About: Cardiothoracic surgery during the Covid‐19 pandemic: Perioperative care, safety, and surgical results

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About: Cardiothoracic surgery during the Covid‐19 pandemic: Perioperative care, safety, and surgical results Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Cardiothoracic surgery during the Covid‐19 pandemic: Perioperative care, safety, and surgical results
Creator	Casanova, Jorge Ah, Salgueiro Cs, Paulo Elson, \| Ic, Rita Pissarra Ic, Diana Professor, Alameda São, Universitário
Source	Medline; PMC
abstract	BACKGROUND: Covid‐19 was declared a pandemic by the World Health Organization (WHO) on 11 March 2020. Responses to this crisis integrated resource allocation for the increased amount of infected patients while maintaining an adequate response to other severe and life‐threatening diseases. Though cardiothoracic patients are at high risk for Covid‐19 severe illness, postponing surgeries would translate to increased mortality and morbidity. We reviewed our practice during the initial time of the pandemic, with emphasis on safety protocols. METHODS: From 11 March to 15 May 2020, 148 patients underwent surgery at the Department of Cardiothoracic Surgery of Centro Hospitalar Universitário de São João. The clinical characteristics of the patients were retrospectively registered, along with novel containment and infection prevention measures targeting the new coronavirus. RESULTS: The majority of adult cardiac patients were operated on an emergency basis. Hospital mortality was 1.9% (n = 2 patients). Most adult thoracic patients were admitted from home, with a diagnosis of neoplastic disease in 60% of patients. Hospital mortality was 3.3% (1 patient). Fifteen children underwent cardiothoracic surgery. There was no mortality. The infection prevention procedures applied, totally excluded the transmission of Covid‐19 in the department. CONCLUSION: While guaranteeing a prompt response to emergent, urgent, and high priority cases, novel safety measures in individual protection, patients circuits, and preoperative diagnoses of symptomatic and asymptomatic infection were adopted. The surgical results corroborate that it was safe to undergo cardiothoracic surgery during the initial time of the Covid‐19 pandemic. The new policies will be maintained while the virus stays in the community.
has issue date	2020-07-15(xsd:dateTime)
bibo:doi	10.1111/jocs.14857
bibo:pmid	32667069
has license	no-cc
sha1sum (hex)	930c496faf6f436547ea23c8dba14c37559c7ead
schema:url	https://doi.org/10.1111/jocs.14857
resource representing a document's title	Cardiothoracic surgery during the Covid‐19 pandemic: Perioperative care, safety, and surgical results
has PubMed Central identifier	PMC7404848
has PubMed identifier	32667069
schema:publication	J Card Surg
resource representing a document's body	covid:930c496faf6f436547ea23c8dba14c37559c7ead#body_text
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