The Impact of COVID-19 on the Provision of Adult Cardiac Surgery at a Dedicated COVID Hospital in Australia - 03/11/21
, Benjamin Robinson, MPhil, MBBS a, c, Paul Bannon, PhD, MBBS a, b, c, d
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Abstract |
Background |
Internationally, the response to the COVID-19 pandemic has resulted in fewer cardiac surgical procedures being performed and an increase in the proportion of non-elective cases. To date there has been no study examining the impact of COVID-19 on the provision of cardiac surgery in Australia.
Aim |
The aim of this study was to evaluate the impact that the COVID-19 pandemic has had on the provision of cardiac surgery in a single, large major cardiac centre and dedicated COVID-19 hospital. A retrospective cohort study was undertaken utilising prospectively collected data.
Methods |
Prospectively collected patient and operative data was examined to assess whether there was a reduction in the number of cases performed and whether there was a difference in patient demographics, surgical procedures or case urgency. Data was examined from the period of COVID-restrictions in 2020 and compared with data from the same time period in 2019.
Results |
From 3 March 2020 to 30 June 2020, 136 adults underwent cardiac surgery at our institution, representing an overall reduction in operative caseload of 21%. The largest impact was noticed in May and April and coincided with statewide restrictions on elective surgery. Surgical acuity was unchanged with 58% of operations classified as non-elective procedures performed during the index admission. There was a small non-significant increase in the proportion of isolated coronary artery bypass surgery and aortic valve surgeries performed.
Conclusion |
From March to June 2020 our local hospital response to the COVID-19 pandemic resulted in a reduction in cardiac surgery service delivery. No change was seen in the urgency or type of surgeries performed.
Le texte complet de cet article est disponible en PDF.Keywords : COVID, Cardiac surgery, Cardiothoracic, CABG
Plan
Vol 30 - N° 12
P. 1841-1845 - décembre 2021 Retour au numéro
Article précédent
- Cardiac Complications in Patients Hospitalised With COVID-19 in Australia
- Kunwardeep S. Bhatia, Hari P. Sritharan, Justin Chia, Jonathan Ciofani, Daniel Nour, Karina Chui, Sheran Vasanthakumar, Pavithra Jayadeva, Dhanvee Kandadai, Usaid Allahwala, Rohan Bhagwandeen, David B. Brieger, Christopher Y.P. Choong, Anthony Delaney, Girish Dwivedi, Benjamin Harris, Graham Hillis, Bernard Hudson, George Javorsky, Nigel Jepson, Logan Kanagaratnam, George Kotsiou, Astin Lee, Sidney T.H. Lo, Andrew I. MacIsaac, Brendan M. McQuillan, Isuru Ranasinghe, Antony Walton, James Weaver, William Wilson, Andy Yong, John Zhu, William van Gaal, Leonard Kritharides, Clara Chow, Ravinay Bhindi
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