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Effects of COVID-19 pandemic on cardiac surgery practice in 61 Hospitals worldwide: results of a survey
Journal article   Open access   Peer reviewed

Effects of COVID-19 pandemic on cardiac surgery practice in 61 Hospitals worldwide: results of a survey

Francesco Onorati, Patrick Myers, Pietro Bajona, Andrea Perrotti, Carlos A Mestres, Eduard Quintana and Eileen C Quintana
Journal of cardiovascular surgery, v 61(6), pp 763-768
Dec 2020
DOI: https://doi.org/10.23736/S0021-9509.20.11556-8
PMID: 32964896
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://hdl.handle.net/11572/460992View
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Abstract

Cardiac Surgical Procedures - statistics & numerical data COVID-19 - epidemiology COVID-19 - prevention & control Hospitals Humans Infection Control - organization & administration Pandemics Patient Selection Personal Protective Equipment Procedures and Techniques Utilization SARS-CoV-2 Surveys and Questionnaires
The aim of this study was to investigate the impact of COVID-19 infection on cardiac surgery community and practice. A 43-question survey was sent to cardiac surgery centers worldwide. The survey analyzed the prepandemic organization of the center, the center's response to Covid-19 in terms of re-organization pathways, surveillance methods, personal-protective equipment (PPE), and allowed surgical practice with results. Sixty-one out of 64 centers (95.3%) fulfilled the survey. One third of ICUs were transformed into COVID-19 dedicated-ICUs and one-third moved to another location inside the hospital. Negative-pressure rooms were available in 60.6% centers. Informative measures from hospital administration were received after the first COVID-19 admitted case in 36.1% and during the spread of the infection inside the hospital in 19.6%. Inadequate supply of PPE was common, with no COVID-surveillance of the medical personnel in 4.9% of centers. COVID-19 infected 7.4% of staff surgeons, 8.3% of residents and 9.5% of anesthetists. Cardiac surgery caseload declined in 93.4% centers. COVID-19 infection in patients receiving cardiac surgery resulted in 41-50% mortality in 9.5% centers, and 91-100% mortality in 4.7% centers. Successful weaning with survival from veno-venous extra corporeal membrane oxygenation (ECMO) and veno-arterial ECMO was <50% in 79.2% and 80.0% centers respectively. COVID-19 infection in transplanted patients was rare, with a reported mortality of 0.5% and 1% in one center each. There is room for improvement in hospital surveillance, informative measures and PPE to the personnel. These measurements will reduce current spread of COVID-19 infection among medical personnel and patients, helping the rump up of cardiac surgical practice.

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13 Record Views
8 citations in Web of Science
5 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Peripheral Vascular Disease
Surgery
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