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Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors
AIMS: This study aimed to evaluate the decline in urgent cardiovascular hospital admissions and in-hospital mortality during the COVID pandemic in two successive waves, and to evaluate differences by sex, age, and deprivation index subgroups. METHODS AND RESULTS: We obtained acute cardiovascular hos...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087754/ https://www.ncbi.nlm.nih.gov/pubmed/35557541 http://dx.doi.org/10.3389/fcvm.2022.827212 |
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author | Álvarez-Martín, Claudia Ribera, Aida Marsal, Josep Ramon Ariza-Solé, Albert Pérez-Hoyos, Santiago Oristrell, Gerard Soriano-Colomé, Toni Romaguera, Rafael Pijoan, Jose Ignacio Lidón, Rosa M. Mauri, Josepa Ferreira-González, Ignacio |
author_facet | Álvarez-Martín, Claudia Ribera, Aida Marsal, Josep Ramon Ariza-Solé, Albert Pérez-Hoyos, Santiago Oristrell, Gerard Soriano-Colomé, Toni Romaguera, Rafael Pijoan, Jose Ignacio Lidón, Rosa M. Mauri, Josepa Ferreira-González, Ignacio |
author_sort | Álvarez-Martín, Claudia |
collection | PubMed |
description | AIMS: This study aimed to evaluate the decline in urgent cardiovascular hospital admissions and in-hospital mortality during the COVID pandemic in two successive waves, and to evaluate differences by sex, age, and deprivation index subgroups. METHODS AND RESULTS: We obtained acute cardiovascular hospital episodes during the years 2019–2020 from region-wide data on public healthcare usage for the population of Catalonia (North-East Spain). We fitted time models to estimate the incidence rate ratios (IRRs) of the acute coronary syndrome (ACS) and acute heart failure (HF) admissions during the first pandemic wave, the between-waves period, and the second wave compared with the corresponding pre-COVID-19 periods and to test for the interaction with sex, age, and area-based socioeconomic level. We evaluated the effect of COVID-19 period on in-hospital mortality. ACS (n = 8,636) and HF (n = 27,566) episodes were defined using primary diagnostic ICD-10 codes. ACS and HF admissions decreased during the first wave (IRR = 0.66, 95%CI: 0.58–0.76 and IRR = 0.61, 95% CI: 0.55–0.68, respectively) and during the second wave (IRR = 0.80, 95%CI: 0.72–0.88 and IRR = 0.76, 95%CI: 0.69–0.84, respectively); acute HF admissions also decreased in the period between waves (IRR: 0.81, 95%CI: 0.74–0.89). The impact was similar in all sex and socioeconomic subgroups and was higher in older patients with ACS. In-hospital mortality was higher than expected only during the first wave. CONCLUSION: During the first wave of the COVID-19 pandemic, there was a marked decline in urgent cardiovascular hospital admissions that were attenuated during the second wave. Both the decline and the attenuation of the effect have been similar in all subgroups regardless of age, sex, or socioeconomic status. In-hospital mortality for ACS and HF episodes increased during the first wave, but not during the second wave. |
format | Online Article Text |
id | pubmed-9087754 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90877542022-05-11 Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors Álvarez-Martín, Claudia Ribera, Aida Marsal, Josep Ramon Ariza-Solé, Albert Pérez-Hoyos, Santiago Oristrell, Gerard Soriano-Colomé, Toni Romaguera, Rafael Pijoan, Jose Ignacio Lidón, Rosa M. Mauri, Josepa Ferreira-González, Ignacio Front Cardiovasc Med Cardiovascular Medicine AIMS: This study aimed to evaluate the decline in urgent cardiovascular hospital admissions and in-hospital mortality during the COVID pandemic in two successive waves, and to evaluate differences by sex, age, and deprivation index subgroups. METHODS AND RESULTS: We obtained acute cardiovascular hospital episodes during the years 2019–2020 from region-wide data on public healthcare usage for the population of Catalonia (North-East Spain). We fitted time models to estimate the incidence rate ratios (IRRs) of the acute coronary syndrome (ACS) and acute heart failure (HF) admissions during the first pandemic wave, the between-waves period, and the second wave compared with the corresponding pre-COVID-19 periods and to test for the interaction with sex, age, and area-based socioeconomic level. We evaluated the effect of COVID-19 period on in-hospital mortality. ACS (n = 8,636) and HF (n = 27,566) episodes were defined using primary diagnostic ICD-10 codes. ACS and HF admissions decreased during the first wave (IRR = 0.66, 95%CI: 0.58–0.76 and IRR = 0.61, 95% CI: 0.55–0.68, respectively) and during the second wave (IRR = 0.80, 95%CI: 0.72–0.88 and IRR = 0.76, 95%CI: 0.69–0.84, respectively); acute HF admissions also decreased in the period between waves (IRR: 0.81, 95%CI: 0.74–0.89). The impact was similar in all sex and socioeconomic subgroups and was higher in older patients with ACS. In-hospital mortality was higher than expected only during the first wave. CONCLUSION: During the first wave of the COVID-19 pandemic, there was a marked decline in urgent cardiovascular hospital admissions that were attenuated during the second wave. Both the decline and the attenuation of the effect have been similar in all subgroups regardless of age, sex, or socioeconomic status. In-hospital mortality for ACS and HF episodes increased during the first wave, but not during the second wave. Frontiers Media S.A. 2022-04-26 /pmc/articles/PMC9087754/ /pubmed/35557541 http://dx.doi.org/10.3389/fcvm.2022.827212 Text en Copyright © 2022 Álvarez-Martín, Ribera, Marsal, Ariza-Solé, Pérez-Hoyos, Oristrell, Soriano-Colomé, Romaguera, Pijoan, Lidón, Mauri and Ferreira-González. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