METHODS: Cross-sectional population-based analysis of publicly available data referring to vascular procedures. Surgeries 2 years before the pandemic onset (2018-2019) and 2 years during pandemic (2020-2021) were included.
RESULTS: We observed a total of 521,069 procedures. Decrease was observed in elective abdominal aortic aneurysm repairs both open surgery (P = 0.001) and endovascular surgery (P < 0.001), emergency open abdominal repairs (P = 0.005), elective thoracic aortic aneurysm repairs (P = 0.007), elective open peripheral aneurysm repairs (P = 0.038), carotid endarterectomies (P < 0.001) and angioplasties (P = 0.001), open revascularizations for peripheral arterial disease (P < 0.001), surgical treatment of chronic venous disease (P < 0.001) and sympathectomies for hyperhidrosis (P < 0.001). However, there was an increase of lower limb amputations (P = 0.027) and vena cava filter placements (P = 0.005). There was a reduction of almost US$17 million in financial investments.
CONCLUSIONS: The reorganization of health systems led to a significant reduction in vascular procedures and decrease in financial investments. On the other hand, there was a significant increase in the number of lower limb amputations and vena cava filter placements.
方法:对涉及血管手术的公开数据进行基于人群的横断面分析。包括大流行发作前两年(2018年至2019年)和大流行期间两年(2020年至2021年)的手术。
结果:我们共观察到521,069例手术。在选择性腹主动脉瘤修复术中观察到开放手术(p=0.001)和血管内手术(p<0.001)的减少,紧急开放式腹部AAA修复(p=0.005),选择性胸主动脉瘤修复术(p=0.007),选择性开放周围动脉瘤修复术(p=0.038),颈动脉内膜切除术(p<0.001)和血管成形术(p=0.001),周围动脉疾病的开放血运重建(p<0.001),慢性静脉疾病的手术治疗(p<0.001)和多汗症的交感神经切除术(p<0.001)。然而,下肢截肢(p=0.027)和腔静脉滤器位置(p=0.005)增加.金融投资减少了近1700万美元。
结论:卫生系统的重组导致血管手术的显著减少和金融投资的减少。另一方面,下肢截肢和腔静脉滤器放置次数显著增加.