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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, Eugenio; Sotgiu, Giovanni; Saderi, Laura; Federici, Massimo; Sangiorgi, Giuseppe; Zamboni, Matilde; Martelli, Allegra R; Accarino, Giancarlo; Bianco, Giuseppe; Bonanno, Francesco; Bracale, Umberto M; Cappello, Enrico; Cioffi, Giovanni; Colacchio, Giovanni; Crinisio, Adolfo; De Vivo, Salvatore; Dionisi, Carlo Patrizio; Flora, Loris; Impedovo, Giovanni; Intrieri, Francesco; Iorio, Luca; Maritati, Gabriele; Modugno, Piero; Monaco, Mario; Natalicchio, Giuseppe; Palazzo, Vincenzo; Petrosino, Fernando; Pompeo, Francesco; Pulli, Raffaele; Razzano, Davide; Ruggieri, Maurizio R; Ruotolo, Carlo; Sangiuolo, Paolo; Vigliotti, Gennaro; Volpe, Pietro; Biello, Antonella; Boggia, Pietro; Boschetti, Michelangelo; Centritto, Enrico M; Condò, Flavia; Cucciolillo, Lucia; D'Amodio, Amodio S; De Laurentis, Mario; Desantis, Claudio; Di Lella, Daniela; Di Nardo, Giovanni; Disabato, Angelo; Ficarelli, Ilaria; Gasparre, Angelo; Giordano, Antonio N.
  • Martelli E; Department of General and Specialist Surgery, Sapienza University of Rome, 155 Viale del Policlinico, 00161 Rome, Italy.
  • Sotgiu G; Saint Camillus International University of Health Sciences, 8 Via di Sant'Alessandro, 00131 Rome, Italy.
  • Saderi L; Division of Vascular Surgery, S. Anna and S. Sebastiano Hospital, Via F. Palasciano, 81100 Caserta, Italy.
  • Federici M; Clinical Epidemiology and Medical Statistics Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro, 07100 Sassari, Italy.
  • Sangiorgi G; Clinical Epidemiology and Medical Statistics Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro, 07100 Sassari, Italy.
  • Zamboni M; Department of Systems Medicine, University of Rome Tor Vergata, 1 Viale Montpellier, 00133 Rome, Italy.
  • Martelli AR; Department of Biomedicine and Prevention, University of Rome Tor Vergata, 1 Viale Montpellier, 00133 Rome, Italy.
  • Accarino G; Division of Vascular Surgery, Saint Martin Hospital, 22 Viale Europa, 32100 Belluno, Italy.
  • Bianco G; Medicine and Surgery School of Medicine, Campus Bio-Medico University of Rome, 21 Via À. del Portillo, 00128 Rome, Italy.
  • Bonanno F; San Giovanni Di Dio e Ruggi d'Aragona Hospital, Via San Leonardo s.n.c., 84125 Salerno, Italy.
  • Bracale UM; San Giovanni Bosco Hospital, 225 Via F. M. Briganti, 80144 Naples, Italy.
  • Cappello E; Madonna delle Grazie Hospital, Via Montescaglioso s.n.c., 75100 Matera, Italy.
  • Cioffi G; Federico II Polyclinic, Department of Public Health and Residency Program in Vascular Surgery, University of Naples Federico II, 5 Via S. Pansini, 80131 Naples, Italy.
  • Colacchio G; Mediterranean Neurological Institute NEUROMED, 18 Via Atinense, 80122 Naples, Italy.
  • Crinisio A; Pellegrini Hospital, 41 Via Portamedina alla Pignasecca, 80134 Naples, Italy.
  • De Vivo S; F. Miulli Hospital, Km. 4100 Strada Provinciale 127 Acquaviva-Santeramo, 70021 Acquaviva delle Fonti, Italy.
  • Dionisi CP; Salus Clinic, 4 Via F. Confalonieri, 84091 Battipaglia, Italy.
  • Flora L; Pellegrini Hospital, 41 Via Portamedina alla Pignasecca, 80134 Naples, Italy.
  • Impedovo G; Cardinal Panico Hospital, 4 Via San Pio X, 73039 Tricase, Italy.
  • Intrieri F; San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.
  • Iorio L; SS. Annunziata Hospital, 1 Via F. Bruno, 74121 Taranto, Italy.
