ArticleThe Annals of thoracic surgery2022
The Effect of COVID-19 on Adult Cardiac Surgery in the United States in 717 103 Patients.
Article in The Annals of thoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Reproducibility of Published Randomized Controlled Trial Results in Cardiovascular Surgery: Protocol for a Meta-Epidemiological Umbrella Review.JMIR research protocols · 2026Article
- Impact of the Coronavirus Disease 2019 (COVID-19) Pandemic on Infective Endocarditis Outcomes in Japan: A Nationwide Observational Study.Circulation reports · 2026Article
- Cardiac surgery transformation throughout the COVID-19 era: analysis of 12,409 patients.Irish journal of medical science · 2026Article
- Impact of the COVID-19 pandemic on patients with coronary artery disease requiring cardiac surgery at a German university hospital.Journal of cardiothoracic surgery · 2025Article
- Article
- United we might stand, divided we will certainly fall!JTCVS open · 2023Article
- Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review.International journal of environmental research and public health · 2023Review
- Elective surgery scheduling under uncertainty in demand for intensive care unit and inpatient beds during epidemic outbreaks.Computers & industrial engineering · 2023Article
- Coronary Artery Bypass Grafting complicated by post-operative coronavirus infection - two similar presentations with dissimilar outcomes.Archive of clinical cases · 2023Article
- Article
- Surgical Triage and Timing for Patients With Coronavirus Disease: A Guidance Statement from The Society of Thoracic Surgeons.The Annals of thoracic surgery · 2022Article
- COVID-19-Related Blood Shortages and Cardiac Surgery: Do We Have Too Many Eggs in One Basket?Journal of cardiothoracic and vascular anesthesia · 2022Article
- Association Between the COVID-19 Pandemic and Insurance-Based Disparities in Mortality After Major Surgery Among US Adults.JAMA network open · 2022Article
- Association Between the COVID-19 Pandemic and Disparities in Access to Major Surgery in the US.JAMA network open · 2022Article
- Perioperative Outcomes of Acute Type-A Aortic Dissection Repair was Unaffected by COVID-19 Testing Delay.Cardiology and cardiovascular medicine · 2022Article
- Twelfth Interagency Registry for Mechanically Assisted Circulatory Support Report: Readmissions After Left Ventricular Assist Device.The Annals of thoracic surgery · 2022Article
- Impact of the COVID-19 Pandemic on Cardiac Surgery.The Annals of thoracic surgery · 2022Article
- Infection with the SARS-CoV-2 Omicron variant in children with congenital heart disease: A case series study during Shanghai epidemic.Frontiers in cardiovascular medicine · 2022Article
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10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOVID-19 has changed the world as we know it, and the United States continues to accumulate the largest number of COVID-related deaths worldwide. There exists a paucity of data regarding the effect of COVID-19 on adult cardiac surgery trends and outcomes on regional and national levels.
methodsThe Society of Thoracic Surgeons Adult Cardiac Surgery Database was queried from January 1, 2018, to June 30, 2020. The Johns Hopkins COVID-19 database was queried from February 1, 2020, to January 1, 2021. Surgical and COVID-19 volumes, trends, and outcomes were analyzed on a national and regional level. Observed-to-expected ratios were used to analyze risk-adjustable mortality.
resultsThe study analyzed 717 103 adult cardiac surgery patients and more than 20 million COVID-19 patients. Nationally, there was a 52.7% reduction in adult cardiac surgery volume and a 65.5% reduction in elective cases. The Mid-Atlantic region was most affected by the first COVID-19 surge, with 69.7% reduction in overall case volume and 80.0% reduction in elective cases. In the Mid-Atlantic and New England regions, the observed-to-expected mortality for isolated coronary bypass increased as much as 1.48 times (148% increase) pre-COVID rates. After the first COVID-19 surge, nationwide cardiac surgical case volumes did not return to baseline, indicating a COVID-19-associated deficit of cardiac surgery patients.
conclusionsThis large analysis of COVID-19-related impact on adult cardiac surgery volume, trends, and outcomes found that during the pandemic, cardiac surgery volume suffered dramatically, particularly in the Mid-Atlantic and New England regions during the first COVID-19 surge, with a concurrent increase in observed-to-expected 30-day mortality.
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