COVID-19 大流行对巴西一家大容积主动脉中心的影响。
Impact of COVID-19 Pandemic in a Brazilian High-Volume Aortic Center.
机构信息
Department of Cardiovascular Surgery, Instituto do Coração (InCor), Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Department of Cardiomyopathies and Aortic Diseases, Instituto do Coração (InCor), Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil.
出版信息
Braz J Cardiovasc Surg. 2021 Apr 1;36(2):145-149. doi: 10.21470/1678-9741-2020-0567.
INTRODUCTION
The coronavirus disease 2019 (COVID-19) pandemic brought an unprecedented lack of control of what was to come. The intent of this document is to provide a balance of how much was ceased to be done for patients with aortic disease, to assess the mortality of these patients, and to show what happened to those who became COVID-19 positive during their hospitalization.
METHODS
From April 1st to July 31st 2020, the worst period of the pandemic in São Paulo, Brazil, the Institute's aortic surgical patients operated on were evaluated and those were compared with patients operated during the same period in 2019.
RESULTS
In 2019, 88 surgeries were performed; most of them were elective (66 [75%]), 10 were urgent, and 12 were emergency surgeries. In 2020, during the COVID-19 pandemic, we operated on only 31 patients, being 74.2% non-elective surgeries (P<0,001). There was a higher mortality for patients operated on during the pandemic surge of COVID-19 (P<0,001), but it was not specifically related to infected patients.
CONCLUSION
The COVID-19 pandemic had an impact on surgical volume and outcome of patients with aortic disease, although it did not directly increase mortality.
简介
2019 年冠状病毒病（COVID-19）大流行导致对未来情况的控制前所未有地失控。本文的目的是提供一个平衡，即停止为主动脉疾病患者做多少，评估这些患者的死亡率，并展示那些在住院期间成为 COVID-19 阳性的患者的情况。
方法
从 2020 年 4 月 1 日至 7 月 31 日，巴西圣保罗大流行的最严重时期，评估了研究所进行的主动脉外科手术患者，将这些患者与 2019 年同期接受手术的患者进行比较。
结果
2019 年进行了 88 例手术；其中大多数是择期手术（66 [75%]），10 例为紧急手术，12 例为急诊手术。2020 年，在 COVID-19 大流行期间，我们仅对 31 名患者进行了手术，其中 74.2%是非择期手术（P<0.001）。COVID-19 大流行期间手术的患者死亡率更高（P<0.001），但这并非与感染患者直接相关。
结论
COVID-19 大流行对主动脉疾病患者的手术量和结果产生了影响，尽管它并未直接增加死亡率。
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