Monitoring indirect impact of COVID-19 pandemic on services for cardiovascular diseases in the UK.
Monitoring indirect impact of COVID-19 pandemic on services for cardiovascular diseases in the UK.
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监测 COVID-19 大流行对英国心血管疾病服务的间接影响。
DOI：
10.1136/heartjnl-2020-317870
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
CVD-COVID-UK Consortium
中科院分区：
文献类型：
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作者：
Ball S;Banerjee A;Berry C;Boyle JR;Bray B;Bradlow W;Chaudhry A;Crawley R;Danesh J;Denniston A;Falter F;Figueroa JD;Hall C;Hemingway H;Jefferson E;Johnson T;King G;Lee KK;McKean P;Mason S;Mills NL;Pearson E;Pirmohamed M;Poon MTC;Priedon R;Shah A;Sofat R;Sterne JAC;Strachan FE;Sudlow CLM;Szarka Z;Whiteley W;Wyatt M;CVD-COVID-UK Consortium
在2019冠状病毒病大流行期间，监测医院心血管疾病的表现、诊断和治疗活动，以了解间接影响。在英国九家医院进行的回顾性系列横断面研究，使用2019年10月28日（COVID-19前）至2020年5月10日（封锁放松前）以及2018-2019年相同周的医院活动数据。我们分析了流行病之前和期间某些心血管疾病的汇总数据。我们制作了一个在线可视化工具，以实现对趋势的近实时监控。九间医院的总入院人次及急诊科（艾德）求诊人次于封城后（二零二零年三月二十三日）分别较去年减少57. 9%（57. 1%-58. 6%）及52. 9%（52. 2%-53. 5%）。心脏、脑血管和其他血管疾病的活动在封锁前1-2周开始下降，封锁后下降31%-88%，观察到冠状动脉旁路移植术、颈动脉内膜切除术、主动脉瘤修复术和外周动脉疾病手术的降幅最大。与英国首次COVID-19之前相比（2020年1月31日），从第一例病例到封锁期间，各种疾病和专业的活动都有所下降（总艾德就诊相对减少（RR）0.94，0.93-0.95;总住院RR 0.96，0.95-0.97）和封锁后（就诊RR 0.63，0.62-0.64;入院RR 0.59，0.57-0.60）。自二零二零年四月中旬起，部分业务恢复至正常水平的程度有限。总体活动和心血管活动的大幅减少可能会加重大流行病间接影响的沉重负担，这表明应紧急监测和缓解这些影响。
To monitor hospital activity for presentation, diagnosis and treatment of cardiovascular diseases during the COVID-19) pandemic to inform on indirect effects. Retrospective serial cross-sectional study in nine UK hospitals using hospital activity data from 28 October 2019 (pre-COVID-19) to 10 May 2020 (pre-easing of lockdown) and for the same weeks during 2018–2019. We analysed aggregate data for selected cardiovascular diseases before and during the epidemic. We produced an online visualisation tool to enable near real-time monitoring of trends. Across nine hospitals, total admissions and emergency department (ED) attendances decreased after lockdown (23 March 2020) by 57.9% (57.1%–58.6%) and 52.9% (52.2%–53.5%), respectively, compared with the previous year. Activity for cardiac, cerebrovascular and other vascular conditions started to decline 1–2 weeks before lockdown and fell by 31%–88% after lockdown, with the greatest reductions observed for coronary artery bypass grafts, carotid endarterectomy, aortic aneurysm repair and peripheral arterial disease procedures. Compared with before the first UK COVID-19 (31 January 2020), activity declined across diseases and specialties between the first case and lockdown (total ED attendances relative reduction (RR) 0.94, 0.93–0.95; total hospital admissions RR 0.96, 0.95–0.97) and after lockdown (attendances RR 0.63, 0.62–0.64; admissions RR 0.59, 0.57–0.60). There was limited recovery towards usual levels of some activities from mid-April 2020. Substantial reductions in total and cardiovascular activities are likely to contribute to a major burden of indirect effects of the pandemic, suggesting they should be monitored and mitigated urgently.
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DOI：
10.1016/s0140-6736(18)31923-8
发表时间：
2018-09-15
期刊：
Lancet (London, England)
影响因子：
--
作者：
Shah ASV;Anand A;Strachan FE;Ferry AV;Lee KK;Chapman AR;Sandeman D;Stables CL;Adamson PD;Andrews JPM;Anwar MS;Hung J;Moss AJ;O'Brien R;Berry C;Findlay I;Walker S;Cruickshank A;Reid A;Gray A;Collinson PO;Apple FS;McAllister DA;Maguire D;Fox KAA;Newby DE;Tuck C;Harkess R;Parker RA;Keerie C;Weir CJ;Mills NL;High-STEACS Investigators
通讯作者：
High-STEACS Investigators
影响因子：
8.3
作者：
Johal, Amundeep S.;Loftus, Ian M.;Cromwell, David A.
通讯作者：
Cromwell, David A.
影响因子：
18.2
作者：
Bromage, Daniel I.;Cannata, Antonio;McDonagh, Theresa A.
通讯作者：
McDonagh, Theresa A.
DOI：
10.1001/jama.2020.6775
发表时间：
2020-01-01
期刊：
JAMA, Journal of the American Medical Association
影响因子：
--
作者：
Richardson, Safiya;Hirsch, Jamie S.;,
通讯作者：
,
DOI：
10.1016/s0140-6736(18)32335-3
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2017 DALYs and HALE Collaborators
通讯作者：
GBD 2017 DALYs and HALE Collaborators