Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions

Martin Czerny; Roman Gottardi; Paul Puiu; Oliver Y Bernecker; Rodolfo Citro; Alessandro Della Corte; Luca di Marco; Martina Fink; Yvonne Gosslau; Peter Lukas Haldenwang; Robin H Heijmen; Maria Hugas-Mallorqui; Severino Iesu; Oyvind Jacobsen; Arminder S Jassar; Andrzej Juraszek; Maciej Kolowca; Sandro Lepidi; Massimiliano M Marrocco-Trischitta; Hitoshi Matsuda; Katrin Meisenbacher; Antonio Micari; Kenji Minatoya; Kay-Hyun Park; Sven Peterss; Michael Petrich; Gabriele Piffaretti; Chris Probst; Benedikt Reutersberg; Fabrizio Rosati; Bruno Schachner; Thomas Schachner; Vitali A Sorokin; Zoltan Szeberin; Piotr Szopinski; Luigi Di Tommaso; Santi Trimarchi; Eric L G Verhoeven; Ferdinand Vogt; Andreas Voetsch; Tim Walter; Gabriel Weiss; Xun Yuan; Filippo Benedetto; Antonio De Bellis; Mario D Oria; Philipp Discher; Andreas Zierer; Bartosz Rylski; Frieda-Maria Kainz

doi:10.1093/ejcts/ezaa452

Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions

Martin Czerny, Roman Gottardi, Paul Puiu, Oliver Y Bernecker, Rodolfo Citro, Alessandro Della Corte, Luca di Marco, Martina Fink, Yvonne Gosslau, Peter Lukas Haldenwang, Robin H Heijmen, Maria Hugas-Mallorqui, Severino Iesu, Oyvind Jacobsen, Arminder S Jassar, Andrzej Juraszek, Maciej Kolowca, Sandro Lepidi, Massimiliano M Marrocco-Trischitta, Hitoshi MatsudaKatrin Meisenbacher, Antonio Micari, Kenji Minatoya, Kay-Hyun Park, Sven Peterss, Michael Petrich, Gabriele Piffaretti, Chris Probst, Benedikt Reutersberg, Fabrizio Rosati, Bruno Schachner, Thomas Schachner, Vitali A Sorokin, Zoltan Szeberin, Piotr Szopinski, Luigi Di Tommaso, Santi Trimarchi, Eric L G Verhoeven, Ferdinand Vogt, Andreas Voetsch, Tim Walter, Gabriel Weiss, Xun Yuan, Filippo Benedetto, Antonio De Bellis, Mario D Oria, Philipp Discher, Andreas Zierer, Bartosz Rylski, Frieda-Maria Kainz

Division of Cardiosurgery (University Hospital St. Pölten)

Research output: Journal article (peer-reviewed) › Journal article

13 Citations (Scopus)

Abstract

OBJECTIVES: To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on acute and elective thoracic and abdominal aortic procedures.

METHODS: Forty departments shared their data on acute and elective thoracic and abdominal aortic procedures between January and May 2020 and January and May 2019 in Europe, Asia and the USA. Admission rates as well as delay from onset of symptoms to referral were compared.

RESULTS: No differences in the number of acute thoracic and abdominal aortic procedures were observed between 2020 and the reference period in 2019 [incidence rates ratio (IRR): 0.96, confidence interval (CI) 0.89-1.04; P = 0.39]. Also, no difference in the time interval from acute onset of symptoms to referral was recorded (<12 h 32% vs > 12 h 68% in 2020, < 12 h 34% vs > 12 h 66% in 2019 P = 0.29). Conversely, a decline of 35% in elective procedures was seen (IRR: 0.81, CI 0.76-0.87; P < 0.001) with substantial differences between countries and the most pronounced decline in Italy (-40%, P < 0.001). Interestingly, in Switzerland, an increase in the number of elective cases was observed (+35%, P = 0.02).

CONCLUSIONS: There was no change in the number of acute thoracic and abdominal aortic cases and procedures during the initial wave of the COVID-19 pandemic, whereas the case load of elective operations and procedures decreased significantly. Patients with acute aortic syndromes presented despite COVID-19 and were managed according to current guidelines. Further analysis is required to prove that deferral of elective cases had no impact on premature mortality.

Original language	English
Pages (from-to)	1096-1102
Number of pages	7
Journal	European Journal of Cardio-thoracic Surgery
Volume	59
Issue number	5
DOIs	https://doi.org/10.1093/ejcts/ezaa452
Publication status	Published - 01 May 2021

Keywords

Asia
COVID-19
Elective Surgical Procedures
Europe
Humans
Italy
Pandemics
SARS-CoV-2
Switzerland

Access to Document

10.1093/ejcts/ezaa452

Cite this

Czerny, M., Gottardi, R., Puiu, P., Bernecker, O. Y., Citro, R., Della Corte, A., di Marco, L., Fink, M., Gosslau, Y., Haldenwang, P. L., Heijmen, R. H., Hugas-Mallorqui, M., Iesu, S., Jacobsen, O., Jassar, A. S., Juraszek, A., Kolowca, M., Lepidi, S., Marrocco-Trischitta, M. M., ... Kainz, F.-M. (2021). Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions. European Journal of Cardio-thoracic Surgery, 59(5), 1096-1102. https://doi.org/10.1093/ejcts/ezaa452

