Cardiovascular surgery during the first wave of COVID-19 pandemic

Tolga Baş1, Deniz Çevirme1, Ahmet Zengin2

  • 1Department of Cardiovascular Surgery, Kartal Koşuyolu High Specialized Training and Research Hospital, Istanbul, Türkiye.

Insights

Cardiovascular surgeries, including emergency and elective procedures, were evaluated during the COVID-19 pandemic. Experienced centers maintained high-quality care, demonstrating resilience in non-pandemic healthcare delivery.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Disease Epidemiology
  • Healthcare Management

Background:

  • The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
  • Evaluating the impact on cardiovascular surgery services was crucial for maintaining patient care.
  • This study focuses on the initial phase of the pandemic.

Purpose of the Study:

  • To assess primary outcomes and characteristics of cardiovascular surgeries during the early COVID-19 pandemic.
  • To compare emergency versus elective/urgent cardiovascular surgical procedures.
  • To understand the operational capacity of a referral center during a public health crisis.

Main Methods:

  • Retrospective analysis of 209 patients undergoing cardiovascular surgery between March 11, 2020, and June 11, 2020.
  • Classification of surgeries into emergency and elective/urgent categories.
  • Recording and analysis of pre-, intra-, and postoperative patient data.

Main Results:

  • A total of 230 cardiovascular surgeries were performed (156 elective/urgent, 74 emergency).
  • Six COVID-19 positive patients required emergency surgery; two additional patients contracted COVID-19 postoperatively.
  • Higher incidence of acute aortic dissection and peripheral vascular surgery in the emergency group; overall in-hospital mortality was 9.1%.

Conclusions:

  • Referral centers with experienced teams can sustain high-quality non-pandemic healthcare during crises like the COVID-19 pandemic.
  • The study highlights the adaptability and resilience of specialized cardiovascular surgical units.
  • Maintaining routine care standards is achievable even amidst widespread public health emergencies.
Abstract

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