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The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis

BACKGROUND: Studies have shown a decline in the admission rates of various diseases during the COVID-19 pandemic. Prosthetic valve thrombosis (PVT) is a rare condition followed by surgical or transcatheter valvular interventions. Considering the lack of data on hospitalization rates due to PVT durin...

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Autores principales: Jameie, Mana, Safarian Nematabad, Mohammad, Mansouri, Pejman, Jalali, Arash, Aghajani, Faezeh, Lotfi-Tokaldany, Masoumeh, Aghajani, Hassan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10459344/
https://www.ncbi.nlm.nih.gov/pubmed/37637285
http://dx.doi.org/10.18502/jthc.v18i2.13324
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author Jameie, Mana
Safarian Nematabad, Mohammad
Mansouri, Pejman
Jalali, Arash
Aghajani, Faezeh
Lotfi-Tokaldany, Masoumeh
Aghajani, Hassan
author_facet Jameie, Mana
Safarian Nematabad, Mohammad
Mansouri, Pejman
Jalali, Arash
Aghajani, Faezeh
Lotfi-Tokaldany, Masoumeh
Aghajani, Hassan
author_sort Jameie, Mana
collection PubMed
description BACKGROUND: Studies have shown a decline in the admission rates of various diseases during the COVID-19 pandemic. Prosthetic valve thrombosis (PVT) is a rare condition followed by surgical or transcatheter valvular interventions. Considering the lack of data on hospitalization rates due to PVT during the pandemic, this study evaluated the implications of the COVID-19 pandemic on PVT admissions and characteristics in a tertiary referral center. METHODS: Data from all the consecutive patients hospitalized due to PVT between February 2020 and February 2021 (the first year of the pandemic) were collected from medical records and compared clinically with the corresponding time before the pandemic (February 2019 through February 2020). Variables of interest included the number of hospitalization, patient and valve characteristics, diagnostic and management strategies, and in-hospital events. RESULTS: Forty patients (32.5% male, age: 54.0 [46.5–62.0 y] comprised the study population. We observed a considerable decline in hospitalization rates during the pandemic, from 31 to 9 patients. Admitted patients were 8 years younger, had a higher proportion of the New York Heart Association functional class III or IV symptoms (44.4% vs 22.6%), were more often treated with fibrinolysis (33.3% vs 22.6%) or surgical approaches (33.3% vs 22.6%), and were discharged 6 days sooner. CONCLUSION: We described a reduction in PVT hospitalization. Patients presented with a higher proportion of severe dyspnea and had increased treatment with fibrinolysis/surgical approaches. These observations highlight the necessity of the active surveillance of patients with prosthetic valves by caregivers for timely diagnosis and appropriate management during the pandemic.
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spelling pubmed-104593442023-08-27 The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis Jameie, Mana Safarian Nematabad, Mohammad Mansouri, Pejman Jalali, Arash Aghajani, Faezeh Lotfi-Tokaldany, Masoumeh Aghajani, Hassan J Tehran Heart Cent Brief Report BACKGROUND: Studies have shown a decline in the admission rates of various diseases during the COVID-19 pandemic. Prosthetic valve thrombosis (PVT) is a rare condition followed by surgical or transcatheter valvular interventions. Considering the lack of data on hospitalization rates due to PVT during the pandemic, this study evaluated the implications of the COVID-19 pandemic on PVT admissions and characteristics in a tertiary referral center. METHODS: Data from all the consecutive patients hospitalized due to PVT between February 2020 and February 2021 (the first year of the pandemic) were collected from medical records and compared clinically with the corresponding time before the pandemic (February 2019 through February 2020). Variables of interest included the number of hospitalization, patient and valve characteristics, diagnostic and management strategies, and in-hospital events. RESULTS: Forty patients (32.5% male, age: 54.0 [46.5–62.0 y] comprised the study population. We observed a considerable decline in hospitalization rates during the pandemic, from 31 to 9 patients. Admitted patients were 8 years younger, had a higher proportion of the New York Heart Association functional class III or IV symptoms (44.4% vs 22.6%), were more often treated with fibrinolysis (33.3% vs 22.6%) or surgical approaches (33.3% vs 22.6%), and were discharged 6 days sooner. CONCLUSION: We described a reduction in PVT hospitalization. Patients presented with a higher proportion of severe dyspnea and had increased treatment with fibrinolysis/surgical approaches. These observations highlight the necessity of the active surveillance of patients with prosthetic valves by caregivers for timely diagnosis and appropriate management during the pandemic. Tehran University of Medical Sciences 2023-04 /pmc/articles/PMC10459344/ /pubmed/37637285 http://dx.doi.org/10.18502/jthc.v18i2.13324 Text en Copyright © 2023 Tehran University of Medical Sciences. Published by Tehran University of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (https://creativecommons.org/licenses/by-nc/4.0/). Noncommercial uses of the work are permitted, provided the original work is properly cited.
spellingShingle Brief Report
Jameie, Mana
Safarian Nematabad, Mohammad
Mansouri, Pejman
Jalali, Arash
Aghajani, Faezeh
Lotfi-Tokaldany, Masoumeh
Aghajani, Hassan
The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis
title The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis
title_full The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis
title_fullStr The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis
title_full_unstemmed The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis
title_short The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis
title_sort impact of the covid-19 pandemic on hospitalization rates due to prosthetic valve thrombosis
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10459344/
https://www.ncbi.nlm.nih.gov/pubmed/37637285
http://dx.doi.org/10.18502/jthc.v18i2.13324
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