ArticleEuropean journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery2020
Is it Possible to Safely Maintain a Regular Vascular Practice During the COVID-19 Pandemic?
Article in European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Setting-specific Transmission Rates: A Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Pooled it
- How the First Year of the COVID-19 Pandemic Impacted Patients' Hospital Admission and Care in the Vascular Surgery Divisions of the Southern Regions of the Italian Peninsula.Journal of personalized medicine · 2022Article
- Clinical and Economic Impact of COVID-19 in Vascular Surgery at a Tertiary University "Hub" Hospital of Italy.Annals of vascular surgery · 2022Article
- Impact of the first COVID-19 pandemic peak and lockdown on the interventional management of carotid artery stenosis in France.Journal of vascular surgery · 2022Article
- Maintaining Safe Elective Aneurysm Surgery in the COVID-19 Era.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2021Article
- The effects of COVID-19 pandemic on patients with lower extremity peripheral arterial disease: A near miss disaster.Annals of vascular surgery · 2021Observational
- A scoping review on the changes in vascular surgical practice during the early phases of the COVID-19 pandemic.Seminars in vascular surgery · 2021Article
- COVID-19 Impact on Vascular Surgery Practice: Experience From an Italian University Regional Hub Center for Vascular Pathology.Annals of vascular surgery · 2021Observational
- Regional Survey in Lombardy, Northern Italy, on Vascular Surgery Intervention Outcomes During The COVID-19 Pandemic.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2021Observational
- Vascular Surgery During COVID-19 Emergency in Hub Hospitals of Lombardy: Experience on 305 Patients.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2021Article
- Learn from the First Wave to Surf the Next One Optimally.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2021Article
- Emergency endovascular repair of aortoiliac aneurysms in COVID-19 times.Jornal vascular brasileiro · 2021Article
- The "Vascular Surgery COVID-19 Collaborative" (VASCC).European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2020Article
- The Trend of Health Service Utilization and Challenges Faced During the COVID-19 Pandemic at Primary Units in Addis Ababa: A Mixed-Methods Study.Health services research and managerial epidemiologyArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to evaluate the protocol adopted during the emergency phase of the COVID-19 pandemic to maintain elective activity in a vascular surgery unit while minimising the risk of contamination to both patients and physicians, and the impact of this activity on the intensive care (IC) resources.
methodsThe activity of a vascular surgery unit was analysed from 8 March to 8 April 2020. Surgical activity was maintained only for acute or elective procedures obeying priority criteria. The preventive screening protocol consisted of nasopharyngeal swabs (NPS) for all patients and physicians with symptoms and for unprotected contact infected cases, and serological physician evaluations every 15 days. Patients treated in the acute setting were considered theoretically infected and the necessary protective devices were used. The number of patients and the possible infection of physicians were evaluated. The number and type of interventions and the need for post-operative IC during this period were compared with those in the same periods in 2018 and 2019.
resultsOne hundred and fifty-one interventions were performed, of which 34 (23%) were acute/emergency. The total number of interventions was similar to those performed in the same periods in 2019 and 2018: 150 (33, of which 22% acute/emergency) and 117 (29, 25% acute/emergency), respectively. IC was necessary after 6% (17% in 2019 and 20% in 2018) of elective operations and 33% (11) of acute/emergency interventions. None of the patients treated electively were diagnosed with COVID-19 infection during hospitalisation. Of the 34 patients treated in acute/emergency interventions, five (15%) were diagnosed with COVID-19 infection. It was necessary to screen 14 (47%) vascular surgeons with NPS after contact with infected colleagues, but none for unprotected contact with patients; all were found to be negative on NPS and serological evaluation.
conclusionA dedicated protocol allowed maintenance of regular elective vascular surgery activity during the emergency phase of the COVID-19 pandemic, with no contamination of patients or physicians and minimal need for IC resources.
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