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

Massimo Massetti, Giacomo Alessandro Gerosa, Adelaide Pisano, Andrea De Bellis, Francesco Nicolini, Giuseppe Mattia, Iolanda Severino, 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 BenedettoMarco Di Eusanio, Giuseppe Faggian, Brenno Fiorani, Pasquale Antonio Fratto, Angelo Giuseppe Giuffrida, Mattia Glauber, Gabriele Iannelli, Severino Iesu, Ugolino Livi, Gianluca Martinelli, Pasquale Mastroroberto, Lorenzo Menicanti, Giuseppe Minniti, Fabio Miraldi, Gianfranco Montesi, Francesco Musumeci, Carlo Pace Napoleone, Paolo Panisi, Aniello Pappalardo, Francesco Patane&Grave;, Temistocle Ragni, Mauro Rinaldi, Salvatore Tribastone, Michele Triggiani, Francesco Paolo Tritto, Carlo Zebele, Alessandro Parolari, Gino Gerosa, Marisa De Feo, Salvatore Rubino Antonino, De Santo Luca Salvatore, Pisano Antonio, Di Mauro Michele, Benussi Stefano, Borghetti Valentino, Castiglioni Alessandro, Chiariello Luigi, Colli Andrea, De Bellis Antonio, De Filippo Carlo Maria, De Paulis Ruggero, Di Benedetto Giuseppe, Di Eusanio Marco, Faggian Giuseppe, Fiorani Brenno, Antonio Fratto Pasquale, Giuffrida Angelo Giuseppe, Glauber Mattia, Iannelli Gabriele, Iesu Severino, Livi Ugolino, Martinelli Gianluca, Massetti Massimo, Mastroroberto Pasquale, Menicanti Lorenzo, Minniti Giuseppe, Miraldi Fabio, Montesi Gianfranco, Musumeci Francesco, Nicolini Francesco, Napoleone Carlo Pace, Panisi Paolo, Pappalardo Aniello, Patane&Grave; Francesco, Ragni Temistocle, Rinaldi Mauro, Tribastone Salvatore, Triggiani Michele, Tritto Francesco Paolo, Zebele Carlo, Parolari Alessandro, Gerosa Gino, De Feo Marisa

Risultato della ricerca: Contributo in rivistaArticolo in rivista

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. © 2021 The Author(s). Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
Lingua originaleEnglish
pagine (da-a)901-907
Numero di pagine7
RivistaEuropean Journal of Cardio-thoracic Surgery
Volume59
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • Cardiac surgery
  • COVID-19 pandemic
  • Healthcare resources
  • Prioritization
  • Waiting list
  • Cardiac Surgical Procedures
  • Humans
  • Italy
  • Pandemics
  • SARS-CoV-2
  • COVID-19
  • Communicable Disease Control

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