Regional Survey in Lombardy, Northern Italy, on Vascular Surgery Intervention Outcomes During The COVID-19 Pandemic. (April 2021)

• Record Type: Journal Article
• Authors: 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;
• Is Part Of: European journal of vascular and endovascular surgery. Volume 61:Number 4(2021)
• Page Start: 688
• Page End: 697
• Publication Date: 2021-04
• Subjects: COVID-19 -- vascular surgery activities -- acute limb ischaemia; Blood-vessels -- Endoscopic surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; Blood-vessels -- Endoscopic surgery; Blood-vessels -- Surgery; Endoscopy; Electronic journals; Periodicals; Electronic journals; 617.413005
• DOI: 10.1016/j.ejvs.2021.01.037
• Languages: English
• ISSNs: 1078-5884

Abstract

Abstract : Objective: 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). Methods: 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. Results: 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. Conclusion: 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.