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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Card+Fail 2020 ; 26 (10): S74-5 Nephropedia Template TP
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Changes in Care Delivery for Patients with Heart Failure During the Covid-19 Pandemic: Results of a Multicenter Survey #MMPMIDC7527198
J Card Fail 2020[Oct]; 26 (10): S74-5 PMIDC7527198show ga
Introduction: For patients with heart failure (HF), the impact of the COVID-19 pandemic on care delivery and access to guideline-directed therapies known to reduce morbidity and mortality is largely unknown. To better understand how COVID-19 has affected HF care, we queried clinicians across the United States participating in the CONNECT-HF clinical trial. Methods: A survey was developed by expert consensus and sent to all CONNECT-HF site principal investigators. Descriptive statistics were used for the quantitative questions and content analysis was performed for free-text responses. Results: Between 4/30/2020-5/13/2020, we received 83/149 responses (56% response rate), representing 83 unique HF programs from 32 states. The threshold for admitting patients to the hospital was unchanged for more than half of the respondents (n?=?46/80, 57.5%). All programs experienced a decrease of in-person clinic visits (n?=?82/82, 100%). A mean of 6827.9% of outpatient visits were converted to telehealth. Most programs reported routinely assessing guideline-directed medical therapy during telehealth visits (n?=?70/74, 94.6%). Referrals were lower at some programs for cardiac rehabilitation (n?=?49/77, 63.6%) and implantable cardioverter defibrillator (n?=?17/75, 22.7%). Three themes emerged from free-text responses: 1) patients being fearful and reluctant to visit the hospital; 2) lower volume of HF admissions and inpatient census; and 3) most HF research activities have been halted. Conclusions: The care of patients with HF has been impacted by COVID-19 across the United States. There is a need for further evaluation of these changes, revised guidelines and protocols for telehealth care delivery, and efforts to address patients? fear of seeking care.