Your browser doesn't support javascript.
The impact of COVID-19 pandemic on cardiac surgery in Israel.
Keizman, Eitan; Ram, Eilon; Kachel, Erez; Sternik, Leonid; Raanani, Ehud.
  • Keizman E; Department of Cardia cSurgery, The Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Ramat-Gan, Israel. eitan.keizman@gmail.com.
  • Ram E; Department of Cardiac Surgery, The Baruch Padeh Medical Center, 52621, Tiberias, Israel. eitan.keizman@gmail.com.
  • Kachel E; Department of Cardia cSurgery, The Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Ramat-Gan, Israel.
  • Sternik L; Department of Cardia cSurgery, The Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Ramat-Gan, Israel.
  • Raanani E; Department of Cardiac Surgery, The Baruch Padeh Medical Center, 52621, Tiberias, Israel.
J Cardiothorac Surg ; 15(1): 294, 2020 Oct 02.
Artículo en Inglés | MEDLINE | ID: covidwho-810387
ABSTRACT

BACKGROUND:

Ever since the coronavirus disease 2019 (COVID-19) has become a pandemic, worldwide efforts are being made to "flatten the curve". Israel was amongst the first countries to impose significant restrictions. As a result, cardiac surgeons have been required to scale down their routine practice, resulting in a significant reduction in the number of cardiac surgeries. The aim of this study is to characterize the impact of COVID-19 on cardiac surgery in Israel.

METHODS:

This is a retrospective observational study performed in two cardiac surgery departments in Israel and includes all patients who underwent cardiac surgery in March and April during the years 2019 and 2020. The patient cohort was divided into two groups based on the year of operation. Analysis of the patients' baseline characteristics, operative data, and postoperative outcome, was performed.

RESULTS:

The 2019 group (n = 173), and the 2020 group (n = 108) were similar regarding their baseline characteristics, previous medical history, and rates of previous revascularization interventions. However, compared to the 2019 group, patients in the 2020 group were found to be more symptomatic (NYHA class IV; 2.4% vs. 6.2%, p = 0.007). While all patients underwent similar procedures, patients in the 2020 group had significantly longer procedural time (p < 0.001). In-hospital mortality rate was found to be significantly higher in group 2020 (13% vs. 5.2%, p = 0.037).

CONCLUSIONS:

While the number of patients undergoing cardiac surgery declined during the outbreak period, the rate of surgical mortality increased. One explanation for this might be delayed hospital arrival.
Asunto(s)
Palabras clave

Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones por Coronavirus / Pandemias / Betacoronavirus / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Estudio de cohorte / Estudio experimental / Estudio observacional / Estudio pronóstico / Ensayo controlado aleatorizado Tópicos: Covid persistente Límite: Anciano / Femenino / Humanos / Masculino / Middle aged País/Región como asunto: Asia Idioma: Inglés Revista: J Cardiothorac Surg Año: 2020 Tipo del documento: Artículo País de afiliación: S13019-020-01342-5

Similares

MEDLINE

...
LILACS

LIS


Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones por Coronavirus / Pandemias / Betacoronavirus / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Estudio de cohorte / Estudio experimental / Estudio observacional / Estudio pronóstico / Ensayo controlado aleatorizado Tópicos: Covid persistente Límite: Anciano / Femenino / Humanos / Masculino / Middle aged País/Región como asunto: Asia Idioma: Inglés Revista: J Cardiothorac Surg Año: 2020 Tipo del documento: Artículo País de afiliación: S13019-020-01342-5