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The Effect of COVID-19 on Adult Cardiac Surgery in the United States in 717 103 Patients

The Annals of thoracic surgery, 2022-03, Vol.113 (3), p.738-746 [Peer Reviewed Journal]

2022 The Society of Thoracic Surgeons ;Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. ;2021 by The Society of Thoracic Surgeons. 2022 The Society of Thoracic Surgeons ;ISSN: 0003-4975 ;EISSN: 1552-6259 ;DOI: 10.1016/j.athoracsur.2021.07.015 ;PMID: 34343473

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  • Title:
    The Effect of COVID-19 on Adult Cardiac Surgery in the United States in 717 103 Patients
  • Author: Nguyen, Tom C. ; Thourani, Vinod H. ; Nissen, Alexander P. ; Habib, Robert H. ; Dearani, Joseph A. ; Ropski, Allan ; Crestanello, Juan A. ; Shahian, David M. ; Jacobs, Jeffrey P. ; Badhwar, Vinay
  • Subjects: Aged ; Cardiac Surgical Procedures - statistics & numerical data ; COVID-19 - epidemiology ; Female ; Humans ; Male ; Middle Aged ; Original ; United States - epidemiology
  • Is Part Of: The Annals of thoracic surgery, 2022-03, Vol.113 (3), p.738-746
  • Description: COVID-19 has changed the world as we know it, and the United States continues to accumulate the largest number of COVID-related deaths worldwide. There exists a paucity of data regarding the effect of COVID-19 on adult cardiac surgery trends and outcomes on regional and national levels. The Society of Thoracic Surgeons Adult Cardiac Surgery Database was queried from January 1, 2018, to June 30, 2020. The Johns Hopkins COVID-19 database was queried from February 1, 2020, to January 1, 2021. Surgical and COVID-19 volumes, trends, and outcomes were analyzed on a national and regional level. Observed-to-expected ratios were used to analyze risk-adjustable mortality. The study analyzed 717 103 adult cardiac surgery patients and more than 20 million COVID-19 patients. Nationally, there was a 52.7% reduction in adult cardiac surgery volume and a 65.5% reduction in elective cases. The Mid-Atlantic region was most affected by the first COVID-19 surge, with 69.7% reduction in overall case volume and 80.0% reduction in elective cases. In the Mid-Atlantic and New England regions, the observed-to-expected mortality for isolated coronary bypass increased as much as 1.48 times (148% increase) pre-COVID rates. After the first COVID-19 surge, nationwide cardiac surgical case volumes did not return to baseline, indicating a COVID-19–associated deficit of cardiac surgery patients. This large analysis of COVID-19–related impact on adult cardiac surgery volume, trends, and outcomes found that during the pandemic, cardiac surgery volume suffered dramatically, particularly in the Mid-Atlantic and New England regions during the first COVID-19 surge, with a concurrent increase in observed-to-expected 30-day mortality.
  • Publisher: Netherlands: Elsevier Inc
  • Language: English
  • Identifier: ISSN: 0003-4975
    EISSN: 1552-6259
    DOI: 10.1016/j.athoracsur.2021.07.015
    PMID: 34343473
  • Source: MEDLINE
    Alma/SFX Local Collection
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