{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:12:54Z","timestamp":1778083974417,"version":"3.51.4"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The war that began on October 7th, 2023, has impacted all major tertiary medical centers in Israel. In the largest cardiac surgery department in Israel there has been a surprising increase in the number of open-heart procedures, despite having approximately 50% of surgeons recruited to military service. The purpose of this study is to characterize this increase in the number of operations performed during wartime and assess whether the national crisis has affected patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was based on a prospectively collected registry of 275 patients who underwent cardiac surgery or extracorporeal membrane oxygenation (ECMO) during the first two months of war, October 7th 2023 \u2013 December 7th 2023, as well as patients that underwent cardiac surgery during the same period of time in 2022 (October 7th, 2022 \u2013 December 7th, 2022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>120 patients (43.6%) were operated on in 2022, and 155 (56.4%) during wartime in 2023. This signifies a 33.0% increase in open-heart procedures (109 in 2022 vs. 145 in 2023, p-value 0.26). There were no significant differences in the baseline characteristics of patients when comparing the 2022 patients to those in 2023. No significant differences between the two groups were found with regards to intraoperative characteristics or the type of surgery. However, compared to 2022, there was a 233% increase in the number of transplantations in the 2023 cohort (p-value 0.24). Patient outcomes during wartime were similar to those of 2022, including postoperative complications, length of stay, and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients who underwent cardiac surgery during wartime presented with comparable outcomes when compared to those of last year despite the increase in cardiac surgery workload. There was an increase in the number of transplants this year, attributed to the unfortunate increase in organ donors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-024-02907-4","type":"journal-article","created":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T22:01:55Z","timestamp":1720994515000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cardiac surgery during wartime in Israel"],"prefix":"10.1186","volume":"19","author":[{"given":"Eitan","family":"Keizman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer","family":"Jamal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irena","family":"Sarantsev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eilon","family":"Ram","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aryel","family":"Furman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Kogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehud","family":"Raanani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonid","family":"Sternik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"issue":"7","key":"2907_CR1","doi-asserted-by":"publisher","first-page":"1536","DOI":"10.1177\/02676591221118689","volume":"38","author":"B-S Maruniak","year":"2023","unstructured":"Maruniak B-S, Druzhyna O, Loskutov O, Todurov B, Swol J. Being perfusionist during the war - cardiac surgery under missile strikes. Perfusion. 2023;38(7):1536\u20138. https:\/\/doi.org\/10.1177\/02676591221118689.","journal-title":"Perfusion"},{"key":"2907_CR2","doi-asserted-by":"publisher","unstructured":"William M, Novick C, Mavroudis JP, Jacobs, Tom R. Kar. Ukraine: a cardiac surgical perspective. Cardiol Young 32: 513. https:\/\/doi.org\/10.1017\/S1047951122001317.","DOI":"10.1017\/S1047951122001317"},{"issue":"23","key":"2907_CR3","doi-asserted-by":"publisher","first-page":"2001","DOI":"10.1001\/jama.280.23.2001","volume":"280","author":"D Ornish","year":"1998","unstructured":"Ornish D, Scherwitz LW, Billings JH, Brown SE, Gould KL, et al. Intensive lifestyle changes for reversal of coronary heart disease. JAMA. 1998;280(23):2001\u20137. https:\/\/doi.org\/10.1001\/jama.280.23.2001.","journal-title":"JAMA"},{"issue":"5","key":"2907_CR4","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.jtcvs.2013.10.070","volume":"147","author":"C Dyke","year":"2014","unstructured":"Dyke C, Aronson S, Dietrich W, Hofmann A. Universal definition of perioperative bleeding in adult cardiac surgery. J Thorac Cardiovasc Surg. 2014;147(5):1458\u2013e14631. https:\/\/doi.org\/10.1016\/j.jtcvs.2013.10.070. Epub 2013 Dec 9. PMID: 24332097.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2907_CR5","doi-asserted-by":"publisher","unstructured":"Karthik S, Grayson AD, McCarron EE, Pullan DM. Reexploration for bleeding after coronary artery bypass surgery: risk factors, outcomes, and the effect of time delay. Ann Thorac Surg. 2004;78(2):527\u201334; discussion 534. https:\/\/doi.org\/10.1016\/j.athoracsur.2004.02.088. 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Epub 2020 Sep 16.","journal-title":"J Card Surg"},{"key":"2907_CR8","doi-asserted-by":"publisher","first-page":"1800","DOI":"10.1016\/j.hlc.2021.09.008","volume":"30","author":"JA Rochelle Wynne","year":"2021","unstructured":"Rochelle Wynne JA, Smith. Cardiac surgery in Australia during the COVID-19 Global Pandemic. Heart Lung Circulation. 2021;30:1800\u20134. https:\/\/doi.org\/10.1016\/j.hlc.2021.09.008.","journal-title":"Heart Lung Circulation"},{"key":"2907_CR9","doi-asserted-by":"publisher","unstructured":"Rubino AS, De Santo LS et al. Antonio Pisano, Michele di Mauro, Stefano Benussi. Cardiac surgery practice during the COVID-19 outbreak: a multicentre national survey. Eur J Cardiothorac Surg. 2021 Feb 28: ezaa436. https:\/\/doi.org\/10.1093\/ejcts\/ezaa436.","DOI":"10.1093\/ejcts\/ezaa436"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02907-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02907-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02907-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T10:12:05Z","timestamp":1721038325000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02907-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,15]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2907"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02907-4","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3932958\/v1","asserted-by":"object"}]},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,15]]},"assertion":[{"value":"6 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the hospital IRB. Approval number: 4527. Date of approval: 7 November 2023. (patient consent to participate; not relevant).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Well-formed cardiac surgery centers under an increased workload with absent personnel, comparable outcomes are attainable. The number of transplantations is expected to increase during wartime.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Central message"}},{"value":"The largest cardiac surgery center in Israel has seen significant increases in workload during the ongoing war in the region despite many surgeons serving in military service. This study characterizes the outcomes of the patients undergoing cardiac surgery during wartime, and provides insights on the importance of a well-formed cardiac surgery team operating during a national crisis.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Perspective statement"}},{"value":"The authors declare that they have no conflict of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"446"}}