  • Maritati G; Annunziata Hospital, 1 Via Migliori, 87100 Cosenza, Italy.
  • Modugno P; Cardarelli Hospital, 1 Via U. Petrella, 86100 Campobasso, Italy.
  • Monaco M; A. Perrino Hospital, Strada Statale 7 per Mesagne, 72100 Brindisi, Italy.
  • Natalicchio G; Gemelli Molise Hospital, Catholic University of the Sacred Heart, 1 Largo A. Gemelli, 86100 Campobasso, Italy.
  • Palazzo V; Pineta Grande Hospital, Km. 30 Via Domitiana, 81030 Castelvolturno, Italy.
  • Petrosino F; Venere Hospital, 1 Via Ospedale di Venere, 70131 Bari, Italy.
  • Pompeo F; Casa Sollievo della Sofferenza Hospital, Viale Cappuccini s.n.c., 71013 San Giovanni Rotondo, Italy.
  • Pulli R; San Luca Hospital, 1 Via F. Cammarota, 84078 Vallo della Lucania, Italy.
  • Razzano D; Mediterranean Neurological Institute NEUROMED, 18 Via Atinense, 80122 Naples, Italy.
  • Ruggieri MR; Polyclinic of Bari, Department of Emergency and Organs Transplantation, Aldo Moro University of Bari, 11 Piazza Giulio Cesare, 70124 Bari, Italy.
  • Ruotolo C; San Pio Hospital, 1 Via dell'angelo, 82100 Benevento, Italy.
  • Sangiuolo P; Riuniti Polyclinic, 1 Viale L. Pinto, 71122 Foggia, Italy.
  • Vigliotti G; Cardarelli Hospital, 9 Via A. Cardarelli, 80131 Naples, Italy.
  • Volpe P; Monaldi Hospital, Via L. Bianchi s.n.c., 84100 Naples, Italy.
  • Biello A; Del Mare Hospital, 11 Via E. Russo, 80147 Naples, Italy.
  • Boggia P; Bianchi-Melacrino-Morelli Hospital, 21 Via G. Melacrino, 89124 Reggio di Calabria, Italy.
  • Boschetti M; Venere Hospital, 1 Via Ospedale di Venere, 70131 Bari, Italy.
  • Centritto EM; A. Perrino Hospital, Strada Statale 7 per Mesagne, 72100 Brindisi, Italy.
  • Condò F; San Giovanni Bosco Hospital, 225 Via F. M. Briganti, 80144 Naples, Italy.
  • Cucciolillo L; Gemelli Molise Hospital, Catholic University of the Sacred Heart, 1 Largo A. Gemelli, 86100 Campobasso, Italy.
  • D'Amodio AS; Federico II Polyclinic, Department of Public Health and Residency Program in Vascular Surgery, University of Naples Federico II, 5 Via S. Pansini, 80131 Naples, Italy.
  • De Laurentis M; San Giuseppe Moscati Hospital, Contrada Amoretta, 83100 Avellino, Italy.
  • Desantis C; Cardarelli Hospital, 1 Via U. Petrella, 86100 Campobasso, Italy.
  • Di Lella D; Pellegrini Hospital, 41 Via Portamedina alla Pignasecca, 80134 Naples, Italy.
  • Di Nardo G; Monaldi Hospital, Via L. Bianchi s.n.c., 84100 Naples, Italy.
  • Disabato A; Polyclinic of Bari, Department of Emergency and Organs Transplantation, Aldo Moro University of Bari, 11 Piazza Giulio Cesare, 70124 Bari, Italy.
  • Ficarelli I; Del Mare Hospital, 11 Via E. Russo, 80147 Naples, Italy.
  • Gasparre A; Salus Clinic, 4 Via F. Confalonieri, 84091 Battipaglia, Italy.
  • Giordano AN; Cardinal Panico Hospital, 4 Via San Pio X, 73039 Tricase, Italy.
J Pers Med ; 12(7)2022 Jul 19.
Article in English | MEDLINE | ID: covidwho-1938879
ABSTRACT

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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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Year: 2022 Document Type: Article Affiliation country: Jpm12071170

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Year: 2022 Document Type: Article Affiliation country: Jpm12071170