Cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Luc Jessica G Y, Ad Niv, Nguyen Tom C, COVID-19 North American Cardiac Surgery Survey Working Group Collaborators, Arora Rakesh C, Balkhy Husam H, Bender Edward M, Bethencourt Daniel M, Bisleri Gianluigi, Boyd Douglas, Chu Michael W A, de la Cruz Kim I, DeAnda Abe, Engelman Daniel T, Farkas Emily A, Fedoruk Lynn M, Fiocco Michael, Forcillo Jessica, Fradet Guy, Fremes Stephen E, Gammie James S, Geirsson Arnar, Gerdisch Marc W, Girard Leonard N, Kaiser Clayton A, Kaneko Tsuyoshi, Kent William D T, Khabbaz Kamal R, Khoynezhad Ali, Kiaii Bob, Lee Richard, Legare Jean-Francois, Lehr Eric J, MacArthur Roderick G G, McCarthy Patrick M, Mehall John R, Merrill Walter H, Moon Marc R, Ouzounian Maral, Peltz Matthias, Perrault Louis P, Preventza Ourania, Ramchandani Mahesh, Ramlawi Basel, Salenger Rawn, Sekela Michael E, Sellke Frank W, Stulak John M, Sutter Francis P, Timek Tomasz A, Whitman Glenn, Williams Judson B, Wong Daniel R, Yanagawa Bobby, Ye Jian, Zeigler Sanford M
Аннотация
METHODS: A detailed survey was sent to recruit participating adult cardiac surgery centers in North America. Data regarding cardiac surgeons' perceptions and changes in practice were analyzed.
RESULTS: Our study comprises 67 institutions with diverse geographic distribution across North America. Nurses were most likely to be redeployed (88%), followed by advanced care practitioners (69%), trainees (28%), and surgeons (25%). Examining surgeon concerns in regard to COVID-19, they were most worried with exposing their family to COVID-19 (81%), followed by contracting COVID-19 (68%), running out of personal protective equipment (PPE) (28%), and hospital resources (28%). In terms of PPE conservation strategies among users of N95 respirators, nearly half were recycling via decontamination with ultraviolet light (49%), followed by sterilization with heat (13%) and at home or with other modalities (13%). Reuse of N95 respirators for 1 day (22%), 1 week (21%) or 1 month (6%) was reported. There were differences in adoption of methods to conserve N95 respirators based on institutional pandemic phase and COVID-19 burden, with higher COVID-19 burden institutions more likely to resort to PPE conservation strategies.
CONCLUSIONS: The present study demonstrates the impact of COVID-19 on North American cardiac surgeons. Our study should stimulate further discussions to identify optimal solutions to improve workforce preparedness for subsequent surges, as well as facilitate the navigation of future healthcare crises.