Background: To investigate the effects of the COVID-19 lockdowns on the vasculopathic population. Methods: The Divisions of Vascular Surgery of the southern Italian peninsula joined this multicenter retrospective study. Each received a 13-point questionnaire investigating the hospitalization rate of vascular patients in the first 11 months of the COVID-19 pandemic and in the preceding 11 months. Results: 27 out of 29 Centers were enrolled. April-December 2020 (7092 patients) vs. 2019 (9161 patients): post-EVAR surveillance, hospitalization for Rutherford category 3 peripheral arterial disease, and asymptomatic carotid stenosis revascularization significantly decreased (1484 (16.2%) vs. 1014 (14.3%), p = 0.0009; 1401 (15.29%) vs. 959 (13.52%), p = 0.0006; and 1558 (17.01%) vs. 934 (13.17%), p < 0.0001, respectively), while admissions for revascularization or major amputations for chronic limb-threatening ischemia and urgent revascularization for symptomatic carotid stenosis significantly increased (1204 (16.98%) vs. 1245 (13.59%), p < 0.0001; 355 (5.01%) vs. 358 (3.91%), p = 0.0007; and 153 (2.16%) vs. 140 (1.53%), p = 0.0009, respectively). Conclusions: The suspension of elective procedures during the COVID-19 pandemic caused a significant reduction in post-EVAR surveillance, and in the hospitalization of asymptomatic carotid stenosis revascularization and Rutherford 3 peripheral arterial disease. Consequentially, we observed a significant increase in admissions for urgent revascularization for symptomatic carotid stenosis, as well as for revascularization or major amputations for chronic limb-threatening ischemia.

How the first year of the COVID-19 pandemic impacted patients' hospital admission and care in the vascular surgery divisions of the southern regions of the Italian peninsula / Martelli, Eugenio; Sotgiu, Giovanni; Saderi, Laura; Federici, Massimo; Sangiorgi, Giuseppe; Zamboni, Matilde; Martelli, Allegra R; Accarino, Giancarlo; Bianco, Giuseppe; Bonanno, Francesco; Bracale, Umberto M; Cappello, Enrico; Cioffi, Giovanni; Colacchio, Giovanni; Crinisio, Adolfo; De Vivo, Salvatore; Dionisi, Carlo Patrizio; Flora, Loris; Impedovo, Giovanni; Intrieri, Francesco; Iorio, Luca; Maritati, Gabriele; Modugno, Piero; Monaco, Mario; Natalicchio, Giuseppe; Palazzo, Vincenzo; Petrosino, Fernando; Pompeo, Francesco; Pulli, Raffaele; Razzano, Davide; Ruggieri, Maurizio R; Ruotolo, Carlo; Sangiuolo, Paolo; Vigliotti, Gennaro; Volpe, Pietro; Biello, Antonella; Boggia, Pietro; Boschetti, Michelangelo; Centritto, Enrico M; Condò, Flavia; Cucciolillo, Lucia; D'Amodio, Amodio S; De Laurentis, Mario; Desantis, Claudio; Di Lella, Daniela; Di Nardo, Giovanni; Disabato, Angelo; Ficarelli, Ilaria; Gasparre, Angelo; Giordano, Antonio N; Luongo, Alessandro; Massara, Mafalda; Molinari, Vincenzo; Padricelli, Andrea; Panagrosso, Marco; Petrone, Anna; Pisanello, Serena; Prunella, Roberto; Tedesco, Michele; Settembrini, Alberto M. - In: JOURNAL OF PERSONALIZED MEDICINE. - ISSN 2075-4426. - 12:7(2022). [10.3390/jpm12071170]

How the first year of the COVID-19 pandemic impacted patients' hospital admission and care in the vascular surgery divisions of the southern regions of the Italian peninsula

Martelli, Eugenio
Primo
Writing – Original Draft Preparation
;
2022

Abstract

Background: To investigate the effects of the COVID-19 lockdowns on the vasculopathic population. Methods: The Divisions of Vascular Surgery of the southern Italian peninsula joined this multicenter retrospective study. Each received a 13-point questionnaire investigating the hospitalization rate of vascular patients in the first 11 months of the COVID-19 pandemic and in the preceding 11 months. Results: 27 out of 29 Centers were enrolled. April-December 2020 (7092 patients) vs. 2019 (9161 patients): post-EVAR surveillance, hospitalization for Rutherford category 3 peripheral arterial disease, and asymptomatic carotid stenosis revascularization significantly decreased (1484 (16.2%) vs. 1014 (14.3%), p = 0.0009; 1401 (15.29%) vs. 959 (13.52%), p = 0.0006; and 1558 (17.01%) vs. 934 (13.17%), p < 0.0001, respectively), while admissions for revascularization or major amputations for chronic limb-threatening ischemia and urgent revascularization for symptomatic carotid stenosis significantly increased (1204 (16.98%) vs. 1245 (13.59%), p < 0.0001; 355 (5.01%) vs. 358 (3.91%), p = 0.0007; and 153 (2.16%) vs. 140 (1.53%), p = 0.0009, respectively). Conclusions: The suspension of elective procedures during the COVID-19 pandemic caused a significant reduction in post-EVAR surveillance, and in the hospitalization of asymptomatic carotid stenosis revascularization and Rutherford 3 peripheral arterial disease. Consequentially, we observed a significant increase in admissions for urgent revascularization for symptomatic carotid stenosis, as well as for revascularization or major amputations for chronic limb-threatening ischemia.
2022
COVID-19; abdominal aortic aneurysm; amputation; carotid stenosis; chronic limb-threatening ischemia; deep venous thrombosis
01 Pubblicazione su rivista::01a Articolo in rivista
How the first year of the COVID-19 pandemic impacted patients' hospital admission and care in the vascular surgery divisions of the southern regions of the Italian peninsula / Martelli, Eugenio; Sotgiu, Giovanni; Saderi, Laura; Federici, Massimo; Sangiorgi, Giuseppe; Zamboni, Matilde; Martelli, Allegra R; Accarino, Giancarlo; Bianco, Giuseppe; Bonanno, Francesco; Bracale, Umberto M; Cappello, Enrico; Cioffi, Giovanni; Colacchio, Giovanni; Crinisio, Adolfo; De Vivo, Salvatore; Dionisi, Carlo Patrizio; Flora, Loris; Impedovo, Giovanni; Intrieri, Francesco; Iorio, Luca; Maritati, Gabriele; Modugno, Piero; Monaco, Mario; Natalicchio, Giuseppe; Palazzo, Vincenzo; Petrosino, Fernando; Pompeo, Francesco; Pulli, Raffaele; Razzano, Davide; Ruggieri, Maurizio R; Ruotolo, Carlo; Sangiuolo, Paolo; Vigliotti, Gennaro; Volpe, Pietro; Biello, Antonella; Boggia, Pietro; Boschetti, Michelangelo; Centritto, Enrico M; Condò, Flavia; Cucciolillo, Lucia; D'Amodio, Amodio S; De Laurentis, Mario; Desantis, Claudio; Di Lella, Daniela; Di Nardo, Giovanni; Disabato, Angelo; Ficarelli, Ilaria; Gasparre, Angelo; Giordano, Antonio N; Luongo, Alessandro; Massara, Mafalda; Molinari, Vincenzo; Padricelli, Andrea; Panagrosso, Marco; Petrone, Anna; Pisanello, Serena; Prunella, Roberto; Tedesco, Michele; Settembrini, Alberto M. - In: JOURNAL OF PERSONALIZED MEDICINE. - ISSN 2075-4426. - 12:7(2022). [10.3390/jpm12071170]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1652011
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