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- Publisher Website: 10.1097/SLA.0000000000004722
- Scopus: eid_2-s2.0-85102964953
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Article: Outcomes of Vascular and Endovascular Interventions Performed During the Coronavirus Disease 2019 (COVID-19) Pandemic
Title | Outcomes of Vascular and Endovascular Interventions Performed During the Coronavirus Disease 2019 (COVID-19) Pandemic |
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Other Titles | The Vascular and Endovascular Research Network (VERN) COVID-19 Vascular Service (COVER) Tier 2 Study |
Authors | |
Keywords | abdominal aortic aneurysm carotid endarterectomy COVID-19 peripheral arterial disease vascular surgery |
Issue Date | 1-Apr-2021 |
Publisher | Lippincott, Williams & Wilkins |
Citation | Annals of Surgery, 2021, v. 273, n. 4, p. 630-635 How to Cite? |
Abstract | Objective:The aim of the COVER Study is to identify global outcomes and decision making for vascular procedures during the pandemic. Background Data:During its initial peak, there were many reports of delays to vital surgery and the release of several guidelines advising later thresholds for vascular surgical intervention for key conditions. Methods:An international multi-center observational study of outcomes after open and endovascular interventions. Results:In an analysis of 1103 vascular intervention (57 centers in 19 countries), 71.6% were elective or scheduled procedures. Mean age was 67 ± 14 years (75.6% male). Suspected or confirmed COVID-19 infection was documented in 4.0%. Overall, in-hospital mortality was 11.0% [aortic interventions mortality 15.2% (23/151), amputations 12.1% (28/232), carotid interventions 10.7% (11/103), lower limb revascularisations 9.8% (51/521)]. Chronic obstructive pulmonary disease [odds ratio (OR) 2.02, 95% confidence interval (CI) 1.30–3.15] and active lower respiratory tract infection due to any cause (OR 24.94, 95% CI 12.57–241.70) ware associated with mortality, whereas elective or scheduled cases were lower risk (OR 0.4, 95% CI 0.22–0.73 and 0.60, 95% CI 0.45–0.98, respectively. After adjustment, antiplatelet (OR 0.503, 95% CI: 0.273–0.928) and oral anticoagulation (OR 0.411, 95% CI: 0.205–0.824) were linked to reduced risk of in-hospital mortality. Conclusions:Mortality after vascular interventions during this period was unexpectedly high. Suspected or confirmed COVID-19 cases were uncommon. Therefore an alternative cause, for example, recommendations for delayed surgery, should be considered. The vascular community must anticipate longer term implications for survival. |
Persistent Identifier | http://hdl.handle.net/10722/343838 |
ISSN | 2023 Impact Factor: 7.5 2023 SCImago Journal Rankings: 2.729 |
DC Field | Value | Language |
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dc.contributor.author | Benson, Ruth A | - |
dc.contributor.author | Nandhra, Sandip | - |
dc.contributor.author | Cheng Stephen Wing Keung | - |
dc.contributor.author | Tam, Siu Chung | - |
dc.date.accessioned | 2024-06-11T07:51:59Z | - |
dc.date.available | 2024-06-11T07:51:59Z | - |
dc.date.issued | 2021-04-01 | - |
dc.identifier.citation | Annals of Surgery, 2021, v. 273, n. 4, p. 630-635 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | http://hdl.handle.net/10722/343838 | - |
dc.description.abstract | <h3>Objective: </h3><p>The aim of the COVER Study is to identify global outcomes and decision making for vascular procedures during the pandemic.</p><h3>Background Data: </h3><p>During its initial peak, there were many reports of delays to vital surgery and the release of several guidelines advising later thresholds for vascular surgical intervention for key conditions.</p><h3>Methods: </h3><p>An international multi-center observational study of outcomes after open and endovascular interventions.</p><h3>Results: </h3><p>In an analysis of 1103 vascular intervention (57 centers in 19 countries), 71.6% were elective or scheduled procedures. Mean age was 67 ± 14 years (75.6% male). Suspected or confirmed COVID-19 infection was documented in 4.0%. Overall, in-hospital mortality was 11.0% [aortic interventions mortality 15.2% (23/151), amputations 12.1% (28/232), carotid interventions 10.7% (11/103), lower limb revascularisations 9.8% (51/521)]. Chronic obstructive pulmonary disease [odds ratio (OR) 2.02, 95% confidence interval (CI) 1.30–3.15] and active lower respiratory tract infection due to any cause (OR 24.94, 95% CI 12.57–241.70) ware associated with mortality, whereas elective or scheduled cases were lower risk (OR 0.4, 95% CI 0.22–0.73 and 0.60, 95% CI 0.45–0.98, respectively. After adjustment, antiplatelet (OR 0.503, 95% CI: 0.273–0.928) and oral anticoagulation (OR 0.411, 95% CI: 0.205–0.824) were linked to reduced risk of in-hospital mortality.</p><h3>Conclusions: </h3><p>Mortality after vascular interventions during this period was unexpectedly high. Suspected or confirmed COVID-19 cases were uncommon. Therefore an alternative cause, for example, recommendations for delayed surgery, should be considered. The vascular community must anticipate longer term implications for survival.</p> | - |
dc.language | eng | - |
dc.publisher | Lippincott, Williams & Wilkins | - |
dc.relation.ispartof | Annals of Surgery | - |
dc.subject | abdominal aortic aneurysm | - |
dc.subject | carotid endarterectomy | - |
dc.subject | COVID-19 | - |
dc.subject | peripheral arterial disease | - |
dc.subject | vascular surgery | - |
dc.title | Outcomes of Vascular and Endovascular Interventions Performed During the Coronavirus Disease 2019 (COVID-19) Pandemic | - |
dc.title.alternative | The Vascular and Endovascular Research Network (VERN) COVID-19 Vascular Service (COVER) Tier 2 Study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1097/SLA.0000000000004722 | - |
dc.identifier.scopus | eid_2-s2.0-85102964953 | - |
dc.identifier.volume | 273 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 630 | - |
dc.identifier.epage | 635 | - |
dc.identifier.eissn | 1528-1140 | - |
dc.identifier.issnl | 0003-4932 | - |