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Management of acute and chronic aortic disease during the COVID-19 pandemic-Results from a web-based ad hoc platform
- Source :
- Journal of Cardiac Surgery
- Publication Year :
- 2021
-
Abstract
- Background: To share the results of a web-based expert panel discussion focusing on the management of acute and chronic aortic disease during the coronavirus (COVID-19) pandemic. Methods: A web-based expert panel discussion on April 18, 2020, where eight experts were invited to share their experience with COVID-19 disease touching several aspects of aortic medicine. After each talk, specific questions were asked by the online audience, and results were immediately evaluated and shared with faculty and participants. Results: As of April 18, 73.3% answered that more than 200 patients have been treated at their respective settings. Sixty-four percent were reported that their hospital was well prepared for the pandemic. In 57.7%, the percentage of infected healthcare professionals was below 5% whereas 19.2% reported the percentage to be between 10% and 20%. Sixty-seven percent reported the application of extracorporeal membrane oxygenationin less than 2% of COVID-19 patients whereas 11.8% reported application in 5%–10% of COVID-19 patients. Thirty percent of participants reported the occurrence of pulmonary embolism in COVID-19 patients. Three percent reported to have seen aortic ruptures in primarily elective patients having been postponed because of the anticipated need to provide sufficient ICU capacity because of the pandemic. Nearly70% reported a decrease in acute aortic syndrome referrals since the start of the pandemic. Conclusion: The current COVID-19 pandemic has—besides the stoppage of elective referrals—also led to a decrease of referrals of acute aortic syndromes in many settings. The reluctance of patients seeking medical help seems to be a major driver. The number of patients, who have been postponed due to the provisioning of ICU resources but having experienced aortic rupture in the waiting period, is still low. Further, studies are needed to learn more about the influence that the COVID-19 pandemic has on the treatment of patients with acute and chronic aortic disease.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
medicine.medical_treatment
Aortic Diseases
Review Article
Disease
030204 cardiovascular system & hematology
Aortic disease
03 medical and health sciences
0302 clinical medicine
COVID‐19
Pandemic
INFECTION
Extracorporeal membrane oxygenation
Humans
Medicine
Aortic rupture
Pandemics
Review Articles
Acute aortic syndrome
Internet
SARS-CoV-2
business.industry
medicine.disease
Pulmonary embolism
030228 respiratory system
covid-19
Emergency medicine
acute and chronic aortic disease
Surgery
business
Cardiology and Cardiovascular Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 08860440
- Volume :
- 36
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiac Surgery
- Accession number :
- edsair.doi.dedup.....34f4a7334c2d7395b2649d09645eee84