The Impact of COVID-19 Pandemic on Critical Limb Threatening Ischemia and Emergency Vascular Practice
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 998
- 试验地点
- 1
- 主要终点
- The ICU admission with associated Pneumonia
研究概览
简要总结
This is a retrospective analytical study conducted at Vascular and Endovascular surgery Department, Mansoura University Hospital, including all patients admitted at the two periods first six months of 2019 and 2020.To demonstrate the effect of COVID-19 pandemic on the practice of emergency vascular surgery and critical limb threatening ischemia interventions by comparison two periods first six months of 2019 and 2020.
详细描述
INTRODUCTION:
The novel coronavirus pneumonia (COVID-19) pandemic has affected the globe, with Italy leading many reports of the incidence and mortalities. Recently reported studies have described the clinical characteristics and overall outcomes of patients with COVID-19 and the effects of treating these patients on the healthcare system.Two studies have reported associated coagulopathy disorders. These reports have highlighted the presence of a coexisting hypercoagulable state in patients with COVID-19, which might be associated with higher mortality.
The COVID-19 pandemic has had many impacts, both seen and unforeseen, all over the world. As expected, elective endovascular procedures have been halted, with a significant decrease in urgent/emergent procedures. This could reflect an understandable unwillingness on the part of patients who continue to self-isolate at home to come in for treatments, including those with Critical limb threatening ischemia. Also impacts on the supply chain side of performing interventions, had been reported, it is challenging to be in the middle of a complex CLTI (Critical limb threatening ischemia) case and request a routine device only to find out it is unavailable.
Aim of the work Evaluation the impact of COVID-19 pandemic on emergency vascular practice and critical limb ischemia.
Outcome
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 接受健康志愿者
- 否
入选标准
- •All patients admitted to our department at that periods.
排除标准
- •Patients can't give consent (unconscious).
- •Those with mental or behavioral disorders will be excluded.
结局指标
主要结局
The ICU admission with associated Pneumonia
时间窗: 6 months
The ICU admission caused by Pneumonia proved radio-logically at both periods
Impact of COVID-19 on the different presentation of vascular surgery at the emergency
时间窗: 6 months
percentage of different diagnoses at both periods
次要结局
- Mortality rates(6 months)