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worked ina facility with more than 400 beds (46.4%;Table I).Most of the respondents completed the entire survey(91.2%), and there was no significant regional differencein completion rates (87.7%, 95.1%, 89.7%, and 92.6%respectively;P¼.16).COVID-19-related changes to in-hospital surgicalpractice.Of the 480 vascular surgeons who answeredthe questions regarding intensive care unit (ICU) capac-ity, most noted that ICU beds were available at their hos-pital (n¼402 [83.7%]), although others had patientsboarding in the emergency department (14.6%), postop-erative care unit, and/or operating rooms (11%). The lackof ICU beds was most common in the Northeast region,where more than one-quarter noted that ICU beds wereat capacity, and patients were being boarded in thepostanesthesia care unit (PACU)/operating room(Table II).ARTICLE HIGHLIGHTSdType of Research:The coronavirus disease-19(COVID-19) Pandemic Practice, Anxiety, Coping andSupport Survey for Vascular Surgeons is an anony-mous cross-sectional global survey sponsored bythe Society for Vascular Surgery Wellness Committeedisseminated in April 14 to 24, 2020. This analysis fo-cuses on the impact of COVID-19 on vascular surgerypractice in the United States during this perioddKey Findings:The survey evaluated 535 vascular sur-geons in practice in the United States with an evendistribution in the four geographic regions: North-east, Southeast, Midwest and West/Southwest. TheCOVID-19 pandemic resulted in significant impactto the practice of vascular surgery across the UnitedStates with unprecedented surgery cancellation,changes in on-call schedules, and redeployment tononvascular surgical duties. Regional variation wasnoted in intensive care availability, outpatient-based laboratory, and COVID-19 exposure.dTake Home Message:The COVID-19 pandemic had asignificant impact on the practice of vascular surgeryacross the United States, with unprecedented surgi-cal cases cancellation, changes in on-call schedules,and redeployment to nonvascular surgical duties.Regional variation was noted in intensive care avail-ability, outpatient-based laboratory, and COVID-19exposure.JournalofVascularSurgeryMouawad et al773Volume 73, Number 3 2-6789910The vast majority of respondents noted that all electivesurgical procedures were canceled (452/493 [91.2%]) withno significant differences by type of hospital (92.6%teaching hospitals vs 89.2% nonteaching hospitals;P¼.238). A small number of vascular surgeons 8.3%(41/493) indicated that they were still performing electivecases focused primarily on dialysis access (58.5%), fol-lowed by aortic repair (51.2%), and lower extremity revas-cularization (48.8%;Fig 2). Elective surgery cancellationswere most prevalent in the Northeast (94.2%) and leastfrequent in the West/Southwest region (86.3%).Most respondents reported institutional adherence tothe SVS and/or the American College of Surgeons (ACS)guidelines for elective surgery during COVID-19 (425/492[86%]). Call schedules were modified for 45.9%, withthe majority noting that they had the same overall num-ber of call days in an altered distribution. Just over one-third of study participants (171 [34.8%]) were asked toassist in duties other than those of a vascular surgeon,most frequently in the Northeast region. The primaryredeployment was to the ICU, and the most commonreappropriation duty was placement of central venouscatheters (Fig 3).COVID-19 operating experience and exposure.A totalof 452 of 492 respondents (91.7%) indicated they haddedicated COVID-19 operating room protocols at theirhospital, and 49% had preoperative testing of patients forCOVID-19 available. Just under one-fourth of
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