Cardiac surgery in North America and coronavirus disease 2019 (COVID-19) : Regional variability in burden and impact
Copyright © 2020 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved..
OBJECTIVE: The coronavirus disease 2019 (COVID-19) pandemic has resulted in an increase in hospital resource utilization and the need to defer nonurgent cardiac surgery procedures. The present study aims to report the regional variations of North American adult cardiac surgical case volume and case mix through the first wave of the COVID-19 pandemic.
METHODS: A survey was sent to recruit participating adult cardiac surgery centers in North America. Data in regard to changes in institutional and regional cardiac surgical case volume and mix were analyzed.
RESULTS: Our study comprises 67 adult cardiac surgery institutions with diverse geographic distribution across North America, representing annualized case volumes of 60,452 in 2019. Nonurgent surgery was stopped during the month of March 2020 in the majority of centers (96%), resulting in a decline to 45% of baseline with significant regional variation. Hospitals with a high burden of hospitalized patients with COVID-19 demonstrated similar trends of decline in total volume as centers in low burden areas. As a proportion of total surgical volume, there was a relative increase of coronary artery bypass grafting surgery (high +7.2% vs low +4.2%, P = .550), extracorporeal membrane oxygenation (high +2.5% vs low 0.4%, P = .328), and heart transplantation (high +2.7% vs low 0.4%, P = .090), and decline in valvular cases (high -7.6% vs low -2.6%, P = .195).
CONCLUSIONS: The present study demonstrates the impact of COVID-19 on North American cardiac surgery institutions as well as helps associate region and COVID-19 burden with the impact on cardiac surgery volumes and case mix.
| Errataetall: |
CommentIn: J Thorac Cardiovasc Surg. 2021 Sep;162(3):905-906. - PMID 32763044 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:162 |
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| Enthalten in: |
The Journal of thoracic and cardiovascular surgery - 162(2021), 3 vom: 29. Sept., Seite 893-903.e4 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ad, Niv [VerfasserIn] |
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| Links: |
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| Themen: |
COVID-19 |
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| Anmerkungen: |
Date Completed 18.08.2021 Date Revised 18.08.2021 published: Print-Electronic CommentIn: J Thorac Cardiovasc Surg. 2021 Sep;162(3):905-906. - PMID 32763044 Citation Status MEDLINE |
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| doi: |
10.1016/j.jtcvs.2020.06.077 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM313433372 |
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| 245 | 1 | 0 | |a Cardiac surgery in North America and coronavirus disease 2019 (COVID-19) |b Regional variability in burden and impact |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 18.08.2021 | ||
| 500 | |a Date Revised 18.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Thorac Cardiovasc Surg. 2021 Sep;162(3):905-906. - PMID 32763044 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: The coronavirus disease 2019 (COVID-19) pandemic has resulted in an increase in hospital resource utilization and the need to defer nonurgent cardiac surgery procedures. The present study aims to report the regional variations of North American adult cardiac surgical case volume and case mix through the first wave of the COVID-19 pandemic | ||
| 520 | |a METHODS: A survey was sent to recruit participating adult cardiac surgery centers in North America. Data in regard to changes in institutional and regional cardiac surgical case volume and mix were analyzed | ||
