Evidence map›Paper›PMID 34118080›Full record

ArticleJournal of cardiac surgery2021

Cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic.

Jessica G Y Luc, Niv Ad, Tom C Nguyen, COVID-19 North American Cardiac Surgery Survey Working Group Collaborators, Rakesh C Arora, Husam H Balkhy, Edward M Bender, Daniel M Bethencourt, Gianluigi Bisleri, Douglas Boyd and 46 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiac surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

56 authors at 20 institutions in 2 countries.

Jessica G Y LucDivision of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Niv AdDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Tom C NguyenDepartment of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center Houston, McGovern Medical School, Houston, Texas, USA.
COVID-19 North American Cardiac Surgery Survey Working Group Collaborators
Rakesh C AroraSection of Cardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, St. Boniface Hospital, Winnipeg, Manitoba, Canada.
Husam H BalkhySection of Cardiac Surgery, Department of Surgery, University of Chicago Medicine, Illinois, USA.
Edward M BenderDepartment of Cardiothoracic Surgery, Stanford University, Palo Alto, California, USA.
Daniel M BethencourtDivision of Cardiac Surgery, Orange Coast Memorial Medical Centers,  Fountain Valley, California, USA.
Gianluigi BisleriDivision of Cardiac Surgery, Queen's University, Kingston, Ontario, Canada.ORCID http://orcid.org/0000-0002-9816-1480
Douglas BoydDivision of Cardiothoracic Surgery, East Carolina University, Brody School of Medicine, Greenville, North Carolina, USA.
Michael W A ChuDivision of Cardiac Surgery, Western University, London, Ontario, Canada.
Kim I de la CruzDivision of Cardiothoracic Surgery, Methodist Heart Hospital San Antonio, San Antonio, Texas, USA.
Abe DeAndaDivision of Cardiovascular and Thoracic Surgery, UTMB-Galveston, Galveston, Texas, USA.
Daniel T EngelmanHeart and Vascular Program, Baystate Health, Springfield, Massachusetts, USA.
Emily A FarkasDivision of Cardiac Surgery, ThedaCare Appleton Heart Institute, Appleton, Wisconsin, USA.
Lynn M FedorukDivision of Cardiac Surgery, Royal Jubilee Hospital, Vancouver Island Health Authority, University of British Columbia, Victoria, British Columbia, Canada.
Michael FioccoDivision of Cardiac Surgery, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
Jessica ForcilloDivision of Cardiac Surgery, Université de Montréal, Department of Cardiac Surgery- Montréal University Hospital Centre (CHUM), Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0002-4753-2704
Guy FradetDivision of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Kelowna General Hospital, Kelowna, British Columbia, Canada.
Stephen E FremesSchulich Heart Centre Sunnybrook Health Sciences Centre, University of Toronto,  Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-1723-3049
James S GammieDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Arnar GeirssonDepartment of Surgery, Yale University, New Haven, Connecticut, USA.ORCID http://orcid.org/0000-0002-8943-9962
Marc W GerdischDepartment of Cardiothoracic Surgery, Franciscan Health Heart Center, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0001-9489-038X
Leonard N GirardDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0003-1407-1443
Clayton A KaiserDepartment of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Tsuyoshi KanekoDivision of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
William D T KentSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Kamal R KhabbazDivision of Cardiac Surgery, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA.
Ali KhoynezhadDepartment of Cardiovascular Surgery, Memorial Heart and Vascular Institute, Memorial Care Long Beach Medical Center, Long Beach, California, USA.
Bob KiaiiDivision of Cardiothoracic Surgery, UC Davis Medical Center, Sacramento, California, USA.
Richard LeeDivision of Cardiothoracic Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
Jean-Francois LegareDivision of Cardiac Surgery, New Brunswick Heart Center, Dalhousie University, Saint John, New Brunswick, Canada.ORCID http://orcid.org/0000-0002-6397-1969
Eric J LehrDivision of Cardiac Surgery, Swedish Heart and Vascular Institute, Seattle, Washington, USA.
Roderick G G MacArthurDivision of Cardiac Surgery, Department of Surgery, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada.
Patrick M McCarthyDivision of Cardiac Surgery, Department of Surgery, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois, USA.
John R MehallDivision of Cardiac Surgery, Penrose-St Francis Health Services, Colorado Springs, Colorado, USA.
Walter H MerrillDepartment of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Marc R MoonDivision of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri, USA.ORCID http://orcid.org/0000-0002-4473-6867
Maral OuzounianDivision of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada.
Matthias PeltzDepartment of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Louis P PerraultDivision of Cardiac Surgery, Institut de Cardiologie de Montreal, Universite de Montreal, Montreal, Quebec, Canada.
Ourania PreventzaDepartment of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA.ORCID http://orcid.org/0000-0001-9192-6308
Mahesh RamchandaniDepartment of Cardiothoracic Surgery, DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.
Basel RamlawiDepartment of Cardiothoracic Surgery, Valley Health System - Heart and Vascular Center, Winchester Medical Center, Winchester, VA, USA.
Rawn SalengerDivision of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Michael E SekelaDivision of Cardiothoracic Surgery, Department of Surgery, University of Kentucky, Lexington, Kentucky, USA.
Frank W SellkeDivision of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
John M StulakDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Francis P SutterDivision of Cardiac Surgery, Lankenau Medical Center, Wynnewood, Pennsylvania, USA.
Tomasz A TimekDivision of Cardiothoracic Surgery, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.
Glenn WhitmanDivision of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Judson B WilliamsDepartment of Cardiovascular and Thoracic Surgery, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.
Daniel R WongDivision of Cardiac Surgery, Department of Surgery, University of British Columbia, Royal Columbian Hospital, New Westminster, British Columbia, Canada.
Bobby YanagawaDivision of Cardiac Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-2035-4570
Jian YeDivision of Cardiovascular Surgery, Department of Surgery, University of British Columbia, St. Paul's Hospital, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0003-1939-7573
Sanford M ZeiglerDivision of Cardiothoracic Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
University of Maryland, Baltimore · USUniversity of British Columbia · CABeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USCornell University · USGalveston College · USHouston Methodist · USIsland Health · CAJohns Hopkins University · USMayo Clinic · USMedical University of South Carolina · USNorthwestern University · USSt. Boniface Hospital · CAWestern University · CAAugusta University · USBarnes-Jewish Hospital · USBaylor College of Medicine · USDalhousie University · CAEast Carolina University · USMedStar Union Memorial Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on health care and cardiac surgery. We report cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic.

