Impact of the COVID-19 Lockdown Strategy on Vascular Surgery Practice: More Major Amputations than Usual

Autor: Gwan H. Ho, Lijckle van der Laan, Hans de Groot, Puck M.E. Schuivens, Manon Buijs, Eelco J. Veen, Thijs M.G. Buimer, Leandra J M Boonman-de Winter
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
medicine.medical_treatment
Pneumonia
Viral
030204 cardiovascular system & hematology
Medical care
Amputation
Surgical
030218 nuclear medicine & medical imaging
Betacoronavirus
03 medical and health sciences
Aortic aneurysm
0302 clinical medicine
Clinical Research
Peripheral arterial occlusive disease
medicine
Humans
Practice Patterns
Physicians'
Pandemics
Aged
Netherlands
Aged
80 and over
Peripheral Vascular Diseases
SARS-CoV-2
business.industry
Significant difference
COVID-19
General Medicine
Middle Aged
Vascular surgery
medicine.disease
Aortic Aneurysm
Social Control
Formal
Surgery
Social Isolation
Amputation
Quarantine
Severe morbidity
Female
Coronavirus Infections
Cardiology and Cardiovascular Medicine
business
Vascular Surgical Procedures
Zdroj: Annals of Vascular Surgery
ISSN: 0890-5096
DOI: 10.1016/j.avsg.2020.07.025
Popis: Background The aim of this study is to investigate the impact of the coronavirus disease 2019 (COVID-19) lockdown period on the number and type of vascular procedures performed in the operating theater. Methods A total of 38 patients who underwent 46 vascular procedures during the lockdown period of March 16th until April 30th, 2020, were included. The control groups consisted of 29 patients in 2019 and 54 patients in 2018 who underwent 36 and 66 vascular procedures, respectively, in the same time period. Data were analyzed using SPSS Statistics. Results Our study shows that the lockdown during the COVID-19 pandemic resulted in a significant increase in the number of major amputations (42% in 2020 vs. 18% and 15% in 2019 and 2020, respectively; P-value 0.019). Furthermore, we observed a statistically significant difference in the degree of tissue loss as categorized by the Rutherford classification (P-value 0.007). During the lockdown period, patients presented with more extensive ischemic damage when than previous years. We observed no difference in vascular surgical care for patients with an aortic aneurysm. Conclusions Measurements taken during the lockdown period have a significant effect on non–COVID-19 vascular patient care, which leads to an increased severe morbidity. In the future, policy makers should be aware of the impact of their measurements on vulnerable patient groups such as those with peripheral arterial occlusive disease. For these patients, medical care should be easily accessible and adequate.
Databáze: OpenAIRE
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