Impact of COVID-19 on Cardiothoracic Surgery: Experience of Alexandria (Egypt) Main University Hospital

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-05-23 DOI:10.21470/1678-9741-2020-0551
H. Hemead, Mohamed Elsayed, W. Hassanein
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引用次数: 2

Abstract

Introduction The current coronavirus pandemic has greatly strained the limited resources that had previously maintained the sustainability of the high-cost cardiothoracic surgeries in low-income countries like Egypt. Methods Hospital databases and patients’ records were reviewed to evaluate the impact of the pandemic on the workflow and waiting lists. Postoperative patients were contacted by telephone for follow-up, as well as preoperative patients whose operations were cancelled. Regular virtual meetings were held, and residents were asked to discuss the stresses, challenges, and their suggestions for the gradual resumption of services. Residents’ logbooks were evaluated to assess the disruption of the surgical exposure compared to 2019. Results While thoracic surgeries have continued to thrive, cardiac surgeries have witnessed the worst consequences, including cancellation of all surgeries, expansion of waiting lists, patients’ non-compliance with follow-up, and impaired surgical exposure of junior residents. Conclusion The gradual recovery of cardiac surgery services in Alexandria (Egypt) is being carefully planned, taking into consideration the backlog of cases and the shortage of screening kits. Careful tiering and triaging of patients by a multidisciplinary team, as well as seeking alternative assessment tools for trainees, are the main lines of our action plan.
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新型冠状病毒肺炎对心胸外科的影响:亚历山大港(埃及)大学总医院的经验
引言当前的冠状病毒大流行使埃及等低收入国家此前维持高成本心胸外科手术可持续性的有限资源极为紧张。方法回顾医院数据库和患者记录,以评估疫情对工作流程和候诊名单的影响。通过电话联系术后患者进行随访,以及取消手术的术前患者。定期举行虚拟会议,要求居民讨论压力、挑战以及他们对逐步恢复服务的建议。对居民的日志进行了评估,以评估与2019年相比手术暴露的中断情况。结果尽管胸部手术继续蓬勃发展,但心脏手术的后果最为严重,包括取消所有手术、扩大等待名单、患者不遵守随访以及初级住院医师的手术暴露受损。结论考虑到积压的病例和筛查试剂盒的短缺,正在仔细规划亚历山大(埃及)心脏手术服务的逐步恢复。由多学科团队对患者进行仔细的分层和分诊,以及为受训人员寻找替代评估工具,是我们行动计划的主线。
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来源期刊
Revista Brasileira De Cirurgia Cardiovascular
Revista Brasileira De Cirurgia Cardiovascular CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.10
自引率
0.00%
发文量
176
审稿时长
20 weeks
期刊介绍: Brazilian Journal of Cardiovascular Surgery (BJCVS) is the official journal of the Brazilian Society of Cardiovascular Surgery (SBCCV). BJCVS is a bimonthly, peer-reviewed scientific journal, with regular circulation since 1986. BJCVS aims to record the scientific and innovation production in cardiovascular surgery and promote study, improvement and professional updating in the specialty. It has significant impact on cardiovascular surgery practice and related areas.
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