Outcomes Following Vascular and Endovascular Procedures Performed During the First COVID-19 Pandemic Wave
| Title: | Outcomes Following Vascular and Endovascular Procedures Performed During the First COVID-19 Pandemic Wave |
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| Authors: | Birmpili P; Benson RA; Gwilym B; Nandhra S; Al-Saadi N; Ambler GK; Blair R; Bosanquet D; Dattani N; Hitchman L; Hurndall K; Machin M; Onida S; Saratzis A; Shalhoub J; Shelmerdine L; Singh AA; Bosanquet DC; Forsythe RO; Dovell G; Preece R; Imray C; Kandola S; Johnson A; Choong A; Ng JJ; Aitken S; Moss J-L; Beropoulis E; Stavroulakis K; Santiago F; Abdelhaliem A; Abuduruk A; Aherne TM; Ahmed H; Aitken SJ; Akhtar T; Akkaya BB; Al Shakarchi J; Algasi AJ; AlHamzah M; Alhumiad AA; Allard B; Almeshal M; Alomran F; AlRakaf RN; Altabal M; Altaf N; Altoijry AH; Altuwaijri T; Alwehaibi N; Anderson Baker SJ; Angiletta D; Antoniou A; Antoniou GA; Areias LL; Ashcroft J; Atkinson N; Attia D; Attwell L; Azab MA; Aziz O; Azzam AY; Bakoyiannis C; Barakat H; Bashar K; Battersby R; Benaragama KS; BenGhatnsh ATS; Bessias N; Bhakthavalsalan R; Binkhamis S; Bootun R; Boyle E; Buga I; Catterson M; Chambers JL; Chandarana K; Charalabopoulos A; Charlton G; Cheng SWK; Chinai N; Choudhry AJ; Clothier A; Cohnert TU; Coleman C; Costanza M; Coughlin PA; Coulston J; Cragg J; Darvall K; Davies EM; Davies H; Dawkins C; Dawson JA; Dean A; Dhal BS; Duncan A; Edwards M; Egan B; El Amrani M; Elhadi A; Elhadi M; Eljareh MS; Elkady R; Elkawafi M; Elkhafeefi FS; Elkwahad M; Ellojli IA; ElSanhoury K; Elsantawy H; Elsayed K; Ennab RM; Fisher O; Fitridge R; Flumignan RLG; Fowler AL; Galloway RF; Gan J; Garnham A; Georgopoulos S; Ghatwary Tantawy TMH; Goel RR; Goh MA; Grainger T; Gunawansa N; Hammond E; Hanna J; Hardy SC; Hardy TJ; Harrison GJ; Hassanin A; Hattam AT; Hein M; Hmaid HKS; Hon K; Iqbal K; Iscan HZ; Isik A; Joyce DP; Juszczak M; Kakavia K; Kakkos S; Karkos CD; Katsogridakis E; Khalil R; Khallaf AI; Khan A; Khashram M; Khoo S; Kilby J; Kuang B; Kyrou I; Lapolla P; Leong KW; Lim E; Liu J-WN; Locker D; Luo X; Lyons OTA; Makar RR; Maras D; Martin EA; Mavioglu HL; Mazingi D; McCaslin J; McClure DN; McKevitt K; Meecham L; Mehta S; Minelli F; Mingoli A; Mitka AM; Mohamed FS; Moore HM; Morley RL; Moulakakis KG; Mpaili E; Msherghi A; Muhammad K; Muller J; Musicki K; Nakano LCU; Nesbitt C; Nicholls J; Nickinson A; Nouh T; Nunag JMS; Nyamekye IK; Papanikolas MJ; Papas TT; Papazoglou KO; Paravastu S; Parr N; Pasenidou K; Pineda FP; Pond F; Popplewell MA; Powezka K; Prce D; Premnath S; Pulli R; Rabee HMM; Rahman HP; Ravintharan N; Valdivia AR; Richards T; Roditis K; Rolls AES; Roy IN; Saeed H; Saha P; Saltiel A; Sapienza P; Scott E; Selvaraj CN; Sharif A; Sica S; Silickas J; Singh G; Sivaharan A; Sivakumaran Y; Somaiya P; Stansby G; Stavert BM; Sudarsanam A; Suthers E; Suttenwood H; Taha A; Taha MAH; Tam SC; Tang AM; Tang R; Taran D; Tarusan L; Thet MS; Thomas J; Tierney S; Tigkiropoulos K; Tinelli G; Tolba MMH; Travers HC; Tsagkos I; Tshomba Y; Tsiantoula P; Twine CP; Ulker B; Ulusoy S; Unal EU; Varley VC; Vasudevan TM; Vo UG; Wagner T; Walsh SR; Wang J; Wong J; Warren SA; Yih CLP; Zaca S; Zafar AS; Zaki S; Zywicka EM |
| Source: | EJVES Vascular Forum, January 2024 |
| Publisher Information: | Elsevier Ltd. |
| Publication Year: | 2024 |
| Collection: | Newcastle University Library ePrints Service |
| Description: | © 2024 The Author(s)Objective: The first COVID-19 pandemic wave was a period of reduced surgical activity and redistribution of resources to only those with late stage or critical presentations. This Vascular and Endovascular Research Network COVID-19 Vascular Service (COVER) study aimed to describe the six-month outcomes of patients who underwent open surgery and or endovascular interventions for major vascular conditions during this period. Methods: In this international, multicentre, prospective, observational study, centres recruited consecutive patients undergoing vascular procedures over a 12-week period. The study opened in March 2020 and closed to recruitment in August 2020. Patient demographics, procedure details, and post-operative outcomes were collected on a secure online database. The reported outcomes at 30 days and six months were post-operative complications, re-interventions, and all cause in-hospital mortality rate. Multivariable logistic regression was used to assess factors associated with six-month mortality rate. Results: Data were collected on 3 150 vascular procedures, including 1 380 lower limb revascularisations, 609 amputations, 403 aortic, 289 carotid, and 469 other vascular interventions. The median age was 68 years (interquartile range 59, 76), 73.5% were men, and 1.7% had confirmed COVID-19 disease. The cumulative all cause in-hospital, 30-day, and six-month mortality rates were 9.1%, 10.4%, and 12.8%, respectively. The six-month mortality rate was 32.1% (95% CI 24.2–40.8%) in patients with confirmed COVID-19 compared with 12.0% (95% CI 10.8–13.2%) in those without. After adjustment, confirmed COVID-19 was associated with a three times higher odds of six-month death (adjusted OR 3.25, 95% CI 2.18–4.83). Increasing ASA grade (3–5 vs. 1–2), frailty scores 4–9, diabetes mellitus, and urgent and or immediate procedures were also independently associated with increased odds of death by six months, while statin use had a protective effect. Conclusion: During the first wave of the ... |
| Document Type: | article in journal/newspaper |
| File Description: | application/pdf |
| Language: | unknown |
| Relation: | https://eprints.ncl.ac.uk/301436; https://eprints.ncl.ac.uk/fulltext.aspx?url=301436/6EA2E9AF-4E72-47ED-9186-0C4DF1EEB07F.pdf&pub_id=301436 |
| Availability: | https://eprints.ncl.ac.uk/301436 |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: | edsbas.EFDD048F |
| Database: | BASE |