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2020 ; 110
(2
): 712-717
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Ramping Up Delivery of Cardiac Surgery During the COVID-19 Pandemic: A Guidance
Statement From The Society of Thoracic Surgeons COVID-19 Task Force
#MMPMID32407853
Engelman DT
; Lother S
; George I
; Ailawadi G
; Atluri P
; Grant MC
; Haft JW
; Hassan A
; Legare JF
; Whitman G
; Arora RC
Ann Thorac Surg
2020[Aug]; 110
(2
): 712-717
PMID32407853
show ga
The coronavirus disease 2019 (COVID-19) pandemic has had a profound global
impact. Its rapid transmissibility has transformed healthcare delivery and forced
countries to adopt strict measures to contain its spread. The vast majority of
the United States cardiac surgical programs have deferred all but truly
emergent/urgent operative procedures in an effort to reduce the burden on the
healthcare system and to mobilize resources to combat the pandemic surge. While
the number of COVID-19 cases continue to increase worldwide, the incidence of new
cases has begun to decline in many North American cities. This "flattening of the
curve" has prompted interest in reopening the economy, relaxing public health
restrictions, and resuming nonurgent healthcare delivery. The following document
provides a template whereby adult cardiac surgical programs may begin to ramp-up
the care delivery in a deliberate and graded fashion as the COVID-19 pandemic
burden begins to ease. "Resuscitating" the timely delivery of care is guided by
three principles: (1) Collaborate to permit increased case volumes, balancing the
clinical needs of patients awaiting surgical procedures with the local resources
available within each healthcare system. (2) Prioritize patients awaiting
elective procedures while proactively engaging all stakeholders, focusing on
those with high-risk anatomy, changing/symptomatic clinical status, and, once
these variables have been addressed, prioritizing by waiting times. (3)
Reevaluate local conditions continuously to assess for any increase in admissions
due to a recrudescence of cases, to assure adequate resources to care for
patients, and to monitor in-hospital infectious transmissions to both patients
and healthcare workers.
|Advisory Committees
[MESH]
|Betacoronavirus
[MESH]
|COVID-19
[MESH]
|Cardiac Surgical Procedures
[MESH]
|Coronavirus Infections/*epidemiology
[MESH]
|Delivery of Health Care/*organization & administration
[MESH]