{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:10:06Z","timestamp":1790518206412,"version":"4.1.0"},"reference-count":33,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T00:00:00Z","timestamp":1637020800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-20-COV1-0005-01"],"award-info":[{"award-number":["ANR-20-COV1-0005-01"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Background: There are still gaps regarding the impact of the nationwide lockdown on non-COVID-19 emergency hospitalizations. This study aims to describe the trends in hospitalizations for cardiovascular surgical emergencies in France, before, during and after the first lockdown. Materials and Methods: All adults admitted for mechanical complications of myocardial infarction (MI), aortic dissection, aortic aneurysm rupture, acute and critical limb ischemia, circulatory assistance, heart transplantation and major amputation were included. This retrospective cohort study used the French National Hospital Discharge database. The numbers of hospitalizations per month in 2020 were compared to the previous three years. Results: From January to September 2020, 94,408 cases of the studied conditions were reported versus 103,126 in the same period in 2019 (\u22128.5%). There was a deep drop in most conditions during the lockdown, except for circulatory assistance, which increased. After the lockdown, mechanical complications of MI and aortic aneurysm rupture increased, and cardiac transplantations declined compared with previous years. Conclusion: We confirmed a deep drop in most cardiovascular surgical emergencies during the lockdown. The post-lockdown period was characterized by a small over-recovery for mechanical complications of MI and aortic aneurysm rupture, suggesting that many patients were able to access surgery after the lockdown.<\/jats:p>","DOI":"10.3390\/life11111245","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T02:42:28Z","timestamp":1637116948000},"page":"1245","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6514-297X","authenticated-orcid":false,"given":"Anna","family":"Baudry","sequence":"first","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University Hospital of Dijon, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0134-1248","authenticated-orcid":false,"given":"Anne-Sophie","family":"Mariet","sequence":"additional","affiliation":[{"name":"Biostatistics and Bioinformatics (DIM), University Hospital of Dijon, 21000 Dijon, France"},{"name":"CIC1432, University Hospital of Dijon, Clinical Investigation Center, Clinical Epidemiology\/Clinical Trials Unit, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Benzenine","sequence":"additional","affiliation":[{"name":"Biostatistics and Bioinformatics (DIM), University Hospital of Dijon, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin","family":"Crespy","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University Hospital of Dijon, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7695-9416","authenticated-orcid":false,"given":"Chlo\u00e9","family":"Bernard","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University Hospital of Dijon, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Catherine","family":"Morgant","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University Hospital of Dijon, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7848-7072","authenticated-orcid":false,"given":"Yannick","family":"Bejot","sequence":"additional","affiliation":[{"name":"Neurology Department, University Hospital of Dijon, 21000 Dijon, France"},{"name":"Dijon Stroke Registry (Sant\u00e9 Publique France\u2013Inserm)-EA 7460 (Pathophysiology and Epidemiology of Cerebro-CardioVascular Diseases), University of Burgundy, UFBC, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0718-8523","authenticated-orcid":false,"given":"Maurice","family":"Giroud","sequence":"additional","affiliation":[{"name":"Neurology Department, University Hospital of Dijon, 21000 Dijon, France"},{"name":"Dijon Stroke Registry (Sant\u00e9 Publique France\u2013Inserm)-EA 7460 (Pathophysiology and Epidemiology of Cerebro-CardioVascular Diseases), University of Burgundy, UFBC, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Bouchot","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University Hospital of Dijon, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1210-1680","authenticated-orcid":false,"given":"Eric","family":"Steinmetz","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, University Hospital of Dijon, 21000 Dijon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5134-9411","authenticated-orcid":false,"given":"Catherine","family":"Quantin","sequence":"additional","affiliation":[{"name":"Biostatistics and Bioinformatics (DIM), University Hospital of Dijon, 21000 Dijon, France"},{"name":"CIC1432, University Hospital of Dijon, Clinical Investigation Center, Clinical Epidemiology\/Clinical Trials Unit, 21000 Dijon, France"},{"name":"Universit\u00e9 Paris-Saclay, UVSQ, University of Paris-Sud, Inserm, High-Dimensional Biostatistics for Drug Safety and Genomics, CESP, 94800 Villejuif, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"699","DOI":"10.15585\/mmwr.mm6923e1","article-title":"Impact of the COVID-19 Pandemic on Emergency Department Visits\u2014United States, 1 January 2019\u201330 May 2020","volume":"69","author":"Hartnett","year":"2020","journal-title":"MMWR Morb. 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