Cardiac surgery practice during the COVID-19 outbreak: a multicentre national survey

被引：10

作者：

Rubino, Antonino Salvatore ^{[1
]}

De Santo, Luca Salvatore ^{[1
]}

Pisano, Antonio ^{[2
]}

di Mauro, Michele ^{[3
]}

Benussi, Stefano ^{[4
]}

Borghetti, Valentino ^{[5
]}

Castiglioni, Alessandro ^{[6
]}

Chiariello, Luigi ^{[7
]}

Colli, Andrea ^{[8
]}

De Bellis, Antonio ^{[9
]}

De Filippo, Carlo Maria ^{[10
]}

De Paulis, Ruggero ^{[11
]}

Di Benedetto, Giuseppe ^{[12
]}

Di Eusanio, Marco ^{[13
]}

Faggian, Giuseppe ^{[14
]}

Fiorani, Brenno ^{[15
]}

Fratto, Pasquale Antonio ^{[16
]}

Giuffrida, Angelo Giuseppe ^{[17
]}

Glauber, Mattia ^{[18
]}

Iannelli, Gabriele ^{[19
]}

Iesu, Severino ^{[20
]}

Livi, Ugolino ^{[21
]}

Martinelli, Gianluca ^{[22
]}

Massetti, Massimo ^{[23
]}

Mastroroberto, Pasquale ^{[24
]}

Menicanti, Lorenzo ^{[25
]}

Minniti, Giuseppe ^{[26
]}

Miraldi, Fabio ^{[27
]}

Montesi, Gianfranco ^{[28
]}

Musumeci, Francesco ^{[29
]}

Nicolini, Francesco ^{[30
]}

Napoleone, Carlo Pace ^{[31
]}

Panisi, Paolo ^{[32
]}

Pappalardo, Aniello ^{[33
]}

Patane, Francesco ^{[34
]}

Ragni, Temistocle ^{[35
]}

Rinaldi, Mauro ^{[36
]}

Tribastone, Salvatore ^{[37
]}

Triggiani, Michele ^{[38
]}

Tritto, Francesco Paolo ^{[39
]}

Zebele, Carlo ^{[40
]}

Parolari, Alessandro ^{[41
]}

Gerosa, Gino ^{[42
]}

De Feo, Marisa ^{[1
]}

机构：

[1] Univ Campania Luigi Vanvitelli, Dept Translat Med, Cardiac Surg Unit, AORN Colli,Cardiac Surg,Vincenzo Monaldi Hosp, Luigi Vanvitelli, Italy

[2] Monaldi Hosp, Cardiac Anaesthesia & Intens Care Unit, AORN Colli, Naples, Italy

[3] API Madonna del Ponte, Cardiol & Cardiac Surg, Lanciano, Italy

[4] Spedali Civil Brescia, Cardiac Surg Unit, Brescia, Italy

[5] Azienda Osped Santa Maria, Cardiac Surg Unit, Terni, Italy

[6] Osped San Raffaele, Cardiac Surg Unit, Milan, Italy

[7] Clin Mediterranea, Cardiac Surg Unit, Naples, Italy

[8] Azienda Osped Univ Pisana, Cardiac Surg Unit, Pisa, Italy

[9] Casa Cura San Michele, Cardiac Surg Unit, Maddaloni, Caserta, Italy

[10] Fdn Giovanni Paolo II, Cardiac Surg Unit, Campobasso, Italy

[11] European Hosp, Cardiac Surg Unit, Rome, Italy

[12] Clin Pineta Grande, Cardiac Surg Unit, Castel Volturno, Caserta, Italy

[13] Polytech Univ Marche, Cardiac Surg Dept, Lancisi Cardiovasc Ctr, OORR,Sch Med, Ancona, Italy

[14] Univ Verona, Azienda Osped Univ Integrata, Cardiac Surg Unit, Verona, Italy

[15] AORNAS San Giuseppe Moscati, Cardiac Surg Unit, Avellino, Italy

[16] Grande Osped Metropolitano Bianchi Melacrino More, Cardiac Surg Unit, Reggio Di Calabria, Italy

