Surgical correction of 149 cases of critical congenital heart disease during COVID-19 epidemic
10.3760/cma.j.cn112434-20200402-00184
- VernacularTitle:新型冠状病毒肺炎疫情下149例危重先天性心脏病的外科纠治
- Author:
Jihong HUANG
1
;
Huiwen CHEN
;
Guocheng SHI
;
Haibo ZHANG
;
Jinghao ZHENG
;
Zhongqun ZHU
;
Zhuoming XU
;
Hao ZHANG
Author Information
1. 上海交通大学医学院附属上海儿童医学中心心胸外科 200127
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(7):402-405
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarized the experience of 149 cases of critical pediatric cardiac surgery in a single-center during the epidemic period, for providing a safe and feasible management strategy.Methods:Based on the epidemiological characteristics of COVID-19, a strategy consisting of 14 days of isolation was established for the arrangement of cardiac surgery in children during the epidemic period. Retrospective analysis of clinical data of 149 cases of critical cardiac surgery performed from January 23, 2020 to March 20, 2020 under the guidance of this strategy. The primary composite endpoint was death and suspected or confirmed COVID-19.Results:The median age of the children undergoing surgery was 136 days; 73(49.0%) cases were male. Twenty-one cases (14.1%) came from Shanghai, one case (0.7%) came from Hubei Province, and 127 cases (85.2%) came from areas other than Hubei and Shanghai. One patient (0.7%) outside Shanghai who had been isolated for less than 14 days carried emergency surgery under special protection; other 148 patients (99.3%) underwent elective early repair procedure. One patient (0.7%) died, and no COVID-19 was confirmed or suspected.Conclusion:During the COVID-19 epidemic, pediatric cardiac surgery can be safely performed using a specific management strategy, which can be used as a reference when major public health events occur.
