Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/102658
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dc.contributor.authorGrima, Matthew Joe-
dc.contributor.authorDimech, Anthony Pio-
dc.contributor.authorPisani, Darryl-
dc.contributor.authorChircop, Francesca-
dc.contributor.authorWarrington, Eve-
dc.contributor.authorCassar, Kevin-
dc.date.accessioned2022-10-14T05:09:22Z-
dc.date.available2022-10-14T05:09:22Z-
dc.date.issued2022-
dc.identifier.citationGrima, M. J., Dimech, A. P., Pisani, D., Chircop, F., Warrington, E., & Cassar, K. (2022). COVID-19 Pandemic Lockdown: Uncovering the Hard Truth on Lower Limb Ischaemic Outcomes? A Single Centre Observational Study. European Journal of Vascular and Endovascular Surgery, 63(2), e32.en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar/handle/123456789/102658-
dc.description.abstractThe COVID-19 pandemic disrupted hospital services worldwide and Malta was no exception. This was especially true for vascular surgery where societies issued recommendations on how to adjust their services during the first wave of the pandemic. Malta has one tertiary hospital, with a vascular unit that was established in 2007. Since then, all lower limb procedures have been registered in the Maltese vascular registry (MaltaVasc), which has been internationally validated. In Malta, COVID-positive patient zero was recorded on 7 March 2020. The closure of the only airport was carried out on 21 March and a partial intelligence lockdown was started on 27 March, whereby vulnerable patients were advised to stay home and avoid going to work. On 5 June 2020, the government of Malta and Public Health authorities eased the lockdown for vulnerable patients and on 1 July 2020 the airport was opened to 19 destinations, with a gradual opening to other countries. Despite the partial lockdown, patients with hospital appointments were advised to keep their appointments unless they were cancelled by medical staff. Elective lists were reduced and non-urgent surgeries postponed. During this time, it was noted that few patients were presenting to hospital with signs and symptoms of chronic limb threatening ischaemia (CLTI). Furthermore, it was felt that patients with CLTI were presenting to hospital late, requiring either palliation or major amputation, and more patients required major amputation than in previous years. The primary aim of this study was to analyse the number of major and minor amputations, elective and/or urgent and emergency revascularisation procedures during the first wave of the COVID-19 pandemic. The secondary aims were to compare the number of lower limb procedures with the previous year and also to compare the rates of major amputations with the prevascular unit time period where few lower limb revascularisations were carried by the same authors.en_GB
dc.language.isoenen_GB
dc.publisherElsevier Ltden_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectMedicine—Specialties and specialistsen_GB
dc.subjectMedical care surveys -- Data processingen_GB
dc.subjectBlood-vessels -- Examination -- Maltaen_GB
dc.subjectVeins -- Diseases -- Maltaen_GB
dc.subjectMedical referral -- Maltaen_GB
dc.subjectCOVID-19 Pandemic, 2020- -- Malta-
dc.titleCovid-19 pandemic lockdown : Uncovering the hard truth on lower limb ischaemic outcomes? A single centre observational studyen_GB
dc.typearticleen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.description.reviewedpeer-revieweden_GB
dc.identifier.doi10.1016/j.ejvs.2021.12.011-
dc.publication.titleEuropean Journal of Vascular and Endovascular Surgeryen_GB
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