[17] AOU Policlin Vittorio Emanuele, Cardiac Surg Unit, Catania, Italy

[18] Ist Clin St Ambrogio, Cardiac Surg Unit, Milan, Italy

[19] Univ Naples Federico II, Cardiac Surg Unit, Naples, Italy

[20] AO San Giovanni Dio & Ruggi dAragona, Cardiac Surg Unit, Salerno, Italy

[21] Azienza Osped Univ S Maria Misericordia, Cardiac Surg Unit, Udine, Italy

[22] Grp Policlin Monza, Cardiac Surg Unit, Clin San Gaudenzio, Novara, Italy

[23] Univ Cattolica Sacro Cuore, Cardiac Surg Unit, Policlin A Gemelli, Rome, Italy

[24] Magna Graecia Univ Catanzaro, Cardiac Surg Unit, Catanzaro, Italy

[25] Ctr E Malan, Cardiac Surg Unit, Milan, Italy

[26] Cardiac Surg Unit, Osped Treviso, Treviso, Italy

[27] Univ Roma La Sapienza, Cardiac Surg Unit, Rome, Italy

[28] Univ Policlin Le Scotte, Cardiac Surg Unit, Siena, Italy

[29] Azienda Osped San Camillo Forlanini, Cardiac Surg Unit, Rome, Italy

[30] Univ Parma, Cardiac Surg Unit, Parma, Italy

[31] Presidio Osped Infantile Regina Margherita, Azienda Osped Citta Salute & Sci Torino, Turin, Italy

[32] Humanitas Gavazzeni, Cardiac Surg Unit, Bergamo, Italy

[33] Osped Riuniti Trieste, Cardiac Surg Unit, Trieste, Italy

[34] Azienda Osped Papardo, Cardiac Surg Unit, Messina, Italy

[35] Osped R Silvestrini, Cardiac Surg Unit, Perugia, Italy

[36] Univ Torino, Cardiac Surg Unit, Presidio Molinette, Azienda Osped Citta Salute & Sci Torino, Turin, Italy

[37] Ctr Cuore Morgagni, Cardiac Surg Unit, Catania, Italy

[38] Osped Giuseppe Mazzini, Cardiac Surg Unit, Teramo, Italy

[39] AORNAS SS Anna & Sebastiano, Cardiac Surg Unit, Caserta, Italy

[40] Casa Cura Montevergine, Cardiac Surg Unit, Mercogliano, AV, Italy

[41] Univ Milan, Dept Univ Cardiac Surg & Translat Res, IRCCS Policlin S Donato, Milan, Italy

[42] Univ Padua, Dept Cardiac Surg, Padua, Italy

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2021年 / 59卷 / 04期

关键词：

Cardiac surgery; COVID-19; pandemic; Waiting list; Healthcare resources; Prioritization;

D O I：

10.1093/ejcts/ezaa436

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVES: Healthcare systems worldwide have been overburdened by the coronavirus disease 2019 (COVID-19) outbreak. Accordingly, hospitals had to implement strategies to profoundly reshape both non-COVID-19 medical care and surgical activities. Knowledge about the impact of the COVID-19 pandemic on cardiac surgery practice is pivotal. The goal of the present study was to describe the changes in cardiac surgery practices during the health emergency at the national level. METHODS: A 26-question web-enabled survey including all adult cardiac surgery units in Italy was conducted to assess how their clinical practice changed during the national lockdown. Data were compared to data from the corresponding period in 2019. RESULTS: All but 2 centres (94.9%) adopted specific protocols to screen patients and personnel. A significant reduction in the number of dedicated cardiac intensive care unit beds (-35.4%) and operating rooms (-29.2%), along with healthcare personnel reallocation to COVID departments (nurses -15.4%, anaesthesiologists -7.7%), was noted. Overall adult cardiac surgery volumes were dramatically reduced (1734 procedures vs 3447; P < 0.001), with a significant drop in elective procedures [580 (33.4%) vs 2420 (70.2%)]. CONCLUSIONS: This national survey found major changes in cardiac surgery practice as a response to the COVID-19 pandemic. This experience should lead to the development of permanent systems-based plans to face possible future pandemics. These data may effectively help policy decision-making in prioritizing healthcare resource reallocation during the ongoing pandemic and once the healthcare emergency is over.

引用

页码：901 / 907

页数：7

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