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The impact of COVID-19 on adult cardiac surgery

Vilius Venckus1, Algimantas Budrikis1, Monika Kazlauskaite2

  • 1Department of Cardiac Surgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|January 6, 2023
PubMed

Insights

The COVID-19 pandemic significantly impacted cardiac surgery, increasing complications like wound infections and resternotomy in infected patients. However, planned cardiac surgeries with protective measures are preferable to complete cessation.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
  • Cardiac surgery centers faced operational disruptions and evolving patient care protocols.

Purpose of the Study:

  • To evaluate the impact of the COVID-19 pandemic on cardiac surgery outcomes.
  • To compare patient data between pre-pandemic and pandemic periods.
  • To assess the differences in outcomes between COVID-19-positive and COVID-19-negative patients undergoing cardiac surgery.

Main Methods:

  • Retrospective comparison of male cardiac surgery patients operated between November 2018 and March 2021.
  • Data analysis included demographic, perioperative, and outcome variables.
  • Patients were categorized into pre-pandemic (control) and pandemic groups, with a subgroup of COVID-19-positive patients.

Main Results:

  • A significant decrease in the number of cardiac operations was observed during the pandemic.
  • COVID-19-positive patients exhibited higher rates of wound infection, resternotomy due to bleeding, and longer hospitalization.
  • The pandemic group showed increased body mass index and incidence of type 2 diabetes mellitus.

Conclusions:

  • Cardiac surgery patients infected with COVID-19 experienced a higher complication rate.
  • Planned cardiac surgery with stringent protective measures is a viable alternative to halting elective procedures.
  • Effective management strategies are crucial for maintaining cardiac surgical services during pandemics.
Abstract

Keywords:
COVID-19 pandemicCardiac surgerymortality

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