Cardiac implantable electronic devices replacements in patients followed by remote monitoring during COVID-19 lockdown.
Cardiac implantable electronic devices replacements in patients followed by remote monitoring during COVID-19 lockdown.
复制标题
DOI：
10.1093/ehjdh/ztaa018
复制
发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Nigro G
中科院分区：
文献类型：
--
作者：
Russo V;Rapacciuolo A;Pafundi PC;de Divitiis M;Volpicelli M;Ruocco A;Rago A;Uran C;Nappi F;Attena E;Chianese R;Esposito F;Del Giorno G;D'Andrea A;Ducceschi V;Russo G;Ammendola E;Carbone A;Covino G;Manzo G;Montella GM;D'Onofrio A;Nigro G
新冠肺炎疫情爆发后，意大利政府采取了严格的封锁和保持社交距离的措施。本研究的目的是评估意大利第三大人口稠密地区坎帕尼亚在COVID-19封锁期间心脏植入式电子设备（CIEDs）置换手术的入院率。数据来自2020年3月10日至5月4日（封锁期间）和2019年同期坎帕尼亚的16家转诊医院。我们回顾性评估了两个观察期内连续住院接受cied置换手术的患者。比较远程监测（RM）患者cied更换手术的次数和类型、住院率和两个观察期的住院类型。在两个观察期内，总共有270名连续患者住院接受cied置换手术。总体而言，在新冠肺炎封锁期间，cied更换程序的减少率为41.2%。患者性别分布均匀（P = 0.581），两种年龄[中位76岁（IQR: 68-83） vs. 79岁（IQR: 68-83）；p = 0.497]。与2019年相比，在2019冠状病毒肺炎封锁期间，RM后患者的心脏植入式电子设备更换手术数量显著增加（IR: +211%, P < 0.001），主要原因是PM （IR: +475%, P < 0.001）和植入式心脏除颤器更换手术数量（IR: +67%, P = 0.01）的增长趋势显著。我们发现，在cied患者中，RM之后的置换手术率呈显著上升趋势，这表明在COVID-19封锁期间，其用于密切监测和优化住院时间的假设增加了。
Following coronavirus disease (COVID-19) outbreak, the Italian government adopted strict rules of lockdown and social distancing. The aim of our study was to assess the admission rate for cardiac implantable electronic devices (CIEDs) replacement procedures in Campania, the 3rd-most-populous region of Italy, during COVID-19 lockdown. Data were sourced from 16 referral hospitals in Campania from 10 March to 4 May 2020 (lockdown period) and during the same period in 2019. We retrospectively evaluated consecutive patients hospitalized for CIEDs replacement procedures during the two observational periods. The number and type of CIEDs replacement procedures among patients followed by remote monitoring (RM), the admission rate, and the type of hospital admission between the two observational periods were compared. In total, 270 consecutive patients were hospitalized for CIEDs replacement procedures over the two observation periods. Overall CIEDs replacement procedures showed a reduction rate of 41.2% during COVID-19 lockdown. Patients were equally distributed for sex (P = 0.581), and both age [median 76 years (IQR: 68–83) vs. 79 years (IQR: 68–83); P = 0.497]. Cardiac implantable electronic devices replacement procedures in patients followed by RM significantly increased (IR: +211%; P < 0.001), mainly driven by the remarkable increase rate trend of both PM (IR: +475%; P < 0.001) and implantable cardiac defibrillator replacement procedures (IR: +67%, P = 0.01), during COVID-19 lockdown compared with 2019 timeframe. We showed a significant increase trend rate of replacement procedures among CIEDs patients followed by RM, suggesting the hypothesis of its increased use to closely monitoring and to optimize the hospital admission time during COVID-19 lockdown.