Patterns of Recovery in Cardiovascular Care after the COVID-19 Pandemic Surge.
Patterns of Recovery in Cardiovascular Care after the COVID-19 Pandemic Surge.
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DOI：
10.1016/j.amjms.2021.09.005
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Gavin M
中科院分区：
文献类型：
--
作者：
Diamond JE;McIlvaine S;Korjian S;Cruden P;Dechen T;Piatkowski G;Kazi DS;Gavin M
心血管疾病仍然是全球头号死因。在冠状病毒病2019年(新冠肺炎)大流行期间，心血管疾病患者因推迟医疗保健而面临预后不良的风险。关于新冠肺炎飙升后心血管住院人数或程序量的恢复情况，人们知之甚少。我们试图检查围绕第一和第二波新冠肺炎需要医疗保健利用的心血管诊断，并描述马萨诸塞州一家三级护理中心恢复到大流行前水平的趋势。使用电子健康记录和行政索赔数据，我们对在前两次心血管疾病激增期间接受心血管手术和住院心脏病服务的患者进行了回顾性分析。采用ICD-10编码对入院病例进行分类。与新冠肺炎激增前和高峰后相比，在最初的新冠肺炎高峰期间提出护理的患者更年轻，有更高的共病负担，住院时间更长。在所有心脏诊断中，入院人数在第一波中显著下降(至激增前水平的29%)，随后最终完全恢复，第二波中的降幅较小。心脏程序容量在最初的激增期间显著下降，但在激增后迅速反弹，最终超过了COVID前的容量。在重新开放阶段，住院和手术人数逐渐恢复到激增前的水平，但最初并未完全恢复到激增前的水平，最终反弹至达到或超过新冠肺炎之前的水平。在某种程度上，这反映了推迟或放弃基本护理，可能会对长期心血管结果产生不利影响。这些结果应该为在未来大流行激增期间提供心血管护理提供规划提供信息。
Cardiovascular disease remains the number one cause of death globally. Patients with cardiovascular disease are at risk of poor outcomes from deferral of healthcare during the coronavirus disease 2019 (COVID-19) pandemic. Little is known about recovery of cardiovascular hospitalizations or procedural volume following the COVID-19 surges. We sought to examine the cardiovascular diagnoses requiring healthcare utilization surrounding the first and second COVID-19 waves and characterize trends in return to pre-pandemic levels at a tertiary care center in Massachusetts. Using electronic health records and administrative claims data, we performed a retrospective analysis of patients undergoing cardiovascular procedures and admitted to inpatient cardiology services throughout the first two COVID surges. ICD-10 codes were used to categorize admissions. Patients who presented for care during the initial COVID-19 surge were younger, had higher comorbidity burden, and longer length-of-stay compared with pre- and post-surge. Marked declines in admissions in the first wave (to 29% of pre-surge levels) followed eventually by complete recovery were noted across all cardiac diagnoses, with smaller declines seen in the second wave. Cardiac procedural volume declined significantly during the initial surge but quickly rebounded post-surge, eventually eclipsing pre-COVID volume. There was a gradual but initially incomplete recovery to pre-surge levels of hospitalizations and procedures during the reopening phase, which eventually rebounded to meet or exceed pre-COVID-19 levels. To the extent that this reflects deferred or foregone essential care, it may adversely affect long-term cardiovascular outcomes. These results should inform planning for cardiovascular care delivery during future pandemic surges.
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DOI：
10.1016/j.amjmed.2020.08.043
发表时间：
2021-04
期刊：
The American journal of medicine
影响因子：
--
作者：
Sokolski M;Gajewski P;Zymliński R;Biegus J;Berg JMT;Bor W;Braunschweig F;Caldeira D;Cuculi F;D'Elia E;Edes IF;Garus M;Greenwood JP;Halfwerk FR;Hindricks G;Knuuti J;Kristensen SD;Landmesser U;Lund LH;Lyon A;Mebazaa A;Merkely B;Nawrocka-Millward S;Pinto FJ;Ruschitzka F;Semedo E;Senni M;Sepehri Shamloo A;Sorensen J;Stengaard C;Thiele H;Toggweiler S;Tukiendorf A;Verhorst PM;Wright DJ;Zamorano P;Zuber M;Narula J;Bax JJ;Ponikowski P
通讯作者：
Ponikowski P
DOI：
10.1377/hlthaff.2020.00980
发表时间：
2020-11
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Birkmeyer JD;Barnato A;Birkmeyer N;Bessler R;Skinner J
通讯作者：
Skinner J
影响因子：
37.8
作者：
Rodriguez F;Solomon N;de Lemos JA;Das SR;Morrow DA;Bradley SM;Elkind MSV;Williams JH;Holmes D;Matsouaka RA;Gupta D;Gluckman TJ;Abdalla M;Albert MA;Yancy CW;Wang TY
通讯作者：
Wang TY
DOI：
10.1093/jamia/ocaa067
发表时间：
2020-06-01
影响因子：
6.4
作者：
Wosik, Jedrek;Fudim, Marat;Tcheng, James
通讯作者：
Tcheng, James
影响因子：
24
作者：
Bhatt, Ankeet S.;Moscone, Alea;Vaduganathan, Muthiah
通讯作者：
Vaduganathan, Muthiah