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  1. Article: Roadmap for Restarting Elective Surgery During/After COVID-19 Pandemic.

    Sharma, Dhananjaya / Agrawal, Vikesh / Agarwal, Pawan

    The Indian journal of surgery

    2020  , Page(s) 1–5

    Abstract: ... on the current challenge of restarting elective surgery during/after COVID-19 pandemic. ... The worldwide COVID-19 pandemic has resulted in complete stoppage of elective surgery in most ...

    Abstract The worldwide COVID-19 pandemic has resulted in complete stoppage of elective surgery in most countries, which has created a huge backlog of waiting patients. This invited editorial comments on the current challenge of restarting elective surgery during/after COVID-19 pandemic.
    Keywords covid19
    Language English
    Publishing date 2020-06-11
    Publishing country India
    Document type Journal Article
    ZDB-ID 138063-1
    ISSN 0972-2068 ; 0019-5650
    ISSN 0972-2068 ; 0019-5650
    DOI 10.1007/s12262-020-02468-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Roadmap for Restarting Elective Surgery During/After COVID-19 Pandemic.

    Sharma, Dhananjaya / Agrawal, Vikesh / Agarwal, Pawan

    The Indian journal of surgery

    2020  Volume 82, Issue 3, Page(s) 235–239

    Keywords covid19
    Language English
    Publishing date 2020-06-05
    Publishing country India
    Document type Editorial
    ZDB-ID 138063-1
    ISSN 0972-2068 ; 0019-5650
    ISSN 0972-2068 ; 0019-5650
    DOI 10.1007/s12262-020-02450-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Roadmap for Restarting Elective Surgery During/After COVID-19 Pandemic

    Sharma, Dhananjaya / Agrawal, Vikesh / Agarwal, Pawan

    Indian Journal of Surgery ; ISSN 0972-2068 0973-9793

    2020  

    Keywords Surgery ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s12262-020-02468-5
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Roadmap for Restarting Elective Surgery During/After COVID-19 Pandemic

    Sharma, Dhananjaya / Agrawal, Vikesh / Agarwal, Pawan

    Indian Journal of Surgery

    2020  Volume 82, Issue 3, Page(s) 235–239

    Keywords Surgery ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ZDB-ID 138063-1
    ISSN 0019-5650 ; 0972-2068
    ISSN 0019-5650 ; 0972-2068
    DOI 10.1007/s12262-020-02450-1
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: A multicentre roadmap to restart elective cardiac surgery after COVID-19 peak in an Italian epicenter.

    Rosati, Fabrizio / Muneretto, Claudio / Baudo, Massimo / D'Ancona, Giuseppe / Bichi, Samuele / Merlo, Maurizio / Cuko, Besart / Gerometta, Piersilvio / Grazioli, Valentina / Giroletti, Laura / Di Bacco, Lorenzo / Repossini, Alberto / Benussi, Stefano

    Journal of cardiac surgery

    2021  Volume 36, Issue 9, Page(s) 3308–3316

    Abstract: ... supports the safe restarting of an elective cardiac surgery list after a peak of a still ongoing COVID-19 ... elective surgeries. Because hospitals were still burdened with coronavirus disease 2019 (COVID-19) patients ... and rehospitalization for COVID-19 infections were reported.: Conclusions: Our structured roadmap ...

    Abstract Background: During the Italian Phase-2 of the coronavirus pandemic, it was possible to restart elective surgeries. Because hospitals were still burdened with coronavirus disease 2019 (COVID-19) patients, it was focal to design a separate "clean path" for the surgical candidates and determine the possible effects of major surgery on previously infected patients.
    Methods: From May to July 2020 (postpandemic peak), 259 consecutive patients were scheduled for elective cardiac surgery in three different centers. Our original roadmap with four screening steps included: a short item questionnaire (STEP-1), nasopharyngeal swab (NP) (STEP-2), computed tomography (CT)-scan using COVID-19 reporting and data system (CO-RADS) scoring (STEP-3), and final NP swab before discharge (STEP-4).
    Results: Two patients (0.8%) resulted positive at STEP-2: one patient was discharged home for quarantine, the other performed a CT-scan (CO-RADS: <2), and underwent surgery for unstable angina. Chest-CT was positive in 6.3% (15/237) with mean CO-RADS of 2.93 ± 0.8. Mild-moderate lung inflammation (CO-RADS: 2-4) did not delay surgery. Perioperative mortality was 1.15% (3/259), and cumulative incidence of pulmonary complications was 14.6%. At multivariable analysis, only age and cardiopulmonary bypass (CPB) time were independently related to pulmonary complications composite outcome (age >75 years: odds ratio [OR]: 2.6; 95% confidence interval [CI]: 1.25-5.57; p = 0.011; CPB >90 min. OR: 4.3; 95% CI: 1.84-10.16; p = 0.001). At 30 days, no periprocedural contagion and rehospitalization for COVID-19 infections were reported.
    Conclusions: Our structured roadmap supports the safe restarting of an elective cardiac surgery list after a peak of a still ongoing COVID-19 pandemic in an epicenter area. Mild to moderate CT residuals of coronavirus pneumonia do not justify elective cardiac surgery procrastination.
    MeSH term(s) Aged ; COVID-19 ; Cardiac Surgical Procedures ; Humans ; Italy/epidemiology ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2021-06-25
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.15776
    Database MEDical Literature Analysis and Retrieval System OnLINE

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