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A Perspective from New York of COVID 19: Effect and impact on cardiac surgery

Woodrow J Farrington1, Charles A Mack1, Maria G Karas2

  • 1Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA.

Journal of Cardiac Surgery
|September 17, 2020
PubMed

Insights

The COVID-19 pandemic necessitated rapid restructuring of hospital units, including creating a COVID-19 negative unit. This allowed for continued safe cardiac surgical care with outcomes comparable to pre-pandemic levels.

Area of Science:

  • Cardiology
  • Cardiothoracic Surgery
  • Critical Care Medicine

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, significantly disrupted healthcare delivery starting in December 2019.
  • This study details the experience of a major academic medical center at the pandemic's epicenter.
  • The influx of critically ill patients demanded immediate adaptation of care protocols.

Purpose of the Study:

  • To describe the institutional response to the COVID-19 pandemic.
  • To outline the restructuring of cardiac care services during the crisis.
  • To evaluate the feasibility of maintaining cardiac surgical care with comparable outcomes.

Main Methods:

  • Retrospective review of experiences in cardiology, cardiothoracic surgery, anesthesia, and critical care.
  • Summarization of protocols developed and implemented during the pandemic.
  • Analysis of the creation and function of a dedicated COVID-19 negative unit.

Main Results:

  • A new COVID-19 negative unit was established to manage non-COVID-19 urgent/emergent cases, including open-heart surgery.
  • This restructuring enabled the delivery of safe and effective care amidst the pandemic.
  • The specialized unit facilitated continued cardiac surgical procedures.

Conclusions:

  • Academic medical centers can effectively respond to pandemics through rapid structural changes.
  • Continued delivery of cardiac surgical care is achievable with similar outcomes during public health crises.
  • The implemented strategies demonstrate resilience in healthcare systems facing unprecedented challenges.
Abstract

Keywords:
COVID-19SARS-CoV-2cardiac surgery

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