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Elective Surgical Delays Due to COVID-19: The Patient Lived Experience.
Byrnes, Mary E; Brown, Craig S; De Roo, Ana C; Corriere, Matthew A; Romano, Matthew A; Fukuhara, Shinichi; Kim, Karen M; Osborne, Nicholas H.
  • Byrnes ME; Center for Healthcare Outcomes and Policy.
  • Brown CS; Department of Surgery.
  • De Roo AC; Center for Healthcare Outcomes and Policy.
  • Corriere MA; Department of Surgery.
  • Romano MA; Center for Healthcare Outcomes and Policy.
  • Fukuhara S; Department of Surgery.
  • Kim KM; Center for Healthcare Outcomes and Policy.
  • Osborne NH; Department of Vascular Surgery, Frankel Cardiovascular Center.
Med Care ; 59(4): 288-294, 2021 04 01.
Article in English | MEDLINE | ID: covidwho-1091180
Semantic information from SemMedBD (by NLM)
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ABSTRACT

BACKGROUND:

This qualitative research explored the lived experiences of patients who experienced postponement of elective cardiac and vascular surgery due to coronavirus disease 2019 (COVID-19). We know very little about patients during the novel coronavirus pandemic. Understanding the patient voice may play an important role in prioritization of postponed cases and triage moving forward.

METHODS:

Utilizing a hermeneutical phenomenological qualitative design, we interviewed 47 individuals who experienced a postponement of cardiac or vascular surgery due to the COVID-19 pandemic. Data were analyzed and informed by phenomenological research methods.

RESULTS:

Patients in our study described 3 key issues around their postponement of elective surgery. Patients described robust narratives about the meanings of their elective surgeries as the chance to "return to normal" and alleviate symptoms that impacted everyday life. Second, because of the meanings most of our patients ascribed to their surgeries, postponement often took a toll on how patients managed physical health and emotional well-being. Finally, paradoxically, many patients in our study were demonstrative that they would "rather die from a heart attack" than be exposed to the coronavirus.

CONCLUSIONS:

We identified several components of the patient experience, encompassing quality of life and other desired benefits of surgery, the risks of COVID, and difficulty reconciling the 2. Our study provides significant qualitative evidence to inform providers of important considerations when rescheduling the backlog of patients. The emotional and psychological distress that patients experienced due to postponement may also require additional considerations in postoperative recovery.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiovascular Surgical Procedures / Elective Surgical Procedures / Time-to-Treatment / Psychological Distress / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: Med Care Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiovascular Surgical Procedures / Elective Surgical Procedures / Time-to-Treatment / Psychological Distress / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: Med Care Year: 2021 Document Type: Article