Early Impact of the COVID-19 Pandemic on Congenital Heart Surgery Programs Across the World: Assessment by a Global Multi-Societal Consortium

Protopapas, Eleftherios; Rito, Mauro Lo; Vida, Vladimiro L.; Sarris, George E.; Tchervenkov, Christo I.; Maruszewski, Bohdan; Tobota, Zdzisław; Zheleva, Bistra; Zhang, Hao; Jacobs, Jeffrey P.; Dearani, Joseph A.; Tweddell, James S.; Sandoval, Néstor; Bacha, Emile A.; Austin, Erle H.; Sakamoto, Kisaburo; Talwar, Sachin; Kurosawa, Hiromi; Halees, Zohair Y Al; Jatene, M.; Iyer, Krishna Subramony; Lee, Cheul; Sharma, Rajesh; Hirata, Yasutaka; Edwin, Frank; Cervantes, Jorge; O’Brien, James E.; Louis, James D. St.; Kirklin, James K.

doi:10.1177/2150135120949462

Cited by 23 publications

(28 citation statements)

References 9 publications

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“…(16) Many protocols and guidelines have been proposed worldwide to establish a perioperative management issue for patients with congenital heart disease. (12,17,18) The similarity of the protocols is pre-operative screening for covid-19, separation of wards between COVID-free patients, and suspects avoiding contamination risks.…”

Section: Resultsmentioning

confidence: 99%

“…(11) https://www.cambridge.org/core/terms. https://doi.org/10.1017/S1047951121001608 Pediatric and Congenital Heart Surgery programs worldwide were concerned due to their patients' unique particularities (12,13). A survey performed by the COVID-19 International Congenital Heart Surgery Taskforce identified a significant surgical volume impact in 52 countries.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 pandemic implications in paediatric and congenital heart surgery in Brazil

et al. 2021

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Introduction: COVID-19 pandemic negatively impacted global healthcare. Consequences in Pediatric and Congenital Heart Surgery programs and mortality of congenital heart patients infected with Sars-Cov2 is still to be determined. Objective: Study the COVID-19 pandemic implications in Brazilian Pediatric and Congenital Heart Surgery programs. Methods: We conducted a national online survey covering all states that perform Pediatric and Congenital Heart Surgery from November 10th to 22nd, 2020, using a Google forms questionnaire. We formulated questions related to impact on surgical volume, case-mix, and mortality. Then we asked about short-term postoperative COVID-19 infection and outcomes. Results: We received responses from 46 centers representing all states where there were a Pediatric and Congenital Heart Surgery program and all high-volume centers across the country. All but one center experienced a significant decrease in surgical volume, and 23.9% of the responders revealed less than one-quarter of volume decrement. On the other hand, in over 70% of the centers, there was a significant surgical volume reduction. In addition to this, there was a shift in case-mix in 41 centers (89.1%) towards more complex cases. More than one-third of the responders revealed increased mortality in 2020 compared to previous years, and 43.5% of the programs (20 centers) had at least one patient contaminated by Sars-Cov2, accounting for 48 patients. Mortality in postoperative infected patients was 45.8% (22 patients). Conclusions: In general, Brazilian Pediatric and Congenital Heart Surgery programs were severely affected by decreased surgical volume, unbalanced case-mix towards more complex cases, and increased mortality. Almost half of the programs related postoperative COVID-19 contamination with high mortality.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19 pandemic implications in paediatric and congenital heart surgery in Brazil

et al. 2021

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“…These results are similar to those of other centers, as cited by Polo López et al, 9 who describe a 51 % reduction in major surgeries and a 54 % decrease in extracorporeal surgeries. Protopapas et al, 10 carried out a worldwide survey and observed that 51 % of the consulted departments of cardiovascular surgery decreased their throughput by more than 50 %.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on a pediatric cardiovascular surgery program of a public hospital from Argentina

et al. 2021

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Objective. To describe the impact of the COVID-19 pandemic on a pediatric cardiovascular surgery program and estimate the necessary time to reduce the surgery waiting list. Methods. Retrospective, descriptive study. Surgical outcomes from the pre-COVID-19 period and COVID-19 period were compared. A mathematical model was used to estimate the time necessary to reduce the waiting list. Results. Between March 23 rd and August 31 st , 2020, 83 patients underwent surgery, accounting for a 60 % reduction compared to the pre-COVID-19 period. Their median age was 6 months (interquartile range [IQR]: 25-75, 1.8 months to 2.9 years; p = 0.0023). The time necessary to eliminate the waiting list ranges from 10 to 19 months. Conclusions. There was a 60 % reduction in the program. The time required to clear the backlog of cases may range from, at least, 10 to 19 months.

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“…Estos resultados son similares a los de otros centros como citan Polo López y col., 9 que describen una reducción de 51 % menos de cirugías mayores y 54 % menos de cirugías extracorpóreas. Protopapas y col., 10 realizaron una encuesta mundial y encontraron que 51 % de los servicios de cirugía cardiovascular consultados disminuyeron más de 50 % su producción. Los días de restricción en nuestro estudio se contaron como días hábiles desde el inicio de las medidas hasta el 31 de agosto de 2020, fecha en la que se retoma parte de la capacidad operativa.…”

Section: Discussionunclassified

Impacto de la pandemia por COVID-19 en un programa de cirugía cardiovascular pediátrica de un hospital público de Argentina

Rodríguez¹,

Althabe²,

Krynski³

et al. 2021

Arch Argent Pediat

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Comunicaciones breves RESUMENObjetivo. Describir el impacto de la pandemia por COVID-19 en el programa de cirugía cardiovascular pediátrica y estimar el tiempo para reducir la lista de espera quirúrgica. Métodos. Estudio descriptivo y retrospectivo. Se compararon resultados quirúrgicos del período preCOVID versus el período COVID. Se utilizó un modelo matemático para estimar el tiempo para reducir la lista de espera. Resultados. Entre el 23 de marzo y el 31 de agosto de 2020 se operaron 83 pacientes, que representan una reducción del 60 %, respecto al período preCOVID. La mediana de edad fue de 6 meses (rango intercuartílico [RIC]: 25-75, 1,8 meses a 2,9 años; p = 0,0023. El tiempo para eliminar la lista de espera varía entre 10 y 19 meses. Conclusiones. El programa tuvo una reducción del 60 %. El tiempo de resolución de la lista de espera puede ser al menos 10 a 19 meses.

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Early Impact of the COVID-19 Pandemic on Congenital Heart Surgery Programs Across the World: Assessment by a Global Multi-Societal Consortium

Cited by 23 publications

References 9 publications

COVID-19 pandemic implications in paediatric and congenital heart surgery in Brazil

COVID-19 pandemic implications in paediatric and congenital heart surgery in Brazil

Impact of the COVID-19 pandemic on a pediatric cardiovascular surgery program of a public hospital from Argentina

Impacto de la pandemia por COVID-19 en un programa de cirugía cardiovascular pediátrica de un hospital público de Argentina

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