Details

Autor(en) / Beteiligte

• Bellosta, Raffaello
• Piffaretti, Gabriele
• Bonardelli, Stefano
• Castelli, Patrizio
• Chiesa, Roberto
• Frigerio, Dalmazio
• Lanza, Gaetano
• Pirrelli, Stefano
• Rossi, Giovanni
• Trimarchi, Santi
• Briolini, Franco
• Cefali, Pietro
• Caronno, Roberto
• Arzini, Aldo
• Diaco, Domenico
• Baratta, Vittorio
• Aiello, Stefano
• Molinari, Alessandro C.L.
• Giovannini, Francesca
• Socrate, Anna Maria
• Ferraris, Matteo
• Silvestro, Antonino
• Canu, Gianluca
• Costantini, Emidio
• Logaldo, Davide
• Romani, Federico
• Lista, Alfredo
• Busoni, Cristina
• Setti, Marco
• Mezzetti, Roberto
• Sala, Piergiorgio
• Bassi, Luca
• Luzzani, Luca
• Pegorer, Matteo A.
• Attisani, Luca
• Carugati, Claudio
• Vescovi, Monica
• Trabattoni, Piero
• Zoli, Stefano
• Rignano, Andrea
• Magri, Clara
• Vandone, Pierluigi
• Losa, Sergio
• Civilini, Efrem
• Nano, Giovanni
• Mazzaccaro, Daniela
• Tolva, Valerio
• Lanza, Jessica
• Curci, Ruggiero
• Simonetti, Giovanna
• Lomazzi, Chiara
• Grassi, Viviana
• Bissacco, Daniele
• Kahlberg, Andrea
• Mascia, Daniele
• Dallatana, Raffaello
• Carmo, Michele
• Ragni, Franco
• Marone, Enrico M.
• Bozzani, Antonio
• Tozzi, Matteo
• Franchin, Marco
• Lussardi, Gianluca
• Segramora, Vittorio
• Deleo, Gaetano
• Crippa, Matteo
• Porretta, Tiziano
• Viani, Marco
• Stegher, Silvia
• Foresti, Davide
• Bonalumi, Giovanni

Titel

Regional Survey in Lombardy, Northern Italy, on Vascular Surgery Intervention Outcomes During The COVID-19 Pandemic

Ist Teil von

• European journal of vascular and endovascular surgery, 2021-04, Vol.61 (4), p.688-697

Ort / Verlag

England: Elsevier B.V

Erscheinungsjahr

2021

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• The characteristics and outcomes of patients undergoing vascular surgery hospitalised and managed in Lombardy are described with a comparison of patients tested positive for COVID-19 (CV19-pos) vs. those tested negative (CV19-neg). This was a multicentre, retrospective, observational cohort study which involved all vascular surgery services in Lombardy, Northern Italy. Data were retrospectively merged into a combined dataset covering the nine weeks of the Italian COVID-19 pandemic phase 1 (8 March 2020 to 3 May 2020). The primary outcome was freedom from in hospital death, secondary outcomes were re-thrombosis rate after peripheral revascularisation, and freedom from post-operative complication. Among 674 patients managed during the outbreak, 659 (97.8%) were included in the final analysis: 121 (18.4%) were CV19-pos. CV19-pos status was associated with a higher rate of complications (OR 4.5; p < .001, 95% CI 2.64 – 7.84), and a higher rate of re-thrombosis after peripheral arterial revascularisation (OR 2.2; p = .004, 95% CI 1.29 – 3.88). In hospital mortality was higher in CV19-pos patients (24.8% vs. 5.6%; OR 5.4, p < .001;95% CI 2.86 – 8.92). Binary logistic regression analysis identified CV19-pos status (OR 7.6; p < .001, 95% CI 3.75 – 15.28) and age > 80 years (OR 3.2; p = .001, 95% CI 1.61 – 6.57) to be predictors of in hospital death. In this experience of the vascular surgery group of Lombardy, COVID-19 infection was a marker of poor outcomes in terms of mortality and post-operative complications for patients undergoing vascular surgery treatments.