| 520 | |a RESULTS: Our study comprises 67 adult cardiac surgery institutions with diverse geographic distribution across North America, representing annualized case volumes of 60,452 in 2019. Nonurgent surgery was stopped during the month of March 2020 in the majority of centers (96%), resulting in a decline to 45% of baseline with significant regional variation. Hospitals with a high burden of hospitalized patients with COVID-19 demonstrated similar trends of decline in total volume as centers in low burden areas. As a proportion of total surgical volume, there was a relative increase of coronary artery bypass grafting surgery (high +7.2% vs low +4.2%, P = .550), extracorporeal membrane oxygenation (high +2.5% vs low 0.4%, P = .328), and heart transplantation (high +2.7% vs low 0.4%, P = .090), and decline in valvular cases (high -7.6% vs low -2.6%, P = .195) | ||
| 520 | |a CONCLUSIONS: The present study demonstrates the impact of COVID-19 on North American cardiac surgery institutions as well as helps associate region and COVID-19 burden with the impact on cardiac surgery volumes and case mix | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a cardiac surgery | |
| 650 | 4 | |a cardiovascular surgery | |
| 650 | 4 | |a case volume | |
| 650 | 4 | |a coronavirus disease 2019 | |
| 700 | 1 | |a Luc, Jessica G Y |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Tom C |e verfasserin |4 aut | |
| 700 | 0 | |a COVID-19 North American Cardiac Surgery Survey Working Group |e verfasserin |4 aut | |
| 700 | 1 | |a Arora, Rakesh C |e investigator |4 oth | |
| 700 | 1 | |a Balkhy, Husam H |e investigator |4 oth | |
| 700 | 1 | |a Bender, Edward M |e investigator |4 oth | |
| 700 | 1 | |a Bethencourt, Daniel M |e investigator |4 oth | |
| 700 | 1 | |a Bisleri, Gianluigi |e investigator |4 oth | |
| 700 | 1 | |a Boyd, Douglas |e investigator |4 oth | |
| 700 | 1 | |a Chu, Michael W A |e investigator |4 oth | |
| 700 | 1 | |a de la Cruz, Kim I |e investigator |4 oth | |
| 700 | 1 | |a DeAnda, Abe |c Jr |e investigator |4 oth | |
| 700 | 1 | |a Engelman, Daniel T |e investigator |4 oth | |
| 700 | 1 | |a Farkas, Emily A |e investigator |4 oth | |
| 700 | 1 | |a Fedoruk, Lynn M |e investigator |4 oth | |
| 700 | 1 | |a Fiocco, Michael |e investigator |4 oth | |
| 700 | 1 | |a Forcillo, Jessica |e investigator |4 oth | |
| 700 | 1 | |a Fradet, Guy |e investigator |4 oth | |
| 700 | 1 | |a Fremes, Stephen E |e investigator |4 oth | |
| 700 | 1 | |a Gammie, James S |e investigator |4 oth | |
| 700 | 1 | |a Geirsson, Arnar |e investigator |4 oth | |
| 700 | 1 | |a Gerdisch, Marc W |e investigator |4 oth | |
| 700 | 1 | |a Girardi, Leonard N |e investigator |4 oth | |
| 700 | 1 | |a Kaiser, Clayton A |e investigator |4 oth | |
| 700 | 1 | |a Kaneko, Tsuyoshi |e investigator |4 oth | |
| 700 | 1 | |a Kent, William D T |e investigator |4 oth | |
| 700 | 1 | |a Khabbaz, Kamal R |e investigator |4 oth | |
| 700 | 1 | |a Khoynezhad, Ali |e investigator |4 oth | |
| 700 | 1 | |a Kiaii, Bob |e investigator |4 oth | |
| 700 | 1 | |a Lee, Richard |e investigator |4 oth | |
| 700 | 1 | |a Legare, Jean-Francois |e investigator |4 oth | |
| 700 | 1 | |a Lehr, Eric J |e investigator |4 oth | |
| 700 | 1 | |a MacArthur, Roderick G G |e investigator |4 oth | |
| 700 | 1 | |a McCarthy, Patrick M |e investigator |4 oth | |
| 700 | 1 | |a Mehall, John R |e investigator |4 oth | |
| 700 | 1 | |a Merrill, Walter H |e investigator |4 oth | |
| 700 | 1 | |a Moon, Marc R |e investigator |4 oth | |
| 700 | 1 | |a Ouzounian, Maral |e investigator |4 oth | |
| 700 | 1 | |a Peltz, Matthias |e investigator |4 oth | |
| 700 | 1 | |a Perrault, Louis P |e investigator |4 oth | |
| 700 | 1 | |a Preventza, Ourania |e investigator |4 oth | |
| 700 | 1 | |a Ramchandani, Mahesh |e investigator |4 oth | |
| 700 | 1 | |a Ramlawi, Basel |e investigator |4 oth | |
| 700 | 1 | |a Salenger, Rawn |e investigator |4 oth | |
| 700 | 1 | |a Sekela, Michael E |e investigator |4 oth | |
| 700 | 1 | |a Sellke, Frank W |e investigator |4 oth | |
| 700 | 1 | |a Stulak, John M |e investigator |4 oth | |
| 700 | 1 | |a Sutter, Francis P |e investigator |4 oth | |
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| 700 | 1 | |a Ye, Jian |e investigator |4 oth | |
| 700 | 1 | |a Zeigler, Sanford M |e investigator |4 oth | |
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