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10.1016/j.ejvs.2021.01.037

http://scihub22266oqcxt.onion/10.1016/j.ejvs.2021.01.037
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33722483!8970660!33722483
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suck abstract from ncbi


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pmid33722483      Eur+J+Vasc+Endovasc+Surg 2021 ; 61 (4): 688-697
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  • Regional Survey in Lombardy, Northern Italy, on Vascular Surgery Intervention Outcomes During The COVID-19 Pandemic #MMPMID33722483
  • Bellosta R; Piffaretti G; Bonardelli S; Castelli P; Chiesa R; Frigerio D; Lanza G; Pirrelli S; Rossi G; Trimarchi S
  • Eur J Vasc Endovasc Surg 2021[Apr]; 61 (4): 688-697 PMID33722483show ga
  • OBJECTIVE: The characteristics and outcomes of patients undergoing vascular surgery hospitalised and managed in Lombardy are described with a comparison of patients tested positive for COVID-19 (CV19-pos) vs. those tested negative (CV19-neg). METHODS: This was a multicentre, retrospective, observational cohort study which involved all vascular surgery services in Lombardy, Northern Italy. Data were retrospectively merged into a combined dataset covering the nine weeks of the Italian COVID-19 pandemic phase 1 (8 March 2020 to 3 May 2020). The primary outcome was freedom from in hospital death, secondary outcomes were re-thrombosis rate after peripheral revascularisation, and freedom from post-operative complication. RESULTS: Among 674 patients managed during the outbreak, 659 (97.8%) were included in the final analysis: 121 (18.4%) were CV19-pos. CV19-pos status was associated with a higher rate of complications (OR 4.5; p < .001, 95% CI 2.64 - 7.84), and a higher rate of re-thrombosis after peripheral arterial revascularisation (OR 2.2; p = .004, 95% CI 1.29 - 3.88). In hospital mortality was higher in CV19-pos patients (24.8% vs. 5.6%; OR 5.4, p < .001;95% CI 2.86 - 8.92). Binary logistic regression analysis identified CV19-pos status (OR 7.6; p < .001, 95% CI 3.75 - 15.28) and age > 80 years (OR 3.2; p = .001, 95% CI 1.61 - 6.57) to be predictors of in hospital death. CONCLUSION: In this experience of the vascular surgery group of Lombardy, COVID-19 infection was a marker of poor outcomes in terms of mortality and post-operative complications for patients undergoing vascular surgery treatments.
  • |*COVID-19[MESH]
  • |*Vascular Surgical Procedures[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Health Care Surveys[MESH]
  • |Humans[MESH]
  • |Italy[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Postoperative Complications/*epidemiology[MESH]
  • |Retrospective Studies[MESH]


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