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Cardiac surgery practice during the COVID-19 outbreak: a regionwide survey.
De Santo, Luca Salvatore; Rubino, Antonino Salvatore; Torella, Michele; Galbiati, Denise; Iannelli, Gabriele; Iesu, Severino; Tritto, Francesco Paolo; Fiorani, Brenno; Chiariello, Luigi; De Bellis, Antonio; Di Benedetto, Giuseppe; Zebele, Carlo; De Feo, Marisa.
Afiliación
  • De Santo LS; Cardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
  • Rubino AS; Cardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
  • Torella M; Cardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
  • Galbiati D; Cardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
  • Iannelli G; Department of Advanced Biomedical Sciences, Cardiac Surgery Unit, University of Naples Federico II, Policlinico Federico II, Naples, Italy.
  • Iesu S; Cardiac Surgery Unit, Azienda Ospedaliera San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy.
  • Tritto FP; Cardiac Surgery Unit, Azienda Ospedaliera Di Caserta - Sant'Anna e San Sebastiano, Caserta, Italy.
  • Fiorani B; Cardiac Surgery Unit, Azienda Ospedaliera San Giuseppe Moscati, Città Ospedaliera - Contrada Amoretta, Avellino, Italy.
  • Chiariello L; Cardiac Surgery Unit, Clinica Mediterranea, Naples, Italy.
  • De Bellis A; Cardiac Surgery Unit, Casa di Cura San Michele, Maddaloni, Caserta, Italy.
  • Di Benedetto G; Cardiac Surgery Unit, Pineta Grande Hospital, Castel Volturno, Caserta, Italy.
  • Zebele C; Cardiac Surgery Unit, Casa di Cura Montevergine, Mercogliano, Avellino, Italy.
  • De Feo M; Cardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
J Thorac Dis ; 13(1): 125-132, 2021 Jan.
Article en En | MEDLINE | ID: mdl-33569192
BACKGROUND: Health systems worldwide have been overburdened by the "COVID-19 surge". Consequently, strategies to remodulate non-COVID medical and surgical care had to be developed. Knowledge of the impact of COVID surge on cardiac surgery practice is mainstem. Present study aims to evaluate the regional practice pattern during lockdown in Campania. METHODS: A multicenter regional observational 26-question survey was conducted, including all adult cardiac surgery units in Campania, Italy, to assess how surgical practice has changed during COVID-19 national lockdown. RESULTS: All centers adopted specific protocols for screening patients and personnel. A significant reduction in the number of dedicated intensive care unit (ICU) beds (-30.0%±38.1%, range: 0-100%) and cardiac operating rooms (-22.2%±26.4%, range: 0-50%) along with personnel relocation to other departments was disclosed (anesthesiologists -5.8%±11.1%, range: 0-33.3%; perfusionists -5.6%±16.7%, range: 0-50%; nurses -4.8%±13.2%, range: 0-40%; cardiologists -3.2%±9.5%, range: 0-28.6%). Cardiac surgeons were never reallocated to other services. Globally, we witnessed dramatically lower adult cardiac surgery case volumes (335 vs. 667 procedures, P<0.001), as institutions and surgeons followed guidelines to curtail non-urgent operations. CONCLUSIONS: This regional survey demonstrates major changes in practice as a response to the COVID-19 pandemic. In this respect, this experience might lead to the development of permanent systems-based plans for future pandemic and may effectively help policy decision making when prioritizing healthcare resource reallocation during and after the pandemic.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline / Qualitative_research Idioma: En Revista: J Thorac Dis Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: China
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline / Qualitative_research Idioma: En Revista: J Thorac Dis Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: China