Evidence map›Paper›PMID 32624303›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2020

The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: Insights and clinical strategies from a center at the epicenter.

Isaac George, Michael Salna, Serge Kobsa, Scott Deroo, Jacob Kriegel, David Blitzer, Nicholas J Shea, Alex D'Angelo, Tasnim Raza, Paul Kurlansky and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  7. Observational
  8. Commentary: Are these times still unprecedented?The Journal of thoracic and cardiovascular surgery · 2021
    Article
  9. Article
  10. Commentary: Preparation for pandemics prevents pandemonium.The Journal of thoracic and cardiovascular surgery · 2020
    Article
  11. Commentary: Pandemic deployment and surgical soldiership.The Journal of thoracic and cardiovascular surgery · 2020
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  12. Article
  13. Review
  14. Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Isaac GeorgeDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY. Electronic address: ig2006@cumc.columbia.edu.
Michael SalnaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Serge KobsaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Scott DerooDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Jacob KriegelDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
David BlitzerDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Nicholas J SheaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Alex D'AngeloDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Tasnim RazaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Paul KurlanskyDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Koji TakedaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Hiroo TakayamaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Vinayak BapatDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Yoshifumi NakaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Craig R SmithDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Emile BachaDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Michael ArgenzianoDivision of Cardiac, Thoracic and Vascular Surgery, NewYork Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
NewYork–Presbyterian Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe onset of the coronavirus disease 2019 (COVID-19) pandemic has forced our cardiac surgery program and hospital to enact drastic measures that has forced us to change how we care for cardiac surgery patients, assist with COVID-19 care, and enable support for the hospital in terms of physical resources, providers, and resident training.

methodsIn this review, we review the cardiovascular manifestations of COVID-19 and describe our system-wide adaptations to the pandemic, including the use of telemedicine, how a severe reduction in operative volume affected our program, the process of redeployment of staff, repurposing of residents into specific task teams, the creation of operation room intensive care units, and the challenges that we faced in this process.

resultsWe offer a revised set of definitions of surgical priority during this pandemic and how this was applied to our system, followed by specific considerations in coronary/valve, aortic, heart failure and transplant surgery. Finally, we outline a path forward for cardiac surgery for the near future.

conclusionsWe recognize that individual programs around the world will eventually face COVID-19 with varying levels of infection burden and different resources, and we hope this document can assist programs to plan for the future.

Indexed as

BetacoronavirusCardiac Surgical ProceduresCoronavirus InfectionsHealth Care RationingPandemicsPneumonia, ViralAcademic Medical CentersAdultCardiovascular DiseasesCOVID-19FemaleHealth Services AccessibilityHumansInfection ControlIntensive Care UnitsMalecardiac surgeryCOVID-19New Yorkpandemicreorganization

Identifiers

PMID32624303
PMCPMC7331531
OpenAlexW3040233599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.