A mixed method approach to understanding the impact of COVID-19 on patients with or at risk for aortic dissection

Jenney R Lee¹, Courtney Segal², Jake Howitt³, Sarah O Lawrence⁴, Josephine Grima⁵, Kim Eagle⁶, Karen Woo⁷, Peter Byers⁸, Eva Klein-Rogers⁹, Dianna Milewicz¹⁰, Firas Mussa¹¹, Timo Soderlund³, Novelette Cotter³, Melanie Case³, Debra Trotter³, Sherene Shalhub⁴; Aortic Dissection Collaborative

Collaborators, Affiliations

Collaborators

Aortic Dissection Collaborative:
Melanie Case¹², Novelett E Cotter¹², Carmen C David¹², Mark Fasano¹², Richard Goldenberg¹², Jake Howitt¹², Timo T Söderlund¹², Debra Trotter¹², Asaf Rabin¹³, Mattie Boehler-Tatman¹⁴, Melissa L Russo¹⁴, Laura Marie Drudi¹⁵, Laura L Marks¹⁶, Maisoon D Yousif¹⁷, Tabea Hoffstaetter¹⁸, Ella Taubenfeld¹⁸, Sreekanth Vemulapalli¹⁹, Chrisanne S Campos²⁰, Lindsey Rusche²⁰, Robert C F Pena²¹, Firas F Mussa²², Gretchen MacCarrick²³, Earl Goldsborough 3rd²³, Christeen Samuel²³, Lillian Xu²³, Nicolas J Mouawad²⁴, Eanas S Yassa²⁵, Xiaoyi Teng²⁶, Amani Politano²⁷, Jesse Teindl²⁸, Lara Bloom²⁹, Rebecca Gluck²⁹, Meredith Ford O'Neal³⁰, Josephine Grima³¹, Eileen Masciale³¹, Takeyoshi Ota³², Katelyn Wright³³, Alan J Hakim³⁴, Gareth Owens³⁵, George J Arnaoutakis³⁶, Dejah Judelson³⁷, Mario D'Oria³⁸, Lurdes Del Rio-Sola³⁸, Mark Ajalat³⁹, Marvin Chau³⁹, Stephanie D Talutis³⁹, Karen Woo³⁹, Max V Wohlauer⁴⁰, Jeniann A Yi⁴⁰, Kim A Eagle⁴¹, Marion A Hofmann Bowman⁴¹, Eva Kline-Rogers⁴¹, Hyein Kim⁴², Claudine Henoud⁴³, Scott Damrauer⁴⁴, Emilia Krol⁴⁵, Rana O Afifi⁴⁶, Alana C Cecchi⁴⁶, Madeline Drake⁴⁶, Anthony Estrera⁴⁶, Avery M Hebert⁴⁶, Dianna M Milewicz⁴⁶, Siddharth K Prakash⁴⁶, Aaron W Roberts⁴⁶, Harleen Sandhu⁴⁶, Akili Smith-Washington⁴⁶, Akiko Tanaka⁴⁶, Jacob Watson⁴⁶, Myra Ahmad⁴⁷, Catherine M Albright⁴⁷, Christopher R Burke⁴⁷, Peter H Byers⁴⁷, L'Oreal Kennedy⁴⁷, Sarah O Lawrence⁴⁷, Jenney R Lee⁴⁷, Jonathan Medina⁴⁷, Thamanna Nishath⁴⁷, Julie Pham⁴⁷, Courtney Segal⁴⁷, Sherene Shalhub⁴⁷, Michael Soto⁴⁷, Linell Catalan⁴⁸, Megan Patterson⁴⁸, Nicole Ilonzo⁴⁹

