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Tytuł:
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Ramping Up the Delivery of Cardiac Surgery During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons.
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Autorzy:
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Hassan A; New Brunswick Heart Center, Dalhousie University, Saint John, New Brunswick, Canada. Electronic address: .
Arora RC; Max Rady College of Medicine, Department of Surgery, Section of Cardiac Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Lother SA; Department of Medicine, Section of Critical Care and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada.
Adams C; Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Bouchard D; Montreal Heart Institute, Department of Surgery, University of Montreal, Montreal, Quebec, Canada.
Cook R; St Paul's Hospital, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Gunning D; Royal Columbian Hospital, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Lamarche Y; Montreal Heart Institute, Department of Surgery, University of Montreal, Montreal, Quebec, Canada.
Malas T; Quebec Heart and Lung Institute, Laval University, Quebec, Quebec, Canada.
Moon M; Mazankowski Heart Institute, University of Alberta, Edmonton, Alberta, Canada.
Ouzounian M; Department of Surgery, Division of Cardiovascular Surgery, University of Toronto, Toronto, Ontario, Canada.
Rao V; Department of Surgery, Division of Cardiovascular Surgery, University of Toronto, Toronto, Ontario, Canada.
Rubens F; Ottawa Heart Institute, Division of Cardiac Surgery, University of Ottawa, Ottawa, Ontario, Canada.
Tremblay P; Maritime Heart Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Whitlock R; McMaster University, Hamilton, Ontario, Canada.
Moss E; Jewish General Hospital, Department of Surgery, McGill University, Montreal, Quebec, Canada.
Légaré JF; New Brunswick Heart Center, Dalhousie University, Saint John, New Brunswick, Canada.
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Corporate Authors:
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of the Canadian Society of Cardiac Surgeons
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Źródło:
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The Canadian journal of cardiology [Can J Cardiol] 2020 Jul; Vol. 36 (7), pp. 1139-1143. Date of Electronic Publication: 2020 Apr 29.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Jan./Feb. 2011- : Oxford, UK : Elsevier
Original Publication: [Oakville, Ont. : Canadian Cardiology Publications Inc., c1984-
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MeSH Terms:
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Practice Guidelines as Topic*
Cardiac Surgical Procedures/*standards
Coronavirus Infections/*epidemiology
Delivery of Health Care/*organization & administration
Pandemics/*statistics & numerical data
Pneumonia, Viral/*epidemiology
COVID-19 ; Canada ; Cardiac Surgical Procedures/statistics & numerical data ; Coronavirus Infections/prevention & control ; Cost of Illness ; Female ; Humans ; Male ; Outcome Assessment, Health Care ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Risk Assessment ; Safety Management/organization & administration ; Societies, Medical/organization & administration ; Surgeons/statistics & numerical data
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References:
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Can J Cardiol. 2020 Jun;36(6):952-955. (PMID: 32299752)
Clin Infect Dis. 2020 Mar 21;:. (PMID: 32198501)
N Engl J Med. 2020 Apr 9;382(15):1395-1407. (PMID: 32227755)
Ann Intern Med. 2020 May 13;:. (PMID: 32422057)
Ann Intern Med. 2020 Jun 2;172(11):726-734. (PMID: 32282894)
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Entry Date(s):
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Date Created: 20200504 Date Completed: 20200803 Latest Revision: 20201218
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Update Code:
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20240105
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PubMed Central ID:
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PMC7189846
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DOI:
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10.1016/j.cjca.2020.04.030
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PMID:
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32360793
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The coronavirus disease 2019 (COVID-19) has had a profound global effect. Its rapid transmissibility has forced whole countries to adopt strict measures to contain its spread. As part of necessary pandemic planning, most Canadian cardiac surgical programs have prioritized and delayed elective procedures in an effort to reduce the burden on the health care system and to mobilize resources in the event of a pandemic surge. While the number of COVID-19 cases continue to increase worldwide, new cases have begun to decline in many jurisdictions. This "flattening of the curve" has inevitably prompted discussions around reopening of the economy, relaxing some public health restrictions, and resuming nonurgent health care delivery. This document provides a template for cardiac surgical programs to begin to ramp-up the delivery of cardiac surgery in a deliberate and graded fashion as the COVID-19 pandemic burden begins to ease that is guided by 3 principles. First, all recommendations from public health authorities regarding COVID-19 containment must continue to be followed to minimize disease spread, ensure patient safety, and protect health care personnel. Second, patients awaiting elective cardiac surgery need to be proactively managed, reprioritizing those with high-risk anatomy or whose clinical status is deteriorating. Finally, case volumes should be steadily increased in a mutually agreed upon fashion and must balance the clinical needs of patients awaiting surgery against the overall requirements of the health care system.
(Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
