Cardiac surgery practice during the COVID-19 outbreak: a multicentre national survey-Reference-Cited by-同舟云学术

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

Published:2021-02-28 Issue:4 Volume:59 Page:901-907
ISSN:1010-7940
Container-title:European Journal of Cardio-Thoracic Surgery
language:en
Short-container-title:

Author:

Rubino Antonino Salvatore¹^ORCID,De Santo Luca Salvatore¹,Pisano Antonio²,Mauro Michele di³,Benussi Stefano⁴,Borghetti Valentino⁵,Castiglioni Alessandro⁶,Chiariello Luigi⁷,Colli Andrea⁸,De Bellis Antonio⁹,De Filippo Carlo Maria¹⁰,De Paulis Ruggero¹¹,Di Benedetto Giuseppe¹²,Di Eusanio Marco¹³,Faggian Giuseppe¹⁴,Fiorani Brenno¹⁵,Fratto Pasquale Antonio¹⁶,Giuffrida Angelo Giuseppe¹⁷,Glauber Mattia¹⁸,Iannelli Gabriele¹⁹,Iesu Severino²⁰,Livi Ugolino²¹,Martinelli Gianluca²²,Massetti Massimo²³,Mastroroberto Pasquale²⁴,Menicanti Lorenzo²⁵,Minniti Giuseppe²⁶,Miraldi Fabio²⁷,Montesi Gianfranco²⁸,Musumeci Francesco²⁹,Nicolini Francesco³⁰,Napoleone Carlo Pace³¹,Panisi Paolo³²,Pappalardo Aniello³³,Patanè Francesco³⁴,Ragni Temistocle³⁵,Rinaldi Mauro³⁶,Tribastone Salvatore³⁷,Triggiani Michele³⁸,Tritto Francesco Paolo³⁹,Zebele Carlo⁴⁰,Parolari Alessandro⁴¹,Gerosa Gino⁴²,De Feo Marisa¹,Antonino Salvatore Rubino,Luca Salvatore De Santo,Antonio Pisano,Michele di Mauro,Stefano Benussi,Valentino Borghetti,Alessandro Castiglioni,Luigi Chiariello,Andrea Colli,Antonio De Bellis,Carlo Maria De Filippo,Ruggero De Paulis,Giuseppe Di Benedetto,Marco Di Eusanio,Giuseppe Faggian,Brenno Fiorani,Pasquale Antonio Fratto,Angelo Giuseppe Giuffrida,Mattia Glauber,Gabriele Iannelli,Severino Iesu,Ugolino Livi,Gianluca Martinelli,Massimo Massetti,Pasquale Mastroroberto,Lorenzo Menicanti,Giuseppe Minniti,Fabio Miraldi,Gianfranco Montesi,Francesco Musumeci,Francesco Nicolini,Carlo Pace Napoleone,Paolo Panisi,Aniello Pappalardo,Francesco Patanè,Temistocle Ragni,Mauro Rinaldi,Salvatore Tribastone,Michele Triggiani,Francesco Paolo Tritto,Carlo Zebele,Alessandro Parolari,Gino Gerosa,Marisa De Feo,

Affiliation:

1. Department of Translational Medicine, Cardiac Surgery Unit, University of Campania, Luigi Vanvitelli, AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy

2. Cardiac Anaesthesia and Intensive Care Unit, AORN Dei Colli, Monaldi Hospital, Naples, Italy

3. Cardiology and Cardiac Surgery, API “Madonna del Ponte”, Lanciano, Italy

4. Cardiac Surgery Unit, Spedali Civili, Brescia, Italy

5. Cardiac Surgery Unit, Azienda Ospedaliera Santa Maria, Terni, Italy

6. Cardiac Surgery Unit, San Raffaele Hospital, Milan, Italy

7. Cardiac Surgery Unit, Clinica Mediterranea, Naples, Italy

8. Cardiac Surgery Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy

9. Cardiac Surgery Unit, Casa di Cura San Michele, Maddaloni, Caserta, Italy

10. Cardiac Surgery Unit, Gemelli Molise, Fondazione Giovanni Paolo II, Campobasso, Italy

11. Cardiac Surgery Unit, European Hospital, Rome, Italy

12. Cardiac Surgery Unit, Clinica Pineta Grande, Castel Volturno, Caserta, Italy

13. Cardiac Surgery Department, Lancisi Cardiovascular Center—OORR—Polytechnic University of Marche—School of Medicine, Ancona, Italy

14. Cardiac Surgery Unit, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy

15. Cardiac Surgery Unit, AORNAS “San Giuseppe Moscati”, Avellino, Italy

16. Cardiac Surgery Unit, Grande Ospedale Metropolitano “Bianchi-Melacrino-Morelli”, Reggio Calabria, Italy

17. Cardiac Surgery Unit, AOU Policlinico-Vittorio Emanuele, Catania, Italy

18. Cardiac Surgery Unit, Istituto Clinico Sant’Ambrogio, Milan, Italy

19. Cardiac Surgery Unit, University of Naples Federico II, Naples, Italy

20. Cardiac Surgery Unit, A.O. San Giovanni di Dio e Ruggi d’Aragona, Salerno, Italy

21. Cardiac Surgery Unit, Azienza Ospedaliero-Universitaria S. Maria della Misericordia, Udine, Italy

22. Cardiac Surgery Unit, Clinica San Gaudenzio, Gruppo Policlinico di Monza, Novara, Italy

23. Cardiac Surgery Unit, Policlinico “A. Gemelli”, Università Cattolica del Sacro Cuore, Rome, Italy

24. Cardiac Surgery Unit, Università degli Studi Magna Graecia, Catanzaro, Italy

25. Cardiac Surgery Unit, Centro “E. Malan”, Milan, Italy

26. Cardiac Surgery Unit, Ospedale di Treviso, Treviso, Italy

27. Cardiac Surgery Unit, Università La Sapienza, Rome, Italy

28. Cardiac Surgery Unit, Università Policlinico “Le Scotte”, Siena, Italy

29. Cardiac Surgery Unit, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy

30. Cardiac Surgery Unit, University of Parma, Parma, Italy

31. Azienda Ospedaliera Città della Salute e della Scienza di Torino, Presidio Ospedale Infantile Regina Margherita, Torino, Italy

32. Cardiac Surgery Unit, Humanitas Gavazzeni, Bergamo, Italy

33. Cardiac Surgery Unit, Ospedali Riuniti di Trieste, Italy

34. Cardiac Surgery Unit, Azienda Ospedaliera Papardo, Messina, Italy

35. Cardiac Surgery Unit, Ospedale R. Silvestrini, Perugia, Italy

36. Cardiac Surgery Unit, Azienda Ospedaliera Città della Salute e della Scienza di Torino, Presidio Molinette, Università di Torino, Torino, Italy

37. Cardiac Surgery Unit, Centro Cuore Morgagni, Pedara, Catania, Italy

38. Cardiac Surgery Unit, Ospedale Giuseppe Mazzini, Teramo, Italy

39. Cardiac Surgery Unit, AORNAS SS. Anna e Sebastiano, Caserta, Italy

40. Cardiac Surgery Unit, Casa di Cura Montevergine, Mercogliano (AV), Italy

41. Department of University Cardiac Surgery and Translational Research, IRCCS Policlinico S. Donato, University of Milan, Milan, Italy

42. Department of Cardiac Surgery, University of Padua, Padua, Italy

Abstract

Abstract 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.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

Link

http://academic.oup.com/ejcts/article-pdf/59/4/901/37581969/ezaa436.pdf

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