Evidence map›Paper›PMID 33569192›Full record

ArticleJournal of thoracic disease2021

Cardiac surgery practice during the COVID-19 outbreak: a regionwide survey.

Luca Salvatore De Santo, Antonino Salvatore Rubino, Michele Torella, Denise Galbiati, Gabriele Iannelli, Severino Iesu, Francesco Paolo Tritto, Brenno Fiorani, Luigi Chiariello, Antonio De Bellis and 3 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Cardiac Surgery During and After the Pandemic: A Retrospective Analysis of UK Trends and Outcomes.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  3. Article
  4. Article
  5. Emergency Medicine with Advanced Surgery Protocols: A Review.Journal of environmental and public health · 2022
    Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Luca Salvatore De SantoCardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
Antonino Salvatore RubinoCardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
Michele TorellaCardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
Denise GalbiatiCardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.
Gabriele IannelliDepartment of Advanced Biomedical Sciences, Cardiac Surgery Unit, University of Naples Federico II, Policlinico Federico II, Naples, Italy.
Severino IesuCardiac Surgery Unit, Azienda Ospedaliera San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy.
Francesco Paolo TrittoCardiac Surgery Unit, Azienda Ospedaliera Di Caserta - Sant'Anna e San Sebastiano, Caserta, Italy.
Brenno FioraniCardiac Surgery Unit, Azienda Ospedaliera San Giuseppe Moscati, Città Ospedaliera - Contrada Amoretta, Avellino, Italy.
Luigi ChiarielloCardiac Surgery Unit, Clinica Mediterranea, Naples, Italy.
Antonio De BellisCardiac Surgery Unit, Casa di Cura San Michele, Maddaloni, Caserta, Italy.
Giuseppe Di BenedettoCardiac Surgery Unit, Pineta Grande Hospital, Castel Volturno, Caserta, Italy.
Carlo ZebeleCardiac Surgery Unit, Casa di Cura Montevergine, Mercogliano, Avellino, Italy.
Marisa De FeoCardiac Surgery Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", AORN dei Colli, Cardiac Surgery, Vincenzo Monaldi Hospital, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth systems worldwide have been overburdened by the "COVID-19 surge". Consequently, strategies to remodulate non-COVID medical and surgical care had to be developed. Knowledge of the impact of COVID surge on cardiac surgery practice is mainstem. Present study aims to evaluate the regional practice pattern during lockdown in Campania.

methodsA multicenter regional observational 26-question survey was conducted, including all adult cardiac surgery units in Campania, Italy, to assess how surgical practice has changed during COVID-19 national lockdown.

resultsAll centers adopted specific protocols for screening patients and personnel. A significant reduction in the number of dedicated intensive care unit (ICU) beds (-30.0%±38.1%, range: 0-100%) and cardiac operating rooms (-22.2%±26.4%, range: 0-50%) along with personnel relocation to other departments was disclosed (anesthesiologists -5.8%±11.1%, range: 0-33.3%; perfusionists -5.6%±16.7%, range: 0-50%; nurses -4.8%±13.2%, range: 0-40%; cardiologists -3.2%±9.5%, range: 0-28.6%). Cardiac surgeons were never reallocated to other services. Globally, we witnessed dramatically lower adult cardiac surgery case volumes (335

conclusionsThis regional survey demonstrates major changes in practice as a response to the COVID-19 pandemic. In this respect, this experience might lead to the development of permanent systems-based plans for future pandemic and may effectively help policy decision making when prioritizing healthcare resource reallocation during and after the pandemic.

Indexed as

Cardiac surgeryCOVID-19 pandemichealthcare resourcesprioritizationwaiting list

Identifiers

PMID33569192
PMCPMC7867799

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.