Optimizing Peripandemic Care for Veteran Major Non-Traumatic Lower Extremity Amputees: A Proposal Informed by a National Retrospective Descriptive Analysis of COVID-19 Risk Factor Prevalence
National Technical Information Service; 2020.
Non-conventional
in English
| National Technical Information Service | ID: grc-753669
ABSTRACT
In response to the Coronavirus 2019 (COVID-19) pandemic, vascular surgeons in the Veteran Affairs Health Care System have been undertaking only essential cases, such as advanced critical limb ischemia. Surgical risk assessment in these patients is often complex, considers all factors known to impact short- and long-term outcomes, and the additional risk thatCOVID-19 infection could convey in this patient population is unknown. The European Centre for Disease Prevention and Control (ECDC) published risk factors (ECDC-RF) implicated in increased COVID-19 hospitalization and case-fatality which have been further evidenced by initial reports from the United States Centers for Disease Control and Prevention. CDC reports additionally indicate that African American (AA) patients have incurred disparate infection outcomes in the United States. We set forth to survey the Veterans Affairs Surgical Quality Improvement Program (VASQIP) database over a nearly 20 year span to inform ongoing risk assessment with an estimation of the prevalence of ECDC-RF in our veteran critical limb ischemia population and investigate whether an increased COVID-19 comorbidity burden exists for AA veterans presenting for major non-traumatic amputation.
MILITARY MEDICINE; HYPERTENSION; CARDIOVASCULAR DISEASES; DIABETES MELLITUS; AMPUTATION; CANCER; AMPUTEES; VETERANS HEALTH; INFECTION; LEGS; PANDEMICS; COVID-19; VIRUS DISEASES; CORONAVIRUSES; INFECTIOUS DISEASES; LOWER LIMB AMPUTEES; PATIENT CARE; HEALTH SERVICES; RISK ANALYSIS; RISK FACTORS; PROSTHETICS; LOWER LIMB AMPUTATIONS; THERAPY; SURGICAL AMPUTATIONS; DEPARTMENT OF VETERANS AFFAIRS; Copd(chronic obstructive airway disease); Comorbidity; Preoperative care; Amputation below-knee; Case fatality rate; Novel coronavirus; 2019-ncov acute respiratory disease; Coronavirus 2019; Respiratory tract diseases; Peripandemic
Full text:
Available
Collection:
Databases of international organizations
Database:
National Technical Information Service
Type of study:
Observational study
/
Prognostic study
Language:
English
Year:
2020
Document Type:
Non-conventional
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