Article ; Online: Impact of COVID-19 on vascular patients worldwide: analysis of the COVIDSurg data.
The Journal of cardiovascular surgery
2022 Volume 62, Issue 6, Page(s) 558–570
Abstract: Background: The COVIDSurg collaborative was an international multicenter prospective analysis of perioperative data from 235 hospitals in 24 countries. It found that perioperative COVID-19 infection was associated with a mortality rate of 24%. At the ... ...
Abstract | Background: The COVIDSurg collaborative was an international multicenter prospective analysis of perioperative data from 235 hospitals in 24 countries. It found that perioperative COVID-19 infection was associated with a mortality rate of 24%. At the same time, the COVER study demonstrated similarly high perioperative mortality rates in vascular surgical patients undergoing vascular interventions even without COVID-19, likely associated with the high burden of comorbidity associated with vascular patients. This is a vascular subgroup analysis of the COVIDSurg cohort. Methods: All patients with a suspected or confirmed diagnosis of COVID-19 in the 7 days prior to, or in the 30 days following a vascular procedure were included. The primary outcome was 30-day mortality. Secondary outcomes were pulmonary complications (adult respiratory distress syndrome, pulmonary embolism, pneumonia and respiratory failure). Logistic regression was undertaken for dichotomous outcomes. Results: Overall, 602 patients were included in this subgroup analysis, of which 88.4% were emergencies. The most common operations performed were for vascular-related dialysis access procedures (20.1%, N.=121). The combined 30-day mortality rate was 27.2%. Composite secondary pulmonary outcomes occurred in half of the vascular patients (N.=275, 45.7%). Conclusions: Mortality following vascular surgery in COVID positive patients was significantly higher than levels reported pre-pandemic, and similar to that seen in other specialties in the COVIDSurg cohort. Initiatives and surgical pathways that ensure vascular patients are protected from exposure to COVID-19 in the peri-operative period are vital to protect against excess mortality. |
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MeSH term(s) | Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/diagnosis ; COVID-19/mortality ; COVID-19/therapy ; Child ; Child, Preschool ; Female ; Global Health/trends ; Humans ; Infant ; Male ; Middle Aged ; Outcome and Process Assessment, Health Care/trends ; Patient Safety ; Prospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome ; Vascular Diseases/diagnosis ; Vascular Diseases/mortality ; Vascular Diseases/surgery ; Vascular Surgical Procedures/adverse effects ; Vascular Surgical Procedures/mortality ; Vascular Surgical Procedures/trends ; Young Adult |
Language | English |
Publishing date | 2022-01-15 |
Publishing country | Italy |
Document type | Journal Article ; Multicenter Study ; Observational Study |
ZDB-ID | 80143-4 |
ISSN | 1827-191X ; 0021-9509 |
ISSN (online) | 1827-191X |
ISSN | 0021-9509 |
DOI | 10.23736/S0021-9509.21.12024-5 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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