Impact of COVID-19 on vascular patients worldwide: analysis of the COVIDSurg data.
J Cardiovasc Surg (Torino)
; 62(6): 558-570, 2021 12.
Article
in English
| MEDLINE | ID: covidwho-1625283
ABSTRACT
BACKGROUND:
The COVIDSurg collaborative was an international multicenter prospective analysis of perioperative data from 235 hospitals in 24 countries. It found that perioperative COVID-19 infection was associated with a mortality rate of 24%. At the same time, the COVER study demonstrated similarly high perioperative mortality rates in vascular surgical patients undergoing vascular interventions even without COVID-19, likely associated with the high burden of comorbidity associated with vascular patients. This is a vascular subgroup analysis of the COVIDSurg cohort.METHODS:
All patients with a suspected or confirmed diagnosis of COVID-19 in the 7 days prior to, or in the 30 days following a vascular procedure were included. The primary outcome was 30-day mortality. Secondary outcomes were pulmonary complications (adult respiratory distress syndrome, pulmonary embolism, pneumonia and respiratory failure). Logistic regression was undertaken for dichotomous outcomes.RESULTS:
Overall, 602 patients were included in this subgroup analysis, of which 88.4% were emergencies. The most common operations performed were for vascular-related dialysis access procedures (20.1%, N.=121). The combined 30-day mortality rate was 27.2%. Composite secondary pulmonary outcomes occurred in half of the vascular patients (N.=275, 45.7%).CONCLUSIONS:
Mortality following vascular surgery in COVID positive patients was significantly higher than levels reported pre-pandemic, and similar to that seen in other specialties in the COVIDSurg cohort. Initiatives and surgical pathways that ensure vascular patients are protected from exposure to COVID-19 in the peri-operative period are vital to protect against excess mortality.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Outcome and Process Assessment, Health Care
/
Vascular Diseases
/
Vascular Surgical Procedures
/
Global Health
/
COVID-19
Type of study:
Cohort study
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Diagnostic study
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Experimental Studies
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Observational study
/
Prognostic study
Limits:
Adolescent
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Adult
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Aged
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Child
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Child, preschool
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Female
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Humans
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Infant
/
Male
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Middle aged
Language:
English
Journal:
J Cardiovasc Surg (Torino)
Year:
2021
Document Type:
Article
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