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

Author

Rubino, Antonino Salvatore, Santo, Luca Salvatore De, Pisano, Antonio, Mauro, Michele di, Benussi, Stefano, Borghetti, Valentino, Castiglioni, Alessandro, Chiariello, Luigi, Colli, Andrea, Bellis, Antonio De, Filippo, Carlo Maria De, Paulis, Ruggero De, Benedetto, Giuseppe Di, Eusanio, Marco Di, Faggian, Giuseppe, Fiorani, Brenno, Fratto, Pasquale Antonio, Giuffrida, Angelo Giuseppe, Glauber, Mattia, and Iannelli, Gabriele

Subjects
COVID-19 pandemic, SURGERY practice, CARDIAC surgery, COVID-19, CORONARY care units, CARDIAC intensive care
Abstract

Open in new tab Download slide Open in new tab Download slide 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. [ABSTRACT FROM AUTHOR]

Published
2021
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2. Cardiac surgery practice during the COVID-19 outbreak: a multicentre national survey

Author

G. Di Benedetto, Alessandro Parolari, G. Martinelli, P. Aniello, G. Gino, B. Valentino, M. Di Eusanio, C. Andrea, M. Massimo, L.S. De Santo, M. Francesco, D. F. Marisa, T. Michele, D. E. Marco, P. Alessandro, A. De Bellis, M. Gianluca, A. F. Pasquale, M. De Feo, Andrea Colli, S. Benussi, M. Lorenzo, T. Salvatore, P. Mastroroberto, G. Angelo Giuseppe, R. De Paulis, Carlo Pace Napoleone, D. B. Antonio, D. P. Ruggero, Luigi Chiariello, Massimo Massetti, C. Luigi, N. Carlo Pace, A. Pisano, G. Mattia, Alessandro Castiglioni, Giuseppe Faggian, Gino Gerosa, S. R. Antonino, N. Francesco, P. Francesco, Gabriele Iannelli, Mattia Glauber, Francesco Paolo Tritto, F. Giuseppe, M. Triggiani, T. Ragni, R. Temistocle, Michele Di Mauro, T. Francesco Paolo, D. M. Michele, P. Paolo, D. F. Carlo Maria, D. B. Giuseppe, P. Antonio, B. Stefano, S. Tribastone, Fabio Miraldi, L. Ugolino, B. Fiorani, Lorenzo Menicanti, Carlo Zebele, I. Severino, M. Gianfranco, P. A. Fratto, A. G. Giuffrida, F. Musumeci, Ugolino Livi, I. Gabriele, Valentino Borghetti, F. Patane, Severino Iesu, G. Montesi, M. Giuseppe, Z. Carlo, C. Alessandro, M. Fabio, Aniello Pappalardo, Antonino S. Rubino, R. Mauro, Francesco Nicolini, F. Brenno, D. S. Luca Salvatore, M. Pasquale, Mauro Rinaldi, G. Minniti, P. Panisi, C. M. De Filippo, Rubino, Antonino Salvatore, De Santo, Luca Salvatore, Pisano, Antonio, Mauro, Michele di, 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, Fratto, Pasquale Antonio, 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, Patanè, Francesco, Ragni, Temistocle, Rinaldi, Mauro, Tribastone, Salvatore, Triggiani, Michele, Tritto, Francesco Paolo, Zebele, Carlo, Parolari, Alessandro, Gerosa, Gino, and De Feo, Marisa

Subjects
Pulmonary and Respiratory Medicine, medicine.medical_specialty, Prioritization, Coronavirus disease 2019 (COVID-19), Waiting list, COVID-19 pandemic, 030204 cardiovascular system & hematology, Medical care, 03 medical and health sciences, 0302 clinical medicine, Healthcare resource, Health care, Pandemic, Medicine, Humans, 030212 general & internal medicine, Healthcare resources, Cardiac Surgical Procedures, Settore MED/23 - CHIRURGIA CARDIACA, Eacts/112, Pandemics, business.industry, AcademicSubjects/MED00920, SARS-CoV-2, Eacts/173, Outbreak, COVID-19, General Medicine, Cardiac surgery, Italy, Emergency medicine, Communicable Disease Control, Coronary care unit, Surgery, Original Article, Eacts/105, Cardiology and Cardiovascular Medicine, business, Healthcare system, Eacts/125
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, The coronavirus disease 2019 (COVID-19) pandemic is the world’s largest infectious disease crisis in the last 100 years.

Published
2021

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