Affiliations

¹ Department of Urology, University of Washington, Seattle, WA. Electronic address: jenrlee@uw.edu.
² Department of Health Services, University of Washington, Seattle, WA.
³ Aortic Dissection Collaborative Advisory Group, Seattle, WA.
⁴ Division of Vascular Surgery, Department of Surgery, University of Washington School of Medicine; 1959 N.E. Pacific Street, Box 356410, Seattle, WA 98195.
⁵ The Marfan Foundation, Port Washington, NY.
⁶ University of Michigan, Ann Arbor, MI; International Registry of Acute Aortic Dissections.
⁷ University of California Los Angeles, Los Angeles, CA.
⁸ Department of Pathology, University of Washington, Seattle, WA.
⁹ International Registry of Acute Aortic Dissections.
¹⁰ Department of Internal Medicine McGovern Medical School, The University of Texas Health Science Center, Houston, TX.
¹¹ Imperial College, Imperial NHS Healthcare, London, UK.
¹² Aortic Dissection Collaborative Patient and Family Advisors.
¹³ Baruch Padeh Medical Center, Israel.
¹⁴ Brown University.
¹⁵ Centre Hospitalier de l'Université de Montréal.
¹⁶ Cook Medical, Inc.
¹⁷ Dalhousie Medical School.
¹⁸ Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
¹⁹ Duke University.
²⁰ Genetic Aortic Disorders Association Canada (GADA Canada).
²¹ George Washington University.
²² Imperial College-London.
²³ Johns Hopkins University.
²⁴ McLaren Health System.
²⁵ Michigan State University/Spectrum Health Heart and Vascular Institute.
²⁶ Minneapolis Heart Institute.
²⁷ Oregon Health & Sciences University.
²⁸ Skinny Genes Foundation.
²⁹ The Ehlers-Danlos Society.
³⁰ The John Ritter Foundation for Aortic Health.
³¹ The Marfan Foundation.
³² The University of Chicago.
³³ The VEDS Movement.
³⁴ The Wellington Hospital (UK).
³⁵ THINK AORTA.
³⁶ UF Health.
³⁷ Umass Memorial Health.
³⁸ University Hospital of Trieste ASUGI (Italy).
³⁹ University of California, Los Angeles.
⁴⁰ University of Colorado.
⁴¹ University of Michigan.
⁴² University of Oklahoma.
⁴³ University of Ottawa.
⁴⁴ University of Pennsylvania.
⁴⁵ University of South Carolina.
⁴⁶ University of Texas Health Science Center at Houston.
⁴⁷ University of Washington.
⁴⁸ Vascular Cures.
⁴⁹ Weill Cornell Medicine.

PMID: 35501037
PMCID: PMC8864810
DOI: 10.1053/j.semvascsurg.2022.02.006

A mixed method approach to understanding the impact of COVID-19 on patients with or at risk for aortic dissection

Jenney R Lee et al. Semin Vasc Surg. 2022 Mar.

. 2022 Mar;35(1):100-109.

doi: 10.1053/j.semvascsurg.2022.02.006. Epub 2022 Feb 23.

Authors

Collaborators

Aortic Dissection Collaborative:
Melanie Case¹², Novelett E Cotter¹², Carmen C David¹², Mark Fasano¹², Richard Goldenberg¹², Jake Howitt¹², Timo T Söderlund¹², Debra Trotter¹², Asaf Rabin¹³, Mattie Boehler-Tatman¹⁴, Melissa L Russo¹⁴, Laura Marie Drudi¹⁵, Laura L Marks¹⁶, Maisoon D Yousif¹⁷, Tabea Hoffstaetter¹⁸, Ella Taubenfeld¹⁸, Sreekanth Vemulapalli¹⁹, Chrisanne S Campos²⁰, Lindsey Rusche²⁰, Robert C F Pena²¹, Firas F Mussa²², Gretchen MacCarrick²³, Earl Goldsborough 3rd²³, Christeen Samuel²³, Lillian Xu²³, Nicolas J Mouawad²⁴, Eanas S Yassa²⁵, Xiaoyi Teng²⁶, Amani Politano²⁷, Jesse Teindl²⁸, Lara Bloom²⁹, Rebecca Gluck²⁹, Meredith Ford O'Neal³⁰, Josephine Grima³¹, Eileen Masciale³¹, Takeyoshi Ota³², Katelyn Wright³³, Alan J Hakim³⁴, Gareth Owens³⁵, George J Arnaoutakis³⁶, Dejah Judelson³⁷, Mario D'Oria³⁸, Lurdes Del Rio-Sola³⁸, Mark Ajalat³⁹, Marvin Chau³⁹, Stephanie D Talutis³⁹, Karen Woo³⁹, Max V Wohlauer⁴⁰, Jeniann A Yi⁴⁰, Kim A Eagle⁴¹, Marion A Hofmann Bowman⁴¹, Eva Kline-Rogers⁴¹, Hyein Kim⁴², Claudine Henoud⁴³, Scott Damrauer⁴⁴, Emilia Krol⁴⁵, Rana O Afifi⁴⁶, Alana C Cecchi⁴⁶, Madeline Drake⁴⁶, Anthony Estrera⁴⁶, Avery M Hebert⁴⁶, Dianna M Milewicz⁴⁶, Siddharth K Prakash⁴⁶, Aaron W Roberts⁴⁶, Harleen Sandhu⁴⁶, Akili Smith-Washington⁴⁶, Akiko Tanaka⁴⁶, Jacob Watson⁴⁶, Myra Ahmad⁴⁷, Catherine M Albright⁴⁷, Christopher R Burke⁴⁷, Peter H Byers⁴⁷, L'Oreal Kennedy⁴⁷, Sarah O Lawrence⁴⁷, Jenney R Lee⁴⁷, Jonathan Medina⁴⁷, Thamanna Nishath⁴⁷, Julie Pham⁴⁷, Courtney Segal⁴⁷, Sherene Shalhub⁴⁷, Michael Soto⁴⁷, Linell Catalan⁴⁸, Megan Patterson⁴⁸, Nicole Ilonzo⁴⁹

