Cardiac Surgery in Australia During the COVID-19 Global Pandemic

Wynne, Rochelle; Smith, Julian A.

doi:10.1016/j.hlc.2021.09.008

Cited by 7 publications

(3 citation statements)

References 22 publications

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“…A resilient response of cardiac surgery teams in light of a di cult situation has been described before during the COVID-19 pandemic (4). Unlike that period, which was present in many western countries during the COVID-19 pandemic, this crisis also entails the absence of many healthcare providers, including highly skilled surgeons (5,6). It is di cult to assess whether the increase in the number of cases during our wartime is incidental or has been indirectly affected by the in uence of the war on the behavior of the population.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Surgery During Wartime in Israel

Keizman,

Jamal,

Sarantsev

et al. 2024

Preprint

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Background A war in Israel started on 7 October 2023 and has affected all major tertiary centers in Israel. In the largest cardiac surgery department in Israel, there has been a surprising increase in the number of open-heart procedures, while approximately 50% of surgeons were recruited to military service. The purpose of this study is to characterize this increase in the number of procedures during wartime and to assess whether the crisis has affected the results. Methods Patients who underwent cardiac surgery in the first two months of the war were compared to the same period of the year before, namely from 7 October 2023 to 7 December 2022 and 2023. Results 120 patients (43.6%) were operated on in 2022, and 155 (56.4%) during wartime in 2023. This signifies a 33.0% increase in open-heart procedures (109 in 2022 vs. 145 in 2023, p-value 0.26). There were no differences in baseline characteristics of patients in the two years and no differences in intraoperative characteristics, including also the type of surgery. However, compared to 2022, there was a 233% increase in the number of transplantations (p-value 0.24). The results during wartime were similar to those of 2022, including postoperative complications, length of stay, and mortality. Conclusions Patients who underwent cardiac surgery during wartime presented similar results to those of last year and, despite the significant increase in workload, had comparable outcomes. There was a notable increase in the number of transplants this year, attributed to the unfortunate increase in organ donors.

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Section: Discussionmentioning

confidence: 99%

Cardiac Surgery During Wartime in Israel

Keizman,

Jamal,

Sarantsev

et al. 2024

Preprint

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“…The resilience of cardiac surgery teams amidst difficult situations has previously been described during the COVID-19 pandemic [ 7 ]. Unlike that period, experienced by much of the western world during the pandemic, the crisis we face poses an additional issue: the absence of many healthcare providers, including highly skilled surgeons [ 8 , 9 ]. It is difficult to assess whether the increase in the number of cases during our wartime is incidental or has been indirectly affected by the influence of the war on the behavior of the population.…”

Section: Discussionmentioning

confidence: 99%

Cardiac surgery during wartime in Israel

Keizman,

Jamal,

Sarantsev

et al. 2024

J Cardiothorac Surg

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Background The war that began on October 7th, 2023, has impacted all major tertiary medical centers in Israel. In the largest cardiac surgery department in Israel there has been a surprising increase in the number of open-heart procedures, despite having approximately 50% of surgeons recruited to military service. The purpose of this study is to characterize this increase in the number of operations performed during wartime and assess whether the national crisis has affected patient outcomes. Methods The study was based on a prospectively collected registry of 275 patients who underwent cardiac surgery or extracorporeal membrane oxygenation (ECMO) during the first two months of war, October 7th 2023 – December 7th 2023, as well as patients that underwent cardiac surgery during the same period of time in 2022 (October 7th, 2022 – December 7th, 2022). Results 120 patients (43.6%) were operated on in 2022, and 155 (56.4%) during wartime in 2023. This signifies a 33.0% increase in open-heart procedures (109 in 2022 vs. 145 in 2023, p-value 0.26). There were no significant differences in the baseline characteristics of patients when comparing the 2022 patients to those in 2023. No significant differences between the two groups were found with regards to intraoperative characteristics or the type of surgery. However, compared to 2022, there was a 233% increase in the number of transplantations in the 2023 cohort (p-value 0.24). Patient outcomes during wartime were similar to those of 2022, including postoperative complications, length of stay, and mortality. Conclusions Patients who underwent cardiac surgery during wartime presented with comparable outcomes when compared to those of last year despite the increase in cardiac surgery workload. There was an increase in the number of transplants this year, attributed to the unfortunate increase in organ donors.

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“…To date, elective surgery cancellation is a common strategy employed to optimize ICU bed availability. Whilst it can be argued that nothing in cardiac surgery is truly elective, the specialty is not immune from this approach (Wynne & Smith, 2021 ). An additional consideration is the ongoing burden of care on critical care nurses during the pandemic that also impacts on ICU bed availability (Wynne, Conway, et al, 2021 ; Wynne, Davidson, et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of an mHealth self‐help intervention on readmission after adult cardiac surgery: Protocol for a pilot randomized controlled trial

Wynne

Nolte

Matthews

et al. 2021

Journal of Advanced Nursing

Self Cite

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Aim To describe a protocol for the pilot phase of a trial designed to test the effect of an mHealth intervention on representation and readmission after adult cardiac surgery. Design A multisite, parallel group, pilot randomized controlled trial (ethics approval: HREC2020.331‐RMH69278). Methods Adult patients scheduled to undergo elective cardiac surgery (coronary artery bypass grafting, valve surgery, or a combination of bypass grafting and valve surgery or aortic surgery) will be recruited from three metropolitan tertiary teaching hospitals. Patients allocated to the control group with receive usual care that is comprised of in‐patient discharge education and local paper‐based written discharge materials. Patients in the intervention group will be provided access to tailored ‘GoShare’ mHealth bundles preoperatively, in a week of hospital discharge and 30 days after surgery. The mHealth bundles are comprised of patient narrative videos, animations and links to reputable resources. Bundles can be accessed via a smartphone, tablet or computer. Bundles are evidence‐based and designed to improve patient self‐efficacy and self‐management behaviours, and to empower people to have a more active role in their healthcare. Computer‐generated permuted block randomization with an allocation ratio of 1:1 will be generated for each site. At the time of consent, and 30, 60 and 90 days after surgery quality of life and level of patient activation will be measured. In addition, rates of representation and readmission to hospital will be tracked and verified via data linkage 1 year after the date of surgery. Discussion Interventions using mHealth technologies have proven effectiveness for a range of cardiovascular conditions with limited testing in cardiac surgical populations. Impact This study provides an opportunity to improve patient outcome and experience for adults undergoing cardiac surgery by empowering patients as end‐users with strategies for self‐help. Trial registration Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12621000082808.

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Cardiac Surgery in Australia During the COVID-19 Global Pandemic

Cited by 7 publications

References 22 publications

Cardiac Surgery During Wartime in Israel

Cardiac Surgery During Wartime in Israel

Cardiac surgery during wartime in Israel

Effect of an mHealth self‐help intervention on readmission after adult cardiac surgery: Protocol for a pilot randomized controlled trial

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