Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study

Background: There are still gaps regarding the impact of the nationwide lockdown on non-COVID-19 emergency hospitalizations. This study aims to describe the trends in hospitalizations for cardiovascular surgical emergencies in France, before, during and after the first lockdown. Materials and Method...

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Autores principales:	Anna Baudry, Anne-Sophie Mariet, Eric Benzenine, Valentin Crespy, Chloé Bernard, Marie-Catherine Morgant, Yannick Bejot, Maurice Giroud, Olivier Bouchot, Eric Steinmetz, Catherine Quantin
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	coronavirus disease 2019 hospitalizations lockdown cardiovascular emergencies aortic and arterial diseases circulatory assistance Science Q
Acceso en línea:	https://doaj.org/article/3b0770bf315044919f94e366c55286e9
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spelling	oai:doaj.org-article:3b0770bf315044919f94e366c55286e92021-11-25T18:11:32ZCardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study10.3390/life111112452075-1729https://doaj.org/article/3b0770bf315044919f94e366c55286e92021-11-01T00:00:00Zhttps://www.mdpi.com/2075-1729/11/11/1245https://doaj.org/toc/2075-1729Background: There are still gaps regarding the impact of the nationwide lockdown on non-COVID-19 emergency hospitalizations. This study aims to describe the trends in hospitalizations for cardiovascular surgical emergencies in France, before, during and after the first lockdown. Materials and Methods: All adults admitted for mechanical complications of myocardial infarction (MI), aortic dissection, aortic aneurysm rupture, acute and critical limb ischemia, circulatory assistance, heart transplantation and major amputation were included. This retrospective cohort study used the French National Hospital Discharge database. The numbers of hospitalizations per month in 2020 were compared to the previous three years. Results: From January to September 2020, 94,408 cases of the studied conditions were reported versus 103,126 in the same period in 2019 (−8.5%). There was a deep drop in most conditions during the lockdown, except for circulatory assistance, which increased. After the lockdown, mechanical complications of MI and aortic aneurysm rupture increased, and cardiac transplantations declined compared with previous years. Conclusion: We confirmed a deep drop in most cardiovascular surgical emergencies during the lockdown. The post-lockdown period was characterized by a small over-recovery for mechanical complications of MI and aortic aneurysm rupture, suggesting that many patients were able to access surgery after the lockdown.Anna BaudryAnne-Sophie MarietEric BenzenineValentin CrespyChloé BernardMarie-Catherine MorgantYannick BejotMaurice GiroudOlivier BouchotEric SteinmetzCatherine QuantinMDPI AGarticlecoronavirus disease 2019hospitalizationslockdowncardiovascular emergenciesaortic and arterial diseasescirculatory assistanceScienceQENLife, Vol 11, Iss 1245, p 1245 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	coronavirus disease 2019 hospitalizations lockdown cardiovascular emergencies aortic and arterial diseases circulatory assistance Science Q
spellingShingle	coronavirus disease 2019 hospitalizations lockdown cardiovascular emergencies aortic and arterial diseases circulatory assistance Science Q Anna Baudry Anne-Sophie Mariet Eric Benzenine Valentin Crespy Chloé Bernard Marie-Catherine Morgant Yannick Bejot Maurice Giroud Olivier Bouchot Eric Steinmetz Catherine Quantin Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study
description	Background: There are still gaps regarding the impact of the nationwide lockdown on non-COVID-19 emergency hospitalizations. This study aims to describe the trends in hospitalizations for cardiovascular surgical emergencies in France, before, during and after the first lockdown. Materials and Methods: All adults admitted for mechanical complications of myocardial infarction (MI), aortic dissection, aortic aneurysm rupture, acute and critical limb ischemia, circulatory assistance, heart transplantation and major amputation were included. This retrospective cohort study used the French National Hospital Discharge database. The numbers of hospitalizations per month in 2020 were compared to the previous three years. Results: From January to September 2020, 94,408 cases of the studied conditions were reported versus 103,126 in the same period in 2019 (−8.5%). There was a deep drop in most conditions during the lockdown, except for circulatory assistance, which increased. After the lockdown, mechanical complications of MI and aortic aneurysm rupture increased, and cardiac transplantations declined compared with previous years. Conclusion: We confirmed a deep drop in most cardiovascular surgical emergencies during the lockdown. The post-lockdown period was characterized by a small over-recovery for mechanical complications of MI and aortic aneurysm rupture, suggesting that many patients were able to access surgery after the lockdown.
format	article
author	Anna Baudry Anne-Sophie Mariet Eric Benzenine Valentin Crespy Chloé Bernard Marie-Catherine Morgant Yannick Bejot Maurice Giroud Olivier Bouchot Eric Steinmetz Catherine Quantin
author_facet	Anna Baudry Anne-Sophie Mariet Eric Benzenine Valentin Crespy Chloé Bernard Marie-Catherine Morgant Yannick Bejot Maurice Giroud Olivier Bouchot Eric Steinmetz Catherine Quantin
author_sort	Anna Baudry
title	Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study
title_short	Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study
title_full	Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study
title_fullStr	Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study
title_full_unstemmed	Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study
title_sort	cardiovascular surgical emergencies in france, before, during and after the first lockdown for covid-19 in 2020: a comparative nationwide retrospective cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3b0770bf315044919f94e366c55286e9
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Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study

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