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Impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with acute and chronic aortic conditions

2020; Oxford University Press; Volume: 59; Issue: 5 Linguagem: Inglês

10.1093/ejcts/ezaa452

1873-734X

Martin Czerny, Roman Gottardi, Paul Puiu, Oliver Y. Bernecker, Rodolfo Citro, Alessandro Della Corte, Luca Di Marco, Martina Fink, Yvonne Goßlau, Peter Haldenwang, Robin H. Heijmen, Maria Hugas-Mallorqui, Severino Iesu, Oyvind Jacobsen, Arminder S. Jassar, Andrzej Juraszek, Maciej Kolowca, Sandro Lepidi, Massimiliano M. Marrocco‐Trischitta, Hitoshi Matsuda, Katrin Meisenbacher, Antonio Micari, Kenji Minatoya, Kay‐Hyun Park, Sven Peterß, Michael Petrich, Gabriele Piffaretti, Chris Probst, Benedikt Reutersberg, Fabrizio Rosati, Bruno Schachner, Thomas Schachner, V. A. Sorokin, Zoltán Szeberin, Piotr Szopiński, Luigi Di Tommaso, Santi Trimarchi, Eric L.G. Verhoeven, Ferdinand Vogt, Andreas Voetsch, Tim Walter, Gabriel Weiss, Xun Yuan, Filippo Benedetto, Antonio De Bellis, Mario D ́ Oria, Philipp Discher, Andreas Zierer, Bartosz Rylski, Jos C. van den Berg, Thomas R. Wyss, Eduardo Bossone, Jürg Schmidli, Christoph Nienaber, Giulio Accarino, Francesco Baldascino, Dittmar Böckler, Claudio Corazzari, Ilenia D ́ Alessio, Hector de Beaufort, Christopher De Troia, Julia Dumfarth, Denise Galbiati, Filippo Gorgatti, Christian Hagl, Marwan Hamiko, Florian Huber, Alexander Hyhlik-Duerr, Gabriele Ianelli, Ivana Iesu, Joon Chul Jung, Frieda-Maria Kainz, Αthanasios Katsargyris, Stephan Koter, Mariusz Kuśmierczyk, Piotr Kołsut, Balázs Lengyel, Chiara Lomazzi, Claudio Muneretto, Giovanni Nava, Thomas Nolte, Davide Pacini, Eliza Pleban, Miriam Rychla, Kazuhisa Sakamoto, Takayuki Shijo, Koki Yokawa, Matthias Siepe, Joachim Sirch, Justus Strauch, Jai Ajitchandra Sule, Eva-Luca Tobler, Corinna Walter, Ernst Weigang,

Trauma and Emergency Care Studies

To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on acute and elective thoracic and abdominal aortic procedures.Forty departments shared their data on acute and elective thoracic and abdominal aortic procedures between January and May 2020 and January and May 2019 in Europe, Asia and the USA. Admission rates as well as delay from onset of symptoms to referral were compared.No differences in the number of acute thoracic and abdominal aortic procedures were observed between 2020 and the reference period in 2019 [incidence rates ratio (IRR): 0.96, confidence interval (CI) 0.89-1.04; P = 0.39]. Also, no difference in the time interval from acute onset of symptoms to referral was recorded ( 12 h 68% in 2020, < 12 h 34% vs > 12 h 66% in 2019 P = 0.29). Conversely, a decline of 35% in elective procedures was seen (IRR: 0.81, CI 0.76-0.87; P < 0.001) with substantial differences between countries and the most pronounced decline in Italy (-40%, P < 0.001). Interestingly, in Switzerland, an increase in the number of elective cases was observed (+35%, P = 0.02).There was no change in the number of acute thoracic and abdominal aortic cases and procedures during the initial wave of the COVID-19 pandemic, whereas the case load of elective operations and procedures decreased significantly. Patients with acute aortic syndromes presented despite COVID-19 and were managed according to current guidelines. Further analysis is required to prove that deferral of elective cases had no impact on premature mortality.