Early outcomes of Stanford type A aortic dissection under the coronavirus disease 2019 (COVID-19) pandemic: a multicentre study from Hubei province
| Autor: | Xue-feng Qiu, Jiahong Xia, Xiaobin Liu, Haiyun Qian, Xingjian Hu, Junwei Liu, Yulin Zhang, Xionggang Jiang, Jun Zhang, Songlin Zhang, Jiajun Chen, Wei Liu, Nianguo Dong, Long Wu, Jiashou Dong, Xianqing Feng, Yin Wang, Xiaofan Huang |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Time Factors Comorbidity 030204 cardiovascular system & hematology law.invention 0302 clinical medicine law Risk Factors 030212 general & internal medicine Aortic dissection Coronavirus disease 2019 AcademicSubjects/MED00920 Incidence (epidemiology) Incidence Middle Aged Intensive care unit Cardiac surgery Survival Rate Intensive Care Units Treatment Outcome Female Original Article Cardiology and Cardiovascular Medicine Vascular Surgical Procedures Propensity score match Pulmonary and Respiratory Medicine Reoperation medicine.medical_specialty China Emergency operation Eacts/161 Context (language use) 03 medical and health sciences Internal medicine Vascular medicine Humans Propensity Score Stanford type A aortic dissection Survival rate Pandemics Eacts/115 Acute aortic dissection Retrospective Studies business.industry SARS-CoV-2 COVID-19 Retrospective cohort study Perioperative medicine.disease Aortic Dissection Surgery business |
| Zdroj: | Interactive Cardiovascular and Thoracic Surgery Interactive CardioVascular and Thoracic Surgery |
| ISSN: | 1569-9285 |
| Popis: | OBJECTIVES Our goal was to compare the short-term outcomes of Stanford type A aortic dissection (TAAD), during the coronavirus disease 2019 (COVID-19) pandemic with those during normal times and summarize our perioperative management experience of patients with TAAD in the context of COVID-19. METHODS From 17 January 2020 to 8 March 2020, a total of 27 patients with TAAD were operated on in 8 cardiovascular surgery centres in Hubei Province (COVID-19 group). The data from 91 patients with TAAD from the same centres during the same period last year were extracted from the Hubei Cardiac Surgery Registration System (control group). A propensity score matched subgroup of 26 pairs (1:2) was identified. Perioperative data and short-term outcomes were assessed. RESULTS Nine patients in the COVID-19 group were categorized as suspicious for the disease (9/27, 33.3%), and others were excluded (18/27, 66.7%). No one was laboratory confirmed preoperatively. The average waiting, cross-clamp and circulatory arrest times were longer in the COVID-19 group (22.9 ± 8.3 vs 9.7 ± 4.0 h, P Since early December 2019, when the first case of pneumonia of unknown origin was identified in Wuhan, the capital of Hubei province, a serious respiratory pandemic has spread worldwide [1–3]. |
| Databáze: | OpenAIRE |
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