The impact of the COVID-19 pandemic on cardiac surgery and transplant services in Ireland’s National Centre

Casey, Laura; Khan, Niall; Healy, David

doi:10.1007/s11845-020-02292-6

Cited by 22 publications

(26 citation statements)

References 11 publications

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“…As cases in Ireland drop, the greater risk to patients is not in the community, but in the hospital. Similar to other centres, there were fewer emergency admissions and fewer average calls per 24 h in the COVID period compared with pre-COVID [5,6]. However, patients admitted emergently requiring operative intervention continued to have timely surgery, with no difference in time to intervention or LOS.…”

Section: Discussionsupporting

confidence: 55%

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

et al. 2020

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Purpose Urological service provision has changed dramatically with the advent of the SARS-CoV-2, necessitating restructuring and reorganization. The aim of this study was to review the reorganization of our unit, map the change in volume of departmental activities and discuss potential solutions. Methods Departmental activities over the months of April and May 2020 and 2019 were analysed. Details of admissions, operations, diagnostic procedures, outpatient reviews, morbidities and mortalities were recorded. Operations were performed on two sites, with elective operation transferred to an offsite, COVID-free hospital. Results Seventy-four emergency operations were performed onsite, with 85 elective operations outsourced. A total of 159 operations were performed, compared with 280 in the same period in 2019. Five (5.0%) of 101 admitted patients to the COVID hospital contracted COVID-19. No patients outsourced to the COVID-free hospital were infected there. Outpatient referrals to urology service decreased from 928 to 481. There was a 66% decrease in new cancer diagnoses. A virtual review clinic was established, with remaining outpatients reviewed through a telephone clinic platform. Conclusion Compared with 2019, we performed fewer operations and outpatient procedures, had fewer admissions and diagnosed fewer patients with new cancers. However, outsourcing elective operation to designated non-COVID hospitals prevented the infection of any patient with COVID-19 in the post-operative period. The use of virtual clinic and telephone clinic has had some success in replacing traditional outpatient visits. The overall significant decrease in operative volume will likely precipitate a mismatch between demand and service provision in the coming months, unless capacity is increased.

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Section: Discussionsupporting

confidence: 55%

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

et al. 2020

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“…An exploratory single unit level analysis was conducted to examine the impact of COVID-19 on the provision of cardiac surgery in a large Australian tertiary public hospital and nominated COVID centre. The observed reduction in operating capacity was consistent with international experience [2][3][4][5]. Despite a reduction in operating capacity of over 20% during the COVID-19 period our institution did not observe a significant change in the demographic of patients undergoing surgery, the urgency of procedures performed, or the types of procedures performed.…”

Section: Discussionsupporting

confidence: 85%

“…In Greece, Lazaros et al reported a 67% reduction in case volume (from 246 to 84) and a doubling in the proportion of urgent procedures (from 15.5% to 32.1%) during the period of reduced operating in 2020 compared to the same period of time in 2019 [3]. Casey et al reported similar findings from Ireland with a 49% reduction in operations performed and an increase in urgent operations from 40% to 61% [4].…”

Section: Introductionmentioning

confidence: 87%

The Impact of COVID-19 on the Provision of Adult Cardiac Surgery at a Dedicated COVID Hospital in Australia

McNamara

Robinson

Bannon

2021

Heart, Lung and Circulation

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Background Internationally, the response to the COVID-19 pandemic has resulted in fewer cardiac surgical procedures being performed and an increase in the proportion of non-elective cases. To date there has been no study examining the impact of COVID-19 on the provision of cardiac surgery in Australia. Aim The aim of this study was to evaluate the impact that the COVID-19 pandemic has had on the provision of cardiac surgery in a single, large major cardiac centre and dedicated COVID-19 hospital. A retrospective cohort study was undertaken utilising prospectively collected data. Methods Prospectively collected patient and operative data was examined to assess whether there was a reduction in the number of cases performed and whether there was a difference in patient demographics, surgical procedures or case urgency. Data was examined from the period of COVID-restrictions in 2020 and compared with data from the same time period in 2019. Results From 3 March 2020 to 30 June 2020, 136 adults underwent cardiac surgery at our institution, representing an overall reduction in operative caseload of 21%. The largest impact was noticed in May and April and coincided with statewide restrictions on elective surgery. Surgical acuity was unchanged with 58% of operations classified as non-elective procedures performed during the index admission. There was a small non-significant increase in the proportion of isolated coronary artery bypass surgery and aortic valve surgeries performed. Conclusion From March to June 2020 our local hospital response to the COVID-19 pandemic resulted in a reduction in cardiac surgery service delivery. No change was seen in the urgency or type of surgeries performed.

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“…During the initial 4 mo of pandemic, there was a huge reduction in inpatient admissions, as well as catheter and surgical interventions. Studies have reported up to 61% fall in cardiac surgeries during COVID-19 as compared to similar time during previous year [8]. Korun et al, from Turkey, report congenital cardiac surgery reduction during the pandemic to 2/3 of that during the preceding year [9].…”

Section: Discussionmentioning

confidence: 95%

Changing Pattern of Congenital Heart Disease Care During COVID-19 Pandemic

et al. 2021

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Objective To study the impact of coronavirus disease 2019 (COVID-19) pandemic on the utilization of pediatric cardiac care services and to determine the role of teleconsultation services in delivering healthcare in this subset of population. Methods It was a retrospective, observational study. All children who attended pediatric cardiology outpatient/teleconsultation services or were admitted to pediatric cardiology ward between

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The impact of the COVID-19 pandemic on cardiac surgery and transplant services in Ireland’s National Centre

Cited by 22 publications

References 11 publications

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

The Impact of COVID-19 on the Provision of Adult Cardiac Surgery at a Dedicated COVID Hospital in Australia

Changing Pattern of Congenital Heart Disease Care During COVID-19 Pandemic

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