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"Turn downs" in aortic emergencies: Reassurance or uncertainty?
Pradeep Narayan1, Alan J Bryan2
1Department of Cardiac Surgery, NH Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India.
Journal of Cardiac Surgery
|November 10, 2020
Summary
Being denied an operation, or "turn-down," significantly increases short-term mortality risk. The COVID-19 pandemic saw a 7.3% "turn-down" rate for acute aortic syndromes in the UK, highlighting the need for better reporting of this critical variable.
Area of Science:
- Cardiovascular Surgery
- Healthcare Management
- Public Health
Background:
Purpose of the Study:
- To review the significance of surgical 'turn-downs' in acute aortic syndromes.
- To assess the adequacy of reporting 'turn-down' data in the context of the COVID-19 pandemic.
Main Methods:
- Literature review of studies on surgical 'turn-downs'.
- Analysis of reported 'turn-down' rates for acute aortic syndromes during the pandemic.
Main Results:
- Surgical 'turn-downs' are linked to increased short-term mortality.
- The COVID-19 pandemic in the UK reported a 7.3% 'turn-down' rate for acute aortic syndromes.
Conclusions:
- 'Turn-down' rates are a critical outcome measure in acute aortic syndromes.
- Current reporting of 'turn-down' data may be inadequate and requires scrutiny.
Keywords:
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