Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons

Hassan, Ansar; Arora, Rakesh C.; Adams, Corey; Bouchard, Denis; Cook, R.C.M.; Gunning, Derek; Lamarche, Yoan; Malas, Tarek; Moon, Michael; Ouzounian, Maral; Rao, Vivek; Rubens, Fraser D.; Tremblay, Philippe; Whitlock, Richard; Moss, Emmanuel; Légaré, France

doi:10.1016/j.cjca.2020.04.001

Cited by 61 publications

(82 citation statements)

References 2 publications

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“…The strain on health care resources, despite efforts to increase hospital and intensive care capacity, has led to the need for rationing of medical equipment and interventions. Subsequently, countries have canceled/curtained elective surgery and have centralized cardiothoracic services in an attempt to provide a service 2‐4 …”

Section: Global Impact Of Covid‐19 On Cardiac Surgerymentioning

confidence: 99%

Impact of COVID‐19 on cardiac surgical training: Our experience in the United Kingdom

et al. 2020

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The current evolving global pandemic caused by coronavirus disease‐2019 (COVID‐19) has dramatically impacted global health care systems, resulting in governments taking unprecedented measures to contain the spread of the infection, with adaptations by health care organizations. Research into understanding the pathophysiology behind this virus, to ascertain best medical management and treatment, has been accelerated to keep up with the rapidly evolving situation. There has been redeployment of medical and nursing staff to the frontlines and redistribution of health care resources. In addition, the cancellation of elective surgery and centralization of services to treat high‐risk surgical cases will all, undeniably, have an impact on current surgical training with possible future implications. We aim to explore the impact COVID‐19 is having on cardiac surgical training in the UK and what future implications this may have.

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Section: Global Impact Of Covid‐19 On Cardiac Surgerymentioning

confidence: 99%

Impact of COVID‐19 on cardiac surgical training: Our experience in the United Kingdom

et al. 2020

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“…The cardiac surgeons, together with members of the heart team, have also had to reconsider best management strategies for these patients. They have proposed strategies to utilize the use of virtual clinics to follow‐up patients and have attempted to maintain areas for cardiac surgery separate from COVID‐19 where feasible 12 …”

Section: Global Impact Of Covid‐19 On Cardiac Surgerymentioning

confidence: 99%

The impact of COVID‐19 on the provision of cardiac surgical services

2020

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The global pandemic caused by COVID‐19 has had a significant global impact on healthcare systems. One implication of this pandemic is the cancellation of elective cardiac surgeries and the centralization of services. As a result, hospitals in Europe, North America, and the United Kingdom have had to alter the services offered to patients to be able to cope with service provision for COVID infected patients. Data should be collected during this period to provide a good insight following the lockdown period to understand the implication of such service alteration. Future research should also focus on the effects on long‐term mortality and morbidity as well as financial implications on hospitals as a result of these changes.

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“…It was followed by national curfew staring at the weekends and followed by curfew at the weekends as well as certain other days to constrain COVID-19 and limit its transmission. However, nobody as in other countries 6 is able to estimate accurately the extent to which COVID-19 will affect the population in terms of rates of incidence, duration, and recovery. 7 On the other hand, the healthcare politics and strategies against the dissemination of COVID-19 or treatment of patients with COVID-19 seems to be successful so far with the decreasing number of cases by the end of April 2020 as well speculations through certain graphics indicating a possible end of the disease soon in our country.…”

Section: Discussionmentioning

confidence: 99%

Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

et al. 2020

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Abstract Introduction: In this report, we aim to present our algorithm and results of patients with congenital cardiac disorders who underwent surgical or interventional procedures during the peak phase of the pandemics in our country. Patients and methods: The first COVID-19 case was diagnosed in Turkey on 11 March, 2020, and the peak phase seemed to end by the end of April. All the patients whom were referred, treated, or previously operated but still at the hospital during the peak phase of COVID-19 pandemics in the country were included into this retrospective study. Patient’s diagnosis, interventions, adverse events, and early post-procedural courses were studied. Results: Thirty-one patients with various diagnoses of congenital cardiovascular disorders were retrospectively reviewed. Ages of the patients ranged between 2 days and 16 years. Seventeen cases were males and 14 cases were females. Elective cases were postponed. Priority was given to interventional procedures, and five cases were treated percutaneously. Palliative procedures were preferred in patients whom presumably would require long hospital stay. Corrective procedures were not hesitated in prioritised stable patients. Mortality occurred in one patient. Eight patients out of 151 ICU admissions were diagnosed with COVID-19, and they were transferred to COVID-19 ICU immediately. Three nurses whom also took care of the paediatric cases became infected with SARS-CoV-2; however, the children did not catch the disease. Conclusion: Mandatory and emergent congenital cardiac percutaneous and surgical procedures may be performed with similar postoperative risks as there are no pandemics with meticulous care and preventive measures.

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Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons

Cited by 61 publications

References 2 publications

Impact of COVID‐19 on cardiac surgical training: Our experience in the United Kingdom

Impact of COVID‐19 on cardiac surgical training: Our experience in the United Kingdom

The impact of COVID‐19 on the provision of cardiac surgical services

Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

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