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Effect of COVID-19 on cardiac surgery volumes in Sweden.
Ivert, Torbjörn; Dalén, Magnus; Friberg, Örjan.
  • Ivert T; Department of Cardiothoracic Surgery, Karolinska University Hospital, Stockholm, Sweden.
  • Dalén M; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
  • Friberg Ö; Department of Cardiothoracic Surgery, Karolinska University Hospital, Stockholm, Sweden.
Scand Cardiovasc J ; 57(1): 2166102, 2023 12.
Article in English | MEDLINE | ID: covidwho-2231302
ABSTRACT
Objectives. The coronavirus disease 2019 (COVID-19) pandemic, which commenced in 2020, is known to frequently cause respiratory failure requiring intensive care, with occasional fatal outcomes. In this study, we aimed to conduct a retrospective nationwide observational study on the influence of the pandemic on cardiac surgery volumes in Sweden. Results. In 2020, 9.4% (n = 539) fewer patients underwent open-heart operations in Sweden (n = 5169) than during 2019 (n = 5708), followed by a 5.8% (n = 302) increase during 2021 (n = 5471). The reduction was greater than 15% in three of the eight hospitals in Sweden performing open-heart operations. Compared to 2019, in 2020, the waiting times for surgery were longer, and the patients were slightly younger, had better renal function, and a lower European System for Cardiac Operative Risk Evaluation; moreover, few patients had a history of myocardial infarction. However, more patients had insulin-treated diabetes mellitus, hypertension, peripheral vascular disease, reduced left ventricular function, and elevated pulmonary artery pressure. Urgent procedures were more common, but acute surgery was less common in 2020 than in 2019. Early mortality and postoperative complications were low and did not differ during the three years. Conclusion. The 9.4% decrease in the number of heart surgeries performed in Sweden during the 2020 COVID-19 pandemic, compared to 2019, partially recovered during 2021; however, there was no backlog of patients awaiting heart surgery.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Cardiac Surgical Procedures Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Scand Cardiovasc J Journal subject: Vascular Diseases / Cardiology Year: 2023 Document Type: Article Affiliation country: 14017431.2023.2166102

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Cardiac Surgical Procedures Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Scand Cardiovasc J Journal subject: Vascular Diseases / Cardiology Year: 2023 Document Type: Article Affiliation country: 14017431.2023.2166102