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Cardiac surgery practice during the COVID-19 outbreak: a multicentre national survey.
Rubino, Antonino Salvatore; De Santo, Luca Salvatore; Pisano, Antonio; Mauro, Michele di; Benussi, Stefano; Borghetti, Valentino; Castiglioni, Alessandro; Chiariello, Luigi; Colli, Andrea; De Bellis, Antonio; De Filippo, Carlo Maria; De Paulis, Ruggero; Di Benedetto, Giuseppe; Di Eusanio, Marco; Faggian, Giuseppe; Fiorani, Brenno; Fratto, Pasquale Antonio; Giuffrida, Angelo Giuseppe; Glauber, Mattia; Iannelli, Gabriele; Iesu, Severino; Livi, Ugolino; Martinelli, Gianluca; Massetti, Massimo; Mastroroberto, Pasquale; Menicanti, Lorenzo; Minniti, Giuseppe; Miraldi, Fabio; Montesi, Gianfranco; Musumeci, Francesco; Nicolini, Francesco; Pace Napoleone, Carlo; Panisi, Paolo; Pappalardo, Aniello; Patanè, Francesco; Ragni, Temistocle; Rinaldi, Mauro; Tribastone, Salvatore; Triggiani, Michele; Tritto, Francesco Paolo; Zebele, Carlo; Parolari, Alessandro; Gerosa, Gino; De Feo, Marisa.
  • Rubino AS; Department of Translational Medicine, Cardiac Surgery Unit, University of Campania, Luigi Vanvitelli, AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
  • De Santo LS; Department of Translational Medicine, Cardiac Surgery Unit, University of Campania, Luigi Vanvitelli, AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
  • Pisano A; Cardiac Anaesthesia and Intensive Care Unit, AORN Dei Colli, Monaldi Hospital, Naples, Italy.
  • Mauro MD; Cardiology and Cardiac Surgery, API "Madonna del Ponte", Lanciano, Italy.
  • Benussi S; Cardiac Surgery Unit, Spedali Civili, Brescia, Italy.
  • Borghetti V; Cardiac Surgery Unit, Azienda Ospedaliera Santa Maria, Terni, Italy.
  • Castiglioni A; Cardiac Surgery Unit, San Raffaele Hospital, Milan, Italy.
  • Chiariello L; Cardiac Surgery Unit, Clinica Mediterranea, Naples, Italy.
  • Colli A; Cardiac Surgery Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
  • De Bellis A; Cardiac Surgery Unit, Casa di Cura San Michele, Maddaloni, Caserta, Italy.
  • De Filippo CM; Cardiac Surgery Unit, Gemelli Molise, Fondazione Giovanni Paolo II, Campobasso, Italy.
  • De Paulis R; Cardiac Surgery Unit, European Hospital, Rome, Italy.
  • Di Benedetto G; Cardiac Surgery Unit, Clinica Pineta Grande, Castel Volturno, Caserta, Italy.
  • Di Eusanio M; Cardiac Surgery Department, Lancisi Cardiovascular Center-OORR-Polytechnic University of Marche-School of Medicine, Ancona, Italy.
  • Faggian G; Cardiac Surgery Unit, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy.
  • Fiorani B; Cardiac Surgery Unit, AORNAS "San Giuseppe Moscati", Avellino, Italy.
  • Fratto PA; Cardiac Surgery Unit, Grande Ospedale Metropolitano "Bianchi-Melacrino-Morelli", Reggio Calabria, Italy.
  • Giuffrida AG; Cardiac Surgery Unit, AOU Policlinico-Vittorio Emanuele, Catania, Italy.
  • Glauber M; Cardiac Surgery Unit, Istituto Clinico Sant'Ambrogio, Milan, Italy.
  • Iannelli G; Cardiac Surgery Unit, University of Naples Federico II, Naples, Italy.
  • Iesu S; Cardiac Surgery Unit, A.O. San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
  • Livi U; Cardiac Surgery Unit, Azienza Ospedaliero-Universitaria S. Maria della Misericordia, Udine, Italy.
  • Martinelli G; Cardiac Surgery Unit, Clinica San Gaudenzio, Gruppo Policlinico di Monza, Novara, Italy.
  • Massetti M; Cardiac Surgery Unit, Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy.
  • Mastroroberto P; Cardiac Surgery Unit, Università degli Studi Magna Graecia, Catanzaro, Italy.
  • Menicanti L; Cardiac Surgery Unit, Centro "E. Malan", Milan, Italy.
  • Minniti G; Cardiac Surgery Unit, Ospedale di Treviso, Treviso, Italy.
  • Miraldi F; Cardiac Surgery Unit, Università La Sapienza, Rome, Italy.
  • Montesi G; Cardiac Surgery Unit, Università Policlinico "Le Scotte", Siena, Italy.
  • Musumeci F; Cardiac Surgery Unit, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy.
  • Nicolini F; Cardiac Surgery Unit, University of Parma, Parma, Italy.
  • Pace Napoleone C; Azienda Ospedaliera Città della Salute e della Scienza di Torino, Presidio Ospedale Infantile Regina Margherita, Torino, Italy.
  • Panisi P; Cardiac Surgery Unit, Humanitas Gavazzeni, Bergamo, Italy.
  • Pappalardo A; Cardiac Surgery Unit, Ospedali Riuniti di Trieste, Italy.
  • Patanè F; Cardiac Surgery Unit, Azienda Ospedaliera Papardo, Messina, Italy.
  • Ragni T; Cardiac Surgery Unit, Ospedale R. Silvestrini, Perugia, Italy.
  • Rinaldi M; Cardiac Surgery Unit, Azienda Ospedaliera Città della Salute e della Scienza di Torino, Presidio Molinette, Università di Torino, Torino, Italy.
  • Tribastone S; Cardiac Surgery Unit, Centro Cuore Morgagni, Pedara, Catania, Italy.
  • Triggiani M; Cardiac Surgery Unit, Ospedale Giuseppe Mazzini, Teramo, Italy.
  • Tritto FP; Cardiac Surgery Unit, AORNAS SS. Anna e Sebastiano, Caserta, Italy.
  • Zebele C; Cardiac Surgery Unit, Casa di Cura Montevergine, Mercogliano (AV), Italy.
  • Parolari A; Department of University Cardiac Surgery and Translational Research, IRCCS Policlinico S. Donato, University of Milan, Milan, Italy.
  • Gerosa G; Department of Cardiac Surgery, University of Padua, Padua, Italy.
  • De Feo M; Department of Translational Medicine, Cardiac Surgery Unit, University of Campania, Luigi Vanvitelli, AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
Eur J Cardiothorac Surg ; 59(4): 901-907, 2021 04 29.
Article in English | MEDLINE | ID: covidwho-1114845
ABSTRACT

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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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Cardiac Surgical Procedures Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Ejcts

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Cardiac Surgical Procedures Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Ejcts