Affiliations

¹ Department of Urology, University of Washington, Seattle, WA. Electronic address: jenrlee@uw.edu.
² Department of Health Services, University of Washington, Seattle, WA.
³ Aortic Dissection Collaborative Advisory Group, Seattle, WA.
⁴ Division of Vascular Surgery, Department of Surgery, University of Washington School of Medicine; 1959 N.E. Pacific Street, Box 356410, Seattle, WA 98195.
⁵ The Marfan Foundation, Port Washington, NY.
⁶ University of Michigan, Ann Arbor, MI; International Registry of Acute Aortic Dissections.
⁷ University of California Los Angeles, Los Angeles, CA.
⁸ Department of Pathology, University of Washington, Seattle, WA.
⁹ International Registry of Acute Aortic Dissections.
¹⁰ Department of Internal Medicine McGovern Medical School, The University of Texas Health Science Center, Houston, TX.
¹¹ Imperial College, Imperial NHS Healthcare, London, UK.
¹² Aortic Dissection Collaborative Patient and Family Advisors.
¹³ Baruch Padeh Medical Center, Israel.
¹⁴ Brown University.
¹⁵ Centre Hospitalier de l'Université de Montréal.
¹⁶ Cook Medical, Inc.
¹⁷ Dalhousie Medical School.
¹⁸ Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
¹⁹ Duke University.
²⁰ Genetic Aortic Disorders Association Canada (GADA Canada).
²¹ George Washington University.
²² Imperial College-London.
²³ Johns Hopkins University.
²⁴ McLaren Health System.
²⁵ Michigan State University/Spectrum Health Heart and Vascular Institute.
²⁶ Minneapolis Heart Institute.
²⁷ Oregon Health & Sciences University.
²⁸ Skinny Genes Foundation.
²⁹ The Ehlers-Danlos Society.
³⁰ The John Ritter Foundation for Aortic Health.
³¹ The Marfan Foundation.
³² The University of Chicago.
³³ The VEDS Movement.
³⁴ The Wellington Hospital (UK).
³⁵ THINK AORTA.
³⁶ UF Health.
³⁷ Umass Memorial Health.
³⁸ University Hospital of Trieste ASUGI (Italy).
³⁹ University of California, Los Angeles.
⁴⁰ University of Colorado.
⁴¹ University of Michigan.
⁴² University of Oklahoma.
⁴³ University of Ottawa.
⁴⁴ University of Pennsylvania.
⁴⁵ University of South Carolina.
⁴⁶ University of Texas Health Science Center at Houston.
⁴⁷ University of Washington.
⁴⁸ Vascular Cures.
⁴⁹ Weill Cornell Medicine.

PMID: 35501037
PMCID: PMC8864810
DOI: 10.1053/j.semvascsurg.2022.02.006

Abstract

Aortic dissection (AD) is a life-threatening rare disease that occurs as a spontaneous tear in the wall of the aorta. Survivors of AD go on to have a chronic disease process that requires lifelong follow-up and management. Although the COVID-19 pandemic has strained health systems and impacted practice in the United States, the effects of these impacts on people living with or at risk for AD is not well understood. This mixed methods project examined the experiences of people in the AD community during the COVID-19 pandemic between March and October 2020. Results reveal that the AD community lacked clear guidance on the role aortic health status plays in COVID-19 risk and experienced significant disruptions in aortic healthcare. At the same time, the new expansion in access to medical care with telehealth conferred unforeseen benefits in the form of reduced barriers for access to specialized aortic health care.

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References

1. Howard DP, Banerjee A, Fairhead JF, et al. Oxford Vascular Study Group. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study. Circulation. 2013;127:2031–2037. - PMC - PubMed
1. Engaging Patients with Type B Aortic Dissections as Partners in Patient-Centered Outcomes Research. pcori.org. Accessed May 4, 2021. Available at: pcori.org/research-results/2019/engaging-patients-type-b-aortic-dissecti... Accessed 5/1/2020.
1. McCarthy J. Gallup Organization; 2020. Three in four Americans worry about COVID-19 exposure. Available at https://news.gallup.com/poll/307646/three-four-americans-worry-covid-exp... 2.
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1. Creswell JW, Plano Clark VL. 3rd ed. SAGE Publications; 2017. Designing and Conducting Mixed Methods Research.

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A mixed method approach to understanding the impact of COVID-19 on patients with or at risk for aortic dissection

Collaborators

Affiliations

A mixed method approach to understanding the impact of COVID-19 on patients with or at risk for aortic dissection

Authors

Collaborators

Affiliations

Abstract

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical