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STRUCTURED ABSTRACT OBJECTIVE The COVID-19 Pandemic posed challenges to healthcare services across the world There has been a significant restructuring of healthcare resources to protect services for patients with COVID-related illness and to maintain emergency and urgent medical and surgical activity This study assess access to emergency treatment, logistical challenges and outcomes of patients with acute aortic syndrome during early months of COVID-19 Pandemic in the United Kingdom METHODS A multicentre study participated by 19 cardiac centres from 1st March to 20th May 2020 A retrospective analysis of prospectively collected data obtained from individual centres’ national cardiac surgical database Demographic details, choice of treatment, operative details and outcomes were collected COVID screening, timing of surgery and outcomes of COVID positive and negative patients were also analysed RESULTS 88 patients presented with acute aortic syndrome to participating centres from 1st March to 20th May 2020 There were 79 aortic dissections (89 8%), 7 intramural haematomas (7 9%) and 2 penetrating aortic ulcers (2 3%) Seventy-nine patients (89 8%) underwent surgery In-hospital mortality was 25 3% (n= 20) Postoperative complications included: 13 9% postoperative stroke – 11 4% permanent and 2 3% temporary, 16 5% rate of haemofiltration and 10 1% rate of tracheostomy 9 patients were treated conservatively with mortality of 60% 7 patients were diagnosed with COVID and there was no associated mortality CONCLUSION Despite of extensive restructuring of healthcare resources, access to emergency and urgent treatment for acute aortic syndrome patients was maintained in the early months of COVID-19 Pandemic in the UK Clinical outcomes were similar to pre-pandemic period
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The fate of patients with acute aortic syndrome during Covid-19 Pandemic: a UK multicentre study
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