute aortic syndrome (AAS) had unrestricted access to emergency treatment and evaluate outcome of these patients during the peak of the pandemic. Methods This is a retrospective analysis of prospectively collected data between March and June 2020 from 19 participating cardiac surgery centers in the United Kingdom. Results Among 95 patients who presented with an AAS in the participating centers; 85 (89%) underwent surgery, 7 (7%) were turned down for surgery because of their profile of comorbidities, and 3 (3%) died on transfer. Among the patients treated conservatively, three of them (43%) were alive at 30 days. We observed no significant restriction in access to treatment for AAS during the early months of the pandemic. Conclusion Services for life‐threatening aortic surgery patients were maintained during the COVID‐19 period through patient selection and timing of surgery. The rate of surgical turn‐down was comparable to published figures despite the challenges faced during the COVID‐19 pandemic. |
| Databáze: | OpenAIRE |
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