@article{967afe843b2f4b738bf4027cc1e19608,

title = "Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions",

abstract = "OBJECTIVES: To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on acute and elective thoracic and abdominal aortic procedures.METHODS: Forty departments shared their data on acute and elective thoracic and abdominal aortic procedures between January and May 2020 and January and May 2019 in Europe, Asia and the USA. Admission rates as well as delay from onset of symptoms to referral were compared.RESULTS: No differences in the number of acute thoracic and abdominal aortic procedures were observed between 2020 and the reference period in 2019 [incidence rates ratio (IRR): 0.96, confidence interval (CI) 0.89-1.04; P = 0.39]. Also, no difference in the time interval from acute onset of symptoms to referral was recorded (<12 h 32% vs > 12 h 68% in 2020, < 12 h 34% vs > 12 h 66% in 2019 P = 0.29). Conversely, a decline of 35% in elective procedures was seen (IRR: 0.81, CI 0.76-0.87; P < 0.001) with substantial differences between countries and the most pronounced decline in Italy (-40%, P < 0.001). Interestingly, in Switzerland, an increase in the number of elective cases was observed (+35%, P = 0.02).CONCLUSIONS: There was no change in the number of acute thoracic and abdominal aortic cases and procedures during the initial wave of the COVID-19 pandemic, whereas the case load of elective operations and procedures decreased significantly. Patients with acute aortic syndromes presented despite COVID-19 and were managed according to current guidelines. Further analysis is required to prove that deferral of elective cases had no impact on premature mortality.",

keywords = "Asia, COVID-19, Elective Surgical Procedures, Europe, Humans, Italy, Pandemics, SARS-CoV-2, Switzerland",

author = "Martin Czerny and Roman Gottardi and Paul Puiu and Bernecker, {Oliver Y} and Rodolfo Citro and {Della Corte}, Alessandro and {di Marco}, Luca and Martina Fink and Yvonne Gosslau and Haldenwang, {Peter Lukas} and Heijmen, {Robin H} and Maria Hugas-Mallorqui and Severino Iesu and Oyvind Jacobsen and Jassar, {Arminder S} and Andrzej Juraszek and Maciej Kolowca and Sandro Lepidi and Marrocco-Trischitta, {Massimiliano M} and Hitoshi Matsuda and Katrin Meisenbacher and Antonio Micari and Kenji Minatoya and Kay-Hyun Park and Sven Peterss and Michael Petrich and Gabriele Piffaretti and Chris Probst and Benedikt Reutersberg and Fabrizio Rosati and Bruno Schachner and Thomas Schachner and Sorokin, {Vitali A} and Zoltan Szeberin and Piotr Szopinski and {Di Tommaso}, Luigi and Santi Trimarchi and Verhoeven, {Eric L G} and Ferdinand Vogt and Andreas Voetsch and Tim Walter and Gabriel Weiss and Xun Yuan and Filippo Benedetto and {De Bellis}, Antonio and {D Oria}, Mario and Philipp Discher and Andreas Zierer and Bartosz Rylski and Frieda-Maria Kainz",

year = "2021",

month = may,

day = "1",

doi = "10.1093/ejcts/ezaa452",

language = "English",

volume = "59",

pages = "1096--1102",

journal = "European Journal of Cardio-thoracic Surgery",

issn = "1010-7940",

publisher = "European Association for Cardio-Thoracic Surgery",

number = "5",

}

Czerny, M, Gottardi, R, Puiu, P, Bernecker, OY, Citro, R, Della Corte, A, di Marco, L, Fink, M, Gosslau, Y, Haldenwang, PL, Heijmen, RH, Hugas-Mallorqui, M, Iesu, S, Jacobsen, O, Jassar, AS, Juraszek, A, Kolowca, M, Lepidi, S, Marrocco-Trischitta, MM, Matsuda, H, Meisenbacher, K, Micari, A, Minatoya, K, Park, K-H, Peterss, S, Petrich, M, Piffaretti, G, Probst, C, Reutersberg, B, Rosati, F, Schachner, B, Schachner, T, Sorokin, VA, Szeberin, Z, Szopinski, P, Di Tommaso, L, Trimarchi, S, Verhoeven, ELG, Vogt, F, Voetsch, A, Walter, T, Weiss, G, Yuan, X, Benedetto, F, De Bellis, A, D Oria, M, Discher, P, Zierer, A, Rylski, B & Kainz, F-M 2021, 'Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions', European Journal of Cardio-thoracic Surgery, vol. 59, no. 5, pp. 1096-1102. https://doi.org/10.1093/ejcts/ezaa452

