在COVID-19流行病的第一波期间进行心血管手术
Tolga Baş1, Deniz Çevirme1, Ahmet Zengin2
1Department of Cardiovascular Surgery, Kartal Koşuyolu High Specialized Training and Research Hospital, Istanbul, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|September 4, 2023
概括
在COVID-19大流行期间,包括紧急和选择性手术在内的心血管手术得到了评估. 经验丰富的中心保持了高质量的护理,在非流行病医疗保健提供方面表现出了弹性.
科学领域:
- 心血管外科心血管外科
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
- 评估对心血管外科服务的影响对于维持患者护理至关重要.
- 这项研究重点关注大流行病的初始阶段.
研究的目的:
- 评估早期COVID-19大流行期间心血管手术的主要结果和特征.
- 为了比较紧急与可选/紧急的心血管外科手术程序.
- 了解公共卫生危机期间推中心的运营能力.
主要方法:
- 在2020年3月11日至2020年6月11日期间,对209名接受心血管手术的患者进行了回顾性分析.
- 将手术分为紧急和可选/紧急类别的分类.
- 记录和分析手术前,手术期间和手术后的患者数据.
主要成果:
- 总共进行了230次心血管手术 (156次选择性/紧急,74次紧急).
- 六名COVID-19阳性患者需要紧急手术;另外两名患者在手术后感染了COVID-19.
- 在急诊组中,急性大动脉解剖和外周血管手术的发生率更高;整体住院死亡率为9.1%.
结论:
- 拥有经验丰富的团队的转诊中心可以在COVID-19流行病等危机期间维持高质量的非流行病医疗保健.
- 该研究强调了专业心血管外科单位的适应性和弹性.
- 维持常规护理标准是可以实现的,即使在广泛的公共卫生紧急情况中.
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