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. 2021 Nov 16;11(11):1245.
doi: 10.3390/life11111245.

Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study

Anna Baudry  1 , Anne-Sophie Mariet  2   3 , Eric Benzenine  2 , Valentin Crespy  1 , Chloé Bernard  1 , Marie-Catherine Morgant  1 , Yannick Bejot  4   5 , Maurice Giroud  4   5 , Olivier Bouchot  1 , Eric Steinmetz  1 , Catherine Quantin  2   3   6
Affiliations

Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study

Anna Baudry et al. Life (Basel). .

Abstract

Background: There are still gaps regarding the impact of the nationwide lockdown on non-COVID-19 emergency hospitalizations. This study aims to describe the trends in hospitalizations for cardiovascular surgical emergencies in France, before, during and after the first lockdown.

Materials and methods: All adults admitted for mechanical complications of myocardial infarction (MI), aortic dissection, aortic aneurysm rupture, acute and critical limb ischemia, circulatory assistance, heart transplantation and major amputation were included. This retrospective cohort study used the French National Hospital Discharge database. The numbers of hospitalizations per month in 2020 were compared to the previous three years.

Results: From January to September 2020, 94,408 cases of the studied conditions were reported versus 103,126 in the same period in 2019 (-8.5%). There was a deep drop in most conditions during the lockdown, except for circulatory assistance, which increased. After the lockdown, mechanical complications of MI and aortic aneurysm rupture increased, and cardiac transplantations declined compared with previous years.

Conclusion: We confirmed a deep drop in most cardiovascular surgical emergencies during the lockdown. The post-lockdown period was characterized by a small over-recovery for mechanical complications of MI and aortic aneurysm rupture, suggesting that many patients were able to access surgery after the lockdown.

Keywords: aortic and arterial diseases; cardiovascular emergencies; circulatory assistance; coronavirus disease 2019; hospitalizations; lockdown.

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Conflict of interest statement

Yannick Béjot received honoraria for lectures or consulting fees from BMS, Pfizer, Medtronic, Amgen, Servier and Boehringer-Ingelheim outside the submitted work. Other authors: none.

Figures

Figure 1
Figure 1
Number of hospitalizations in metropolitan France for cardiac conditions between January and September 2020 compared with the same months from 2017 to 2019. (A) Mechanical complications of acute myocardial infarction (B) Use of cardiac assist device (C) Heart transplantation.
Figure 2
Figure 2
Number of hospitalizations in metropolitan France for aortic conditions between January and September 2020 compared with the same months from 2017 to 2019. (A) Aortic dissection (B) Aortic aneurysm rupture.
Figure 3
Figure 3
Number of hospitalizations in metropolitan France for vascular peripheral conditions between January and September 2020 compared with the same months from 2017 to 2019. (A) Acute limb ischemia (B) Critical limb ischemia (C) Transfemoral, transtibial and transmetatarsal amputations.
See this image and copyright information in PMC

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