TY - JOUR

T1 - Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions

AU - Czerny, Martin

AU - Gottardi, Roman

AU - Puiu, Paul

AU - Bernecker, Oliver Y

AU - Citro, Rodolfo

AU - Della Corte, Alessandro

AU - di Marco, Luca

AU - Fink, Martina

AU - Gosslau, Yvonne

AU - Haldenwang, Peter Lukas

AU - Heijmen, Robin H

AU - Hugas-Mallorqui, Maria

AU - Iesu, Severino

AU - Jacobsen, Oyvind

AU - Jassar, Arminder S

AU - Juraszek, Andrzej

AU - Kolowca, Maciej

AU - Lepidi, Sandro

AU - Marrocco-Trischitta, Massimiliano M

AU - Matsuda, Hitoshi

AU - Meisenbacher, Katrin

AU - Micari, Antonio

AU - Minatoya, Kenji

AU - Park, Kay-Hyun

AU - Peterss, Sven

AU - Petrich, Michael

AU - Piffaretti, Gabriele

AU - Probst, Chris

AU - Reutersberg, Benedikt

AU - Rosati, Fabrizio

AU - Schachner, Bruno

AU - Schachner, Thomas

AU - Sorokin, Vitali A

AU - Szeberin, Zoltan

AU - Szopinski, Piotr

AU - Di Tommaso, Luigi

AU - Trimarchi, Santi

AU - Verhoeven, Eric L G

AU - Vogt, Ferdinand

AU - Voetsch, Andreas

AU - Walter, Tim

AU - Weiss, Gabriel

AU - Yuan, Xun

AU - Benedetto, Filippo

AU - De Bellis, Antonio

AU - D Oria, Mario

AU - Discher, Philipp

AU - Zierer, Andreas

AU - Rylski, Bartosz

AU - Kainz, Frieda-Maria

PY - 2021/5/1

Y1 - 2021/5/1

N2 - OBJECTIVES: To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on acute and elective thoracic and abdominal aortic procedures.METHODS: Forty departments shared their data on acute and elective thoracic and abdominal aortic procedures between January and May 2020 and January and May 2019 in Europe, Asia and the USA. Admission rates as well as delay from onset of symptoms to referral were compared.RESULTS: No differences in the number of acute thoracic and abdominal aortic procedures were observed between 2020 and the reference period in 2019 [incidence rates ratio (IRR): 0.96, confidence interval (CI) 0.89-1.04; P = 0.39]. Also, no difference in the time interval from acute onset of symptoms to referral was recorded (<12 h 32% vs > 12 h 68% in 2020, < 12 h 34% vs > 12 h 66% in 2019 P = 0.29). Conversely, a decline of 35% in elective procedures was seen (IRR: 0.81, CI 0.76-0.87; P < 0.001) with substantial differences between countries and the most pronounced decline in Italy (-40%, P < 0.001). Interestingly, in Switzerland, an increase in the number of elective cases was observed (+35%, P = 0.02).CONCLUSIONS: There was no change in the number of acute thoracic and abdominal aortic cases and procedures during the initial wave of the COVID-19 pandemic, whereas the case load of elective operations and procedures decreased significantly. Patients with acute aortic syndromes presented despite COVID-19 and were managed according to current guidelines. Further analysis is required to prove that deferral of elective cases had no impact on premature mortality.

AB - OBJECTIVES: To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on acute and elective thoracic and abdominal aortic procedures.METHODS: Forty departments shared their data on acute and elective thoracic and abdominal aortic procedures between January and May 2020 and January and May 2019 in Europe, Asia and the USA. Admission rates as well as delay from onset of symptoms to referral were compared.RESULTS: No differences in the number of acute thoracic and abdominal aortic procedures were observed between 2020 and the reference period in 2019 [incidence rates ratio (IRR): 0.96, confidence interval (CI) 0.89-1.04; P = 0.39]. Also, no difference in the time interval from acute onset of symptoms to referral was recorded (<12 h 32% vs > 12 h 68% in 2020, < 12 h 34% vs > 12 h 66% in 2019 P = 0.29). Conversely, a decline of 35% in elective procedures was seen (IRR: 0.81, CI 0.76-0.87; P < 0.001) with substantial differences between countries and the most pronounced decline in Italy (-40%, P < 0.001). Interestingly, in Switzerland, an increase in the number of elective cases was observed (+35%, P = 0.02).CONCLUSIONS: There was no change in the number of acute thoracic and abdominal aortic cases and procedures during the initial wave of the COVID-19 pandemic, whereas the case load of elective operations and procedures decreased significantly. Patients with acute aortic syndromes presented despite COVID-19 and were managed according to current guidelines. Further analysis is required to prove that deferral of elective cases had no impact on premature mortality.

KW - Asia

KW - COVID-19

KW - Elective Surgical Procedures

KW - Europe

KW - Humans

KW - Italy

KW - Pandemics

KW - SARS-CoV-2

KW - Switzerland

UR - http://www.scopus.com/inward/record.url?scp=85103159255&partnerID=8YFLogxK

U2 - 10.1093/ejcts/ezaa452

DO - 10.1093/ejcts/ezaa452

M3 - Journal article

C2 - 33394040

SN - 1010-7940

VL - 59

SP - 1096

EP - 1102

JO - European Journal of Cardio-thoracic Surgery

JF - European Journal of Cardio-thoracic Surgery

IS - 5

ER -

Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this