methodsA detailed survey was sent to recruit participating adult cardiac surgery centers in North America. Data regarding cardiac surgeons' perceptions and changes in practice were analyzed.

resultsOur study comprises 67 institutions with diverse geographic distribution across North America. Nurses were most likely to be redeployed (88%), followed by advanced care practitioners (69%), trainees (28%), and surgeons (25%). Examining surgeon concerns in regard to COVID-19, they were most worried with exposing their family to COVID-19 (81%), followed by contracting COVID-19 (68%), running out of personal protective equipment (PPE) (28%), and hospital resources (28%). In terms of PPE conservation strategies among users of N95 respirators, nearly half were recycling via decontamination with ultraviolet light (49%), followed by sterilization with heat (13%) and at home or with other modalities (13%). Reuse of N95 respirators for 1 day (22%), 1 week (21%) or 1 month (6%) was reported. There were differences in adoption of methods to conserve N95 respirators based on institutional pandemic phase and COVID-19 burden, with higher COVID-19 burden institutions more likely to resort to PPE conservation strategies.

conclusionsThe present study demonstrates the impact of COVID-19 on North American cardiac surgeons. Our study should stimulate further discussions to identify optimal solutions to improve workforce preparedness for subsequent surges, as well as facilitate the navigation of future healthcare crises.

Indexed as

COVID-19SurgeonsAdultDecontaminationHumansPandemicsPerceptionSARS-CoV-2cardiovascular research

Identifiers

PMID34118080
PMCPMC8447333
OpenAlexW3169975943

What OpenQuestion holds

Textmetadata
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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.