Safety for all: coronavirus disease 2019 pandemic and cardiac surgery: a roadmap to ‘phase’ 2

Parolari, Alessandro; Mauro, Michele Di; Bonalumi, Giorgia; Barili, Fabio; Garatti, Andrea; Carretta, Giovanni; Donato, Daniele; Pagano, Domenico; Gerosa, Gino

doi:10.1093/ejcts/ezaa187

Cited by 13 publications

(12 citation statements)

References 5 publications

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“…In fact, the clearance of the backlog of cardiac surgical cases is complicated by the exhaustion of supplies and resources from the pandemic and the competition with similar needs by other medical and surgical subspecialties [ 6 ]. In this respect, our findings may effectively help policy decision-making in prioritizing healthcare resource reallocation once the healthcare emergency is over [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

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

Rubino

Santo

Mauro³

et al. 2021

European Journal of Cardio-Thoracic Surgery

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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.

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Section: Discussionmentioning

confidence: 99%

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

Rubino

Santo

Mauro³

et al. 2021

European Journal of Cardio-Thoracic Surgery

Self Cite

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“…The second is to identify the best timing for ERP implementation, assess local and regional pandemic status-current and anticipated-and review prediction models, expected surgical volume, and current guidelines for safe delivery of cardiac surgical care during COVID-19. 4,6,22,23,31 The third is to identify the strengths and weaknesses in current cardiac surgery programs. This should be done in an open, honest, objective, and dispassionate manner based on real institutional historic data.…”

Section: Cardiac Enhanced Recovery In the Era Of Covid-19mentioning

confidence: 99%

“…As the acute burden of coronavirus illness subsides and cities and countries enter the recovery phase, hospitals will feel intense external and internal pressure to “catch up” on their deferred procedures while maintaining preparedness for new resurgences. 6 The results of modeling of the increased capacity required to work through the cardiac surgical backlog is daunting. Even if surgical volumes were increased to 150% of pre-COVID levels, it has been estimated it could take 2-to-3 months to clear the backlog.…”

Section: Covid-19: Challenges For the Cardiac Surgical Communitymentioning

confidence: 99%

Cardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes

Gregory

Grant²,

Boyle

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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“… Although expensive, Nitric Oxide may also help to reduce respiratory tract infection by inactivating viruses and inhibiting their replication in epithelial cells. Early discharge from the hospital may not be helpful if pulmonary and other symptoms persist: but if at risk patients are discharged early repeated tele-communications should be used [ 5 , 6 , 8 , 9 ] . …”

Section: Attainable Measuresmentioning

confidence: 99%

Healthcare Deprived Centers Attempting Congenital Heart Surgery: what is Desirable versus what is Attainable in this Covid Era?

Marath¹,

Nina²,

Nina³

et al. 2020

Braz J Cardiovasc Surg

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Safety for all: coronavirus disease 2019 pandemic and cardiac surgery: a roadmap to ‘phase’ 2

Cited by 13 publications

References 5 publications

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

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

Cardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes

Healthcare Deprived Centers Attempting Congenital Heart Surgery: what is Desirable versus what is Attainable in this Covid Era?

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