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2020 ; 2
(4
): 265-272
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
COVID-19 Pandemic: Global Impact and Potential Implications for Cardiovascular
Disease in Canada
#MMPMID32691023
Botly LCP
; Martin-Rhee M
; Kasiban A
; Swartz RH
; Mulvagh SL
; Lindsay MP
; Goia C
; Smith EE
; Hill MD
; Field TS
; Krahn AD
; Oudit GY
; Zieroth S
; Yip CYY
CJC Open
2020[Jul]; 2
(4
): 265-272
PMID32691023
show ga
BACKGROUND: The literature indicates that cardiovascular disease (CVD; including
stroke), older age, and availability of health care resources affect COVID-19
case fatality rates (CFRs). The cumulative effect of COVID-19 CFRs in global CVD
populations and the extrapolated effect on access to health care services in the
CVD population in Canada are not fully known. In this study we explored the
relationships of factors that might affect COVID-19 CFRs and estimated the
potential indirect effects of COVID-19 on Canadian health care resources.
METHODS: Country-level epidemiological data were analyzed to study the
correlation, main effect, and interaction between COVID-19 CFRs and: (1) the
proportion of the population with CVD; (2) the proportion of the population 65
years of age or older; and (3) the availability of essential health services as
defined by the World Health Organization Universal Health Coverage index. For
indirect implications on health care resources, estimates of the volume of
postponed coronary artery bypass grafting, percutaneous coronary intervention,
and valve surgeries in Ontario were calculated. RESULTS: Positive correlations
were found between COVID-19 CFRs and: (1) the proportion of the population with
CVD (? = 0.40; P = 0.001); (2) the proportion of the population 65 years of age
or older (? = 0.43; P = 0.0005); and (3) Universal Health Coverage index (? =
0.27; P = 0.03). For every 1% increase in the proportion of the population 65
years of age or older or proportion of the population with CVD, the COVID-19 CFR
was 9% and 19% higher, respectively. Approximately 1252 procedures would be
postponed monthly in Ontario because of current public health measures.
CONCLUSIONS: Countries with more prevalent CVD reported higher COVID-19 CFRs.
Strain on health care resources is likely in Canada.