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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Heart 2020 ; 106 (24): 1890-1897 Nephropedia Template TP
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Monitoring indirect impact of COVID-19 pandemic on services for cardiovascular diseases in the UK #MMPMID33020224
Ball S; Banerjee A; Berry C; Boyle JR; Bray B; Bradlow W; Chaudhry A; Crawley R; Danesh J; Denniston A; Falter F; Figueroa JD; Hall C; Hemingway H; Jefferson E; Johnson T; King G; Lee KK; McKean P; Mason S; Mills NL; Pearson E; Pirmohamed M; Poon MTC; Priedon R; Shah A; Sofat R; Sterne JAC; Strachan FE; Sudlow CLM; Szarka Z; Whiteley W; Wyatt M
Heart 2020[Dec]; 106 (24): 1890-1897 PMID33020224show ga
OBJECTIVE: To monitor hospital activity for presentation, diagnosis and treatment of cardiovascular diseases during the COVID-19) pandemic to inform on indirect effects. METHODS: Retrospective serial cross-sectional study in nine UK hospitals using hospital activity data from 28 October 2019 (pre-COVID-19) to 10 May 2020 (pre-easing of lockdown) and for the same weeks during 2018-2019. We analysed aggregate data for selected cardiovascular diseases before and during the epidemic. We produced an online visualisation tool to enable near real-time monitoring of trends. RESULTS: Across nine hospitals, total admissions and emergency department (ED) attendances decreased after lockdown (23 March 2020) by 57.9% (57.1%-58.6%) and 52.9% (52.2%-53.5%), respectively, compared with the previous year. Activity for cardiac, cerebrovascular and other vascular conditions started to decline 1-2 weeks before lockdown and fell by 31%-88% after lockdown, with the greatest reductions observed for coronary artery bypass grafts, carotid endarterectomy, aortic aneurysm repair and peripheral arterial disease procedures. Compared with before the first UK COVID-19 (31 January 2020), activity declined across diseases and specialties between the first case and lockdown (total ED attendances relative reduction (RR) 0.94, 0.93-0.95; total hospital admissions RR 0.96, 0.95-0.97) and after lockdown (attendances RR 0.63, 0.62-0.64; admissions RR 0.59, 0.57-0.60). There was limited recovery towards usual levels of some activities from mid-April 2020. CONCLUSIONS: Substantial reductions in total and cardiovascular activities are likely to contribute to a major burden of indirect effects of the pandemic, suggesting they should be monitored and mitigated urgently.
|*COVID-19[MESH]
|Cardiology Service, Hospital/*trends[MESH]
|Cardiovascular Diseases/diagnosis/*therapy[MESH]
|Cross-Sectional Studies[MESH]
|Delivery of Health Care, Integrated/*trends[MESH]
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Heart 2020 ; 106 (24): 1890-1897
