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Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A

Anna Baudry1, Anne-Sophie Mariet2,3, Eric Benzenine2

  • 1Department of Cardiovascular and Thoracic Surgery, University Hospital of Dijon, 21000 Dijon, France.

Life (Basel, Switzerland)
|November 27, 2021
PubMed

Insights

The first national lockdown in France saw a significant decrease in hospitalizations for cardiovascular surgical emergencies. However, certain conditions like mechanical complications of myocardial infarction (MI) and aortic aneurysm rupture saw an increase post-lockdown.

Area of Science:

  • Cardiovascular Surgery
  • Public Health Emergencies

Background:

  • The impact of nationwide lockdowns on non-COVID-19 emergency hospitalizations remains unclear.
  • Understanding these impacts is crucial for healthcare preparedness during public health crises.

Purpose of the Study:

  • To analyze trends in hospitalizations for cardiovascular surgical emergencies in France.
  • To compare hospitalization data from before, during, and after the first national lockdown in 2020.

Main Methods:

  • Retrospective cohort study utilizing the French National Hospital Discharge database.
  • Inclusion of adult patients with specific cardiovascular emergencies: MI complications, aortic dissection/aneurysm, limb ischemia, circulatory assistance, heart transplantation, and major amputations.
  • Monthly hospitalization counts in 2020 were compared against the average of the preceding three years (2017-2019).

Main Results:

  • A total of 94,408 cases were reported from January to September 2020, an 8.5% decrease compared to 103,126 cases in the same period of 2019.
  • Most cardiovascular emergencies significantly declined during the lockdown period, with the exception of circulatory assistance, which saw an increase.
  • Post-lockdown, hospitalizations for mechanical complications of myocardial infarction (MI) and aortic aneurysm rupture rose, while cardiac transplantations decreased relative to previous years.

Conclusions:

  • The study confirms a substantial reduction in most cardiovascular surgical emergencies during the initial lockdown.
  • The post-lockdown period exhibited a compensatory increase in mechanical MI complications and aortic aneurysm rupture cases.
  • This suggests a delayed access to care for some patients, with a subsequent 'over-recovery' trend observed after the lockdown measures eased.
Abstract

Keywords:
aortic and arterial diseasescardiovascular emergenciescirculatory assistancecoronavirus disease 2019hospitalizationslockdown

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