ArticleJournal of the Royal Society of Medicine2022
A multi-centre prospective cohort study of patients on the elective waiting list for cardiac surgery during the COVID-19 pandemic.
Article in Journal of the Royal Society of Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Monitoring cardiac symptoms during teleprehabilitation prior to coronary artery bypass grafting: a digital cardiac counselling trial subanalysis.European heart journal. Digital health · 2026Article
- Improving implementation of Enhanced Recovery After Surgery (ERAS) to increase timeliness of recovery after cardiac surgery: a quality improvement project.BMJ open quality · 2026Article
- Cardiac surgery transformation throughout the COVID-19 era: analysis of 12,409 patients.Irish journal of medical science · 2026Article
- Observational
- Impact of COVID-19 pandemic on elective care backlog trends, recovery efforts, and capacity needs to address backlogs in Scotland (2013-2023): a descriptive analysis and modelling study.The Lancet regional health. Europe · 2025Article
- Article
- Surgical Preparedness Index in Orthopaedics During the Coronavirus Disease 2019 (COVID-19) Pandemic.Cureus · 2024Article
- The Search for an Outcome Variable That Measures Both Quality and Processes in Cardiac Surgery: Comparing the Quality Process Index and Mortality.Healthcare (Basel, Switzerland) · 2023Article
- A global crisis of trust that's a symptom of global failure.Journal of the Royal Society of Medicine · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDuring the worldwide COVID-19 pandemic, elective cardiac surgery was suspended to provide ICU beds for COVID-19 patients and those requiring urgent cardiac surgery. The aim of this study is to assess the effect of the pandemic on outcomes of patients awaiting elective cardiac surgery.
designA multi-centre prospective cohort study.
settingThe elective adult cardiac surgery waiting list as of 1 March 2020 across seven UK cardiac surgical centres.
participantsPatients on the elective adult cardiac surgery waiting list as of 1 March 2020 across seven UK cardiac surgical centres.
main outcome measuresPrimary outcome was surgery, percutaneous therapy or death at one year.
methodsData were collected prospectively on patients on the elective adult cardiac surgery waiting list as of 1 March 2020 across seven UK cardiac surgical centres. Primary outcome was surgery, percutaneous therapy or death at one year. Demographic data and outcomes were obtained from local electronic records, anonymised and submitted securely to the lead centre for analysis.
resultsOn 1 March 2020, there were 1099 patients on the elective waiting list for cardiac surgery. On 1 March 2021, 83% (n = 916) had met a primary outcome. Of these, 840 (92%) had surgery after a median of 195 (118-262) days on waiting list, 34 (3%) declined an offer of surgery, 23 (3%) had percutaneous intervention, 12 (1%) died, 7 (0.6%) were removed from the waiting list. The remainder of patients, 183 (17%) remained on the elective waiting list.
conclusionsThis study has shown, for the first time, significant delays to treatment of patients awaiting elective cardiac surgery. Although there was a low risk of mortality or urgent intervention, important unmeasured adverse outcomes such as quality of life or increased perioperative risk may be associated with prolonged waiting times.
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