The Impact of the COVID-19 Pandemic on the Workload, Case Mix and hospital Resources at a Tertiary Vascular Unit

Musajee, Mustafa; Biasi, Lukla; Thulasidasan, Narayanan; Green, Meryl; Francia, Federica; Arissol, Martin; Lakhani, Alpa; Thomas, Stephen; Patel, Sanjay; Zayed, Hany

doi:10.1016/j.avsg.2021.10.021

Cited by 11 publications

(3 citation statements)

References 21 publications

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“… 18 Additionally, vascular UK institutions reported a reduction in face-to-face appointments and increase in telephone appointments during the COVID-19 pandemic. 19 Given that less than half of all adults aged 75 and over are recent internet users and that the prevalence of CLTI increases with age, the move to digital platform consultations could lead to significant health inequality. 20 All of these factors including the governmental advice of “Stay at Home and Stay Alert” may have led to the significant delay in presentation of symptoms, seen within our institution, with the mean length of symptoms reported as 12 weeks (IQR 5-26).…”

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on a Dedicated Vascular Emergency Clinic

Messeder¹,

Black²,

Nickinson³

et al. 2023

Annals of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on a Dedicated Vascular Emergency Clinic

Messeder¹,

Black²,

Nickinson³

et al. 2023

Annals of Vascular Surgery

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“…No differences were found in the acute/emergency setting, including interventions for acute ischemia, although SARS-CoV-2 infections triggers thrombogenic mechanisms [ 3 ]. At the same time, English colleagues have reported different results [ 4 ]. These two last conflicting experiences are probably affected by the limited period of time and/or the population analyzed.…”

Section: Discussionmentioning

confidence: 99%

How the First Year of the COVID-19 Pandemic Impacted Patients’ Hospital Admission and Care in the Vascular Surgery Divisions of the Southern Regions of the Italian Peninsula

Martelli

Sotgiu

Saderi

et al. 2022

JPM

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Background: To investigate the effects of the COVID-19 lockdowns on the vasculopathic population. Methods: The Divisions of Vascular Surgery of the southern Italian peninsula joined this multicenter retrospective study. Each received a 13-point questionnaire investigating the hospitalization rate of vascular patients in the first 11 months of the COVID-19 pandemic and in the preceding 11 months. Results: 27 out of 29 Centers were enrolled. April-December 2020 (7092 patients) vs. 2019 (9161 patients): post-EVAR surveillance, hospitalization for Rutherford category 3 peripheral arterial disease, and asymptomatic carotid stenosis revascularization significantly decreased (1484 (16.2%) vs. 1014 (14.3%), p = 0.0009; 1401 (15.29%) vs. 959 (13.52%), p = 0.0006; and 1558 (17.01%) vs. 934 (13.17%), p < 0.0001, respectively), while admissions for revascularization or major amputations for chronic limb-threatening ischemia and urgent revascularization for symptomatic carotid stenosis significantly increased (1204 (16.98%) vs. 1245 (13.59%), p < 0.0001; 355 (5.01%) vs. 358 (3.91%), p = 0.0007; and 153 (2.16%) vs. 140 (1.53%), p = 0.0009, respectively). Conclusions: The suspension of elective procedures during the COVID-19 pandemic caused a significant reduction in post-EVAR surveillance, and in the hospitalization of asymptomatic carotid stenosis revascularization and Rutherford 3 peripheral arterial disease. Consequentially, we observed a significant increase in admissions for urgent revascularization for symptomatic carotid stenosis, as well as for revascularization or major amputations for chronic limb-threatening ischemia.

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“…To flatten the curve of infections, the German Ministry of Health introduced lockdown measures and social distancing in March 2020. In previous studies, a decline was reported in hospitalization of patients with acute medical conditions (e.g., ischaemic stroke or vascular diseases) during the periods of lockdown and socual distancing in 2020 and 2021 [7–11].…”

Section: Introductionmentioning

confidence: 99%

Inpatient treatment of acute diverticulitis between 2010 and 2021 – A German nationwide study about long‐term trends and effects of the SARS‐CoV‐2 pandemic

Decker,

Scheurig‐Münkler,

Luitjens

et al. 2023

Colorectal Disease

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AimThe aims of this study were to analyse all hospitalizations for acute diverticulitis in Germany from 2010 to 2021 and to assess the effects of the first 2 years of the SARS‐CoV‐2 pandemic on hospitalizations for acute diverticulitis.MethodUsing data from the German Federal Statistical Office, we analysed fully anonymized healthcare data of hospitalizations and treatment regimens with acute diverticulitis as the main diagnosis between 2010 and 2021. Logistic regression analyses for in‐hospital mortality were performed.ResultsA total of 608,162 hospitalizations were included. While the number of hospitalizations constantly increased until 2019 (+52.4%), a relative decrease of 10.1% was observed between 2019 and 2020, followed by stable numbers of hospitalizations in 2021 (+1.1% compared with 2020). In‐hospital mortality showed a relative decrease of 33.2% until 2019 and thereafter a relative increase of 26.9% in 2020 and of 7.5% in 2021. A 21.6% and a 19.3% drop in hospitalizations was observed during the first and second waves of the SARS‐CoV‐2 pandemic, mostly affecting hospitalizations for uncomplicated diverticulitis, with a corresponding 11.6% and 16.8% increase in admissions for complicated diverticulitis. Multivariable logistic regression analyses showed significantly higher in‐hospital mortality for hospitalizations in which surgery (OR = 2.76) and CT (OR = 1.32) were given, as well as lower mortality for women (OR = 0.88), whereas percutaneous drainage was not associated with higher in‐hospital mortality compared with conservative treatment (OR = 0.71).ConclusionThis study points out the long‐term trends in inpatient treatment for acute diverticulitis and the in‐hospital mortality risk factors of patients hospitalized for acute diverticulitis in a large nationwide cohort, as well as changes in these trends and factors resulting from the SARS‐CoV‐2 pandemic. These changes might be attributable to delayed diagnosis and thus more severe stages of disease as a result of containment measures.

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The Impact of the COVID-19 Pandemic on the Workload, Case Mix and hospital Resources at a Tertiary Vascular Unit

Cited by 11 publications

References 21 publications

The Impact of the COVID-19 Pandemic on a Dedicated Vascular Emergency Clinic

The Impact of the COVID-19 Pandemic on a Dedicated Vascular Emergency Clinic

How the First Year of the COVID-19 Pandemic Impacted Patients’ Hospital Admission and Care in the Vascular Surgery Divisions of the Southern Regions of the Italian Peninsula

Inpatient treatment of acute diverticulitis between 2010 and 2021 – A German nationwide study about long‐term trends and effects of the SARS‐CoV‐2 pandemic

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