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2020 ; 22
(6
): 978-984
Nephropedia Template TP
gab.com Text
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The impact of COVID-19 on heart failure hospitalization and management: report
from a Heart Failure Unit in London during the peak of the pandemic
#MMPMID32478951
Bromage DI
; Cannatà A
; Rind IA
; Gregorio C
; Piper S
; Shah AM
; McDonagh TA
Eur J Heart Fail
2020[Jun]; 22
(6
): 978-984
PMID32478951
show ga
AIMS: To examine the impact of COVID-19 on acute heart failure (AHF)
hospitalization rates, clinical characteristics and management of patients
admitted to a tertiary Heart Failure Unit in London during the peak of the
pandemic. METHODS AND RESULTS: Data from King's College Hospital, London,
reported to the National Heart Failure Audit for England and Wales, between 2
March-19 April 2020 were compared both to a pre-COVID cohort and the
corresponding time periods in 2017 to 2019 with respect to absolute
hospitalization rates. Furthermore, we performed detailed comparison of patients
hospitalized during the COVID-19 pandemic and patients presenting in the same
period in 2019 with respect to clinical characteristics and management during the
index admission. A significantly lower admission rate for AHF was observed during
the study period compared to all other included time periods. Patients admitted
during the COVID-19 pandemic had higher rates of New York Heart Association III
or IV symptoms (96% vs. 77%, P = 0.03) and severe peripheral oedema (39% vs. 14%,
P = 0.01). We did not observe any differences in inpatient management, including
place of care and pharmacological management of heart failure with reduced
ejection fraction. CONCLUSION: Incident AHF hospitalization significantly
declined in our centre during the COVID-19 pandemic, but hospitalized patients
had more severe symptoms at admission. Further studies are needed to investigate
whether the incidence of AHF declined or patients did not present to hospital
while the national lockdown and social distancing restrictions were in place.
From a public health perspective, it is imperative to ascertain whether this will
be associated with worse long-term outcomes.