Stuck between a rock and a hard place: The clinical conundrum of managing cardiac surgical patients during the SARS-CoV-2 pandemic

被引:2
作者
Dhingra, Nitish K. [1 ]
Verma, Subodh [1 ]
Yau, Terrence M. [2 ]
Yanagawa, Bobby [1 ]
Hibino, Makoto [1 ]
机构
[1] Univ Toronto, St Michaels Hosp, Div Cardiac Surg, 30 Bond St, Toronto, ON M5B 1W8, Canada
[2] Univ Toronto, Univ Hlth Network, Div Cardiac Surg, Toronto, ON, Canada
关键词
cardiac surgery; COVID-19; pandemic; SARS-CoV-2;
D O I
10.1111/jocs.16111
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Deferring nonemergent cardiac surgery became the strategy of choice for several international healthcare systems afflicted by high case burdens of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/COVID-19) to both conserve valuable healthcare resources and protect patients from possible exposure. Missing from the available dataset to help guide policy development has been a clear understanding of the extent to which COVID-19 infection modulates cardiac surgery outcomes. In their investigation, Bonalumi et al. uncovered an inpatient COVID-19 positivity rate of almost 10 times higher than that of the general Italian population, as well as a mortality rate over 20 times higher amongst cardiac surgery patients with perioperative COVID-19 infection compared to those COVID-negative. While the summation of available evidence points to the serious consideration cardiac surgeons must give to delaying surgeries during the COVID-19 pandemic, recognition must be given to the risks that postponing cardiac surgery may have on patient outcomes. Emerging data is beginning to demonstrate the efficacy of vaccination in preventing postoperative COVID-19 infection and morbidity.
引用
收藏
页码:174 / 175
页数:2
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