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10.23736/S0021-9509.20.11556-8

http://scihub22266oqcxt.onion/10.23736/S0021-9509.20.11556-8
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32964896!ä!32964896

suck abstract from ncbi


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pmid32964896      J+Cardiovasc+Surg+(Torino) 2020 ; 61 (6): 763-768
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  • Effects of COVID-19 pandemic on cardiac surgery practice in 61 Hospitals worldwide: results of a survey #MMPMID32964896
  • Onorati F; Myers P; Bajona P; Perrotti A; Mestres CA; Quintana E
  • J Cardiovasc Surg (Torino) 2020[Dec]; 61 (6): 763-768 PMID32964896show ga
  • BACKGROUND: The aim of this study was to investigate the impact of COVID-19 infection on cardiac surgery community and practice. METHODS: A 43-question survey was sent to cardiac surgery centers worldwide. The survey analyzed the prepandemic organization of the center, the center's response to Covid-19 in terms of re-organization pathways, surveillance methods, personal-protective equipment (PPE), and allowed surgical practice with results. RESULTS: Sixty-one out of 64 centers (95.3%) fulfilled the survey. One third of ICUs were transformed into COVID-19 dedicated-ICUs and one-third moved to another location inside the hospital. Negative-pressure rooms were available in 60.6% centers. Informative measures from hospital administration were received after the first COVID-19 admitted case in 36.1% and during the spread of the infection inside the hospital in 19.6%. Inadequate supply of PPE was common, with no COVID-surveillance of the medical personnel in 4.9% of centers. COVID-19 infected 7.4% of staff surgeons, 8.3% of residents and 9.5% of anesthetists. Cardiac surgery caseload declined in 93.4% centers. COVID-19 infection in patients receiving cardiac surgery resulted in 41-50% mortality in 9.5% centers, and 91-100% mortality in 4.7% centers. Successful weaning with survival from veno-venous extra corporeal membrane oxygenation (ECMO) and veno-arterial ECMO was <50% in 79.2% and 80.0% centers respectively. COVID-19 infection in transplanted patients was rare, with a reported mortality of 0.5% and 1% in one center each. CONCLUSIONS: There is room for improvement in hospital surveillance, informative measures and PPE to the personnel. These measurements will reduce current spread of COVID-19 infection among medical personnel and patients, helping the rump up of cardiac surgical practice.
  • |COVID-19/epidemiology/*prevention & control[MESH]
  • |Cardiac Surgical Procedures/*statistics & numerical data[MESH]
  • |Hospitals[MESH]
  • |Humans[MESH]
  • |Infection Control/*organization & administration[MESH]
  • |Pandemics[MESH]
  • |Patient Selection[MESH]
  • |Personal Protective Equipment[MESH]
  • |Procedures and Techniques Utilization[MESH]
  • |SARS-CoV-2[MESH]


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