Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

How the First Year of the COVID-19 Pandemic Impacted Patients’ Care in the Vascular Surgery Divisions of the Southern Regions of the Italian Peninsula

Version 1 : Received: 12 June 2022 / Approved: 16 June 2022 / Online: 16 June 2022 (04:40:54 CEST)

A peer-reviewed article of this Preprint also exists.

Martelli, E.; Sotgiu, G.; Saderi, L.; Federici, M.; Sangiorgi, G.; Zamboni, M.; Martelli, A.R.; Accarino, G.; Bianco, G.; Bonanno, F.; Bracale, U.M.; Cappello, E.; Cioffi, G.; Colacchio, G.; Crinisio, A.; De Vivo, S.; Dionisi, C.P.; Flora, L.; Impedovo, G.; Intrieri, F.; Iorio, L.; Maritati, G.; Modugno, P.; Monaco, M.; Natalicchio, G.; Palazzo, V.; Petrosino, F.; Pompeo, F.; Pulli, R.; Razzano, D.; Ruggieri, M.R.; Ruotolo, C.; Sangiuolo, P.; Vigliotti, G.; Volpe, P.; Biello, A.; Boggia, P.; Boschetti, M.; Centritto, E.M.; Condò, F.; Cucciolillo, L.; D’Amodio, A.S.; De Laurentis, M.; Desantis, C.; Di Lella, D.; Di Nardo, G.; Disabato, A.; Ficarelli, I.; Gasparre, A.; Giordano, A.N.; Luongo, A.; Massara, M.; Molinari, V.; Padricelli, A.; Panagrosso, M.; Petrone, A.; Pisanello, S.; Prunella, R.; Tedesco, M.; Settembrini, A.M. 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. J. Pers. Med. 2022, 12, 1170. Martelli, E.; Sotgiu, G.; Saderi, L.; Federici, M.; Sangiorgi, G.; Zamboni, M.; Martelli, A.R.; Accarino, G.; Bianco, G.; Bonanno, F.; Bracale, U.M.; Cappello, E.; Cioffi, G.; Colacchio, G.; Crinisio, A.; De Vivo, S.; Dionisi, C.P.; Flora, L.; Impedovo, G.; Intrieri, F.; Iorio, L.; Maritati, G.; Modugno, P.; Monaco, M.; Natalicchio, G.; Palazzo, V.; Petrosino, F.; Pompeo, F.; Pulli, R.; Razzano, D.; Ruggieri, M.R.; Ruotolo, C.; Sangiuolo, P.; Vigliotti, G.; Volpe, P.; Biello, A.; Boggia, P.; Boschetti, M.; Centritto, E.M.; Condò, F.; Cucciolillo, L.; D’Amodio, A.S.; De Laurentis, M.; Desantis, C.; Di Lella, D.; Di Nardo, G.; Disabato, A.; Ficarelli, I.; Gasparre, A.; Giordano, A.N.; Luongo, A.; Massara, M.; Molinari, V.; Padricelli, A.; Panagrosso, M.; Petrone, A.; Pisanello, S.; Prunella, R.; Tedesco, M.; Settembrini, A.M. 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. J. Pers. Med. 2022, 12, 1170.

Journal reference: J. Pers. Med. 2022, 12, 1170
DOI: 10.3390/jpm12071170

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 conducted through cross-sectional survey. 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, treatment 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 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 activities during the COVID-19 pandemic caused a significant reduction in asymptomatic carotid stenosis revascularization, treatment for Rutherford 3 peripheral arterial disease, post-EVAR surveillance. Contestually, we observed a significant increase in urgent revascularization for symptomatic carotid stenosis, and revascularization or major amputations for chronic limb-threatening ischemia.

Keywords

COVID-19; carotid stenosis; abdominal aortic aneurysm; chronic limb-threatening ischemia; amputation; deep venous thrombosis

Subject

MEDICINE & PHARMACOLOGY, Other

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