Toggle Main Menu Toggle Search

Open Access padlockePrints

Dissecting the Management and Outcomes of Thoracic Aortovascular Disease During the COVID-19 Pandemic

Lookup NU author(s): Dr Ashwin Sivaharan, Dr Muhammad Kanani, James McCaslin, Dr Sandip Nandhra, Karen Booth

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Abstract

© 2021Objective: The COVID-19 pandemic has forced the cancellation of planned surgery and led to significant surgical service reductions. Early intervention in aortovascular disease is often critical and cannot be deferred despite these reductions. There is urgent need to evaluate the provision and outcomes of thoracic aortovascular intervention during the peak of the pandemic. Methods: Prospective data was collected for patients receiving open and endovascular thoracic aortovascular intervention over two-time points; January-May 2020 and January-May 2019 at three tertiary cardiovascular centres. Baseline demographics, cardiovascular risk and COVID-19 screening results were noted. Primary outcomes were median length of intensive care unit and hospital stay, intra-operative mortality, 30-day mortality, post-operative stroke, and spinal cord injury. Results: Patients operated in 2020 (41) had significantly higher median EuroSCORE II than 2019 (53) (7.44 vs. 5.86, P = 0.032) and rates of previous cardiac (19.5% vs. 3.8%, P = 0.019), aortic (14.6% vs. 1.9%, P = 0.041), and endovascular (22.0% vs. 3.8%, P = 0.009) intervention. There was an increase in proportion of urgent cases in 2020 (31.7% vs. 18.9%). There were no intra-operative deaths in 2020 and 1 in 2019 (P = 1.00). There were no significant differences (P ≥ 0.05) in 30-day mortality (4.9% vs. 13.2%), median intensive care unit length of stay (72 vs. 70 hr), median hospital length of stay (8 vs. 9 days), post-operative stroke (3 vs. 6), or spinal cord injury (2 vs. 1) between 2020 and 2019 respectively. Conclusions: Despite the increased mortality risk of patients and urgency of cases during COVID-19, complicated by the introduction of cohorting and screening regimens, thoracic aortovascular intervention remained safe with comparable in outcomes to pre-COVID-19.


Publication metadata

Author(s): McPherson I, Chilvers N, Freystaetter K, Sivaharan A, Kanani M, Williams R, McCaslin J, Nandhra S, Booth K

Publication type: Article

Publication status: Published

Journal: Annals of Vascular Surgery

Year: 2021

Pages: epub ahead of print

Online publication date: 24/04/2021

Acceptance date: 13/04/2021

ISSN (print): 0890-5096

ISSN (electronic): 1615-5947

Publisher: Elsevier Inc.

URL: https://doi.org/10.1016/j.avsg.2021.04.008

DOI: 10.1016/j.avsg.2021.04.008

PubMed id: 33905848


Altmetrics

Altmetrics provided by Altmetric


Actions

Find at Newcastle University icon    Link to this publication


Share