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

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Autore principale: Hanan M. Hemead
Natura: Artículo científico
Lingua:en
Pubblicazione: Sociedade Brasileira de Cirurgia Cardiovascular 2022
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author Hanan M. Hemead
author_facet Hanan M. Hemead
contents Impact of COVID-19 on Cardiothoracic Surgery: Experience of Alexandria (Egypt) Main University Hospital Hanan M. Hemead Mohamed H. Elsayed Wael Hassanein Medicina Egypt Pandemics Coronavirus Thoracic Surgery Patient Care Team 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. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398971282014 https://www.redalyc.org/journal/3989/398971282014/ https://www.redalyc.org/journal/3989/398971282014/html/ https://www.redalyc.org/journal/3989/398971282014/398971282014.epub https://www.redalyc.org/journal/3989/398971282014/movil 10.21470/1678-9741-2020-0551 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.37
format Artículo científico
id redalyc_398971282014
institution Redalyc
language en
publishDate 2022
publisher Sociedade Brasileira de Cirurgia Cardiovascular
spellingShingle Impact of COVID-19 on Cardiothoracic Surgery: Experience of Alexandria (Egypt) Main University Hospital
Hanan M. Hemead
Medicina
Egypt
Pandemics
Coronavirus
Thoracic Surgery
Patient Care Team
Impact of COVID-19 on Cardiothoracic Surgery: Experience of Alexandria (Egypt) Main University Hospital Hanan M. Hemead Mohamed H. Elsayed Wael Hassanein Medicina Egypt Pandemics Coronavirus Thoracic Surgery Patient Care Team 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. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398971282014 https://www.redalyc.org/journal/3989/398971282014/ https://www.redalyc.org/journal/3989/398971282014/html/ https://www.redalyc.org/journal/3989/398971282014/398971282014.epub https://www.redalyc.org/journal/3989/398971282014/movil 10.21470/1678-9741-2020-0551 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.37
title Impact of COVID-19 on Cardiothoracic Surgery: Experience of Alexandria (Egypt) Main University Hospital
topic Medicina
Egypt
Pandemics
Coronavirus
Thoracic Surgery
Patient Care Team
url https://www.redalyc.org/articulo.oa?id=398971282014
https://www.redalyc.org/journal/3989/398971282014/
https://www.redalyc.org/journal/3989/398971282014/html/
https://www.redalyc.org/journal/3989/398971282014/398971282014.epub
https://www.redalyc.org/journal/3989/398971282014/movil