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首页> 外文期刊>Journal of cardiac surgery. >International study on impact of COVID-19 on cardiac and thoracic aortic aneurysm surgery
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International study on impact of COVID-19 on cardiac and thoracic aortic aneurysm surgery

机译：Covid-19对心脏和胸主动脉瘤手术的影响国际研究

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Background The coronavirus disease-2019 (COVID-19) pandemic gripped every nation's health care system and provisions on all levels. In cardiac and aortic surgery, as it is with most specialities, elective surgeries were halted. Aims of the study We captured reflections, contingencies, and current practices across of high-volume centers in cardiac and aortic surgery globally. We also aimed this study to assess decision on prioritization of the surgical patients, the need for personal protection equipment, and the choice of preoperative investigations in current dynamic and fluid climate. Methods A validated web-based questionnaire was constructed and was circulated to the international surgeons amongst high volume cardiac and aortic surgery centers. Their intrinsic feedback on decision making, the impact of the lockdown, and perspectives for the future ahead of us all were noted. A mixed-method approach was constructed. Qualitative data analysis was introduced to signify the impact globally. Results Overall, 23 centers from 18 countries participated in this international study. About 91.7% of the respondents stopped operating on elective patients during the pandemic. The majority of the surgeons agreed that acute aortic dissection (87.1%) should be operated as an emergency procedure and stable triple vessel disease (87.1%) to be considered as an elective procedure. Three-fifth (60%) of the respondents relied on computerized tomography chest as a preoperative screening modality. Conclusion In the present climate where there is a paucity of evidence, this will give an interim consensus for the cardiac surgeons. With the increase in the cumulative number of patients with COVID-19, careful utilization of the resources regarding hospital beds and manpower is of paramount importance.
机译：背景2019年新冠病毒（COVID-19）大流行席卷了每个国家的医疗体系和各个层面的规定。在心脏和主动脉手术中，正如大多数专业一样，选择性手术被停止。这项研究的目的我们捕捉了全球心脏和主动脉手术大容量中心的反思、意外事件和当前实践。我们还将这项研究的目的放在评估手术患者的优先顺序、个人防护设备的需要，以及在当前动态和流体环境下术前检查的选择上。方法编制一份经过验证的网络问卷，并在大容量心脏和主动脉手术中心向国际外科医生分发。他们对决策的内在反馈、封锁的影响，以及对我们所有人未来的展望都得到了注意。构建了一种混合方法。引入了定性数据分析，以表明其对全球的影响。结果总体而言，来自18个国家的23个中心参与了这项国际研究。在大流行期间，约91.7%的受访者停止对择期患者进行手术。大多数外科医生同意急性主动脉夹层（87.1%）应作为急诊手术，稳定的三支血管疾病（87.1%）应作为选择性手术。五分之三（60%）的受访者依靠胸部电脑断层扫描作为术前筛查方式。结论在目前证据不足的情况下，这将为心脏外科医生提供一个临时共识。随着COVID2019冠状病毒疾病患者的累计数量的增加，医院床位和人力资源的合理利用至关重要。

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