COVID-19对接受慢性静脉疾病计划手术的患者的影响
Ethan Moore1, Max V Wohlauer1, James Dorosh2
1Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Vascular
|March 23, 2024
概括
慢性静脉疾病的选择性血管手术在COVID-19大流行期间可以安全地推迟. 推迟程序没有导致突发干预或重大不良事件,支持资源保护战略.
科学领域:
- 血管外科 血管外科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 随着COVID-19的流行,医疗保健领域的资源保护变得更加必要.
- 血管外科实践受到大流行相关挑战的重大影响.
- 选择性程序在管理医院容量和资源分配方面遇到了延误.
研究的目的:
- 分析COVID-19大流行对选择性静脉疾病手术的手术延迟的影响.
- 评估慢性静脉疾病患者经历推迟手术的不良结果.
- 为了评估在疫情期间推迟干预的安全性.
主要方法:
- 血管外科COVID-19合作 (VASCC) 成立,以研究延迟血管外科手术的结果.
- 分析了来自12个美国机构的150名慢性静脉疾病患者的数据.
- 评估了从2020年3月到2021年2月推迟的选择性静脉干预的结果.
主要成果:
- 总共有150名患有慢性静脉疾病的患者接受了延迟的选择性手术.
- 平均延迟时间为91天 (中位数为78天);静脉的延迟时间从38天到208天不等.
- 没有患者需要因静脉疾病而进行紧急干预,延迟后也没有发生重大不良事件.
结论:
- 慢性静脉疾病的选择性手术干预可以在COVID-19流行病等公共卫生危机期间安全地推迟.
- 这些发现与管理选择性血管程序的建议一致,建议办公室实验室作为可行的替代方案.
- 虽然推迟是安全的,但延迟对患者生活质量的长期影响需要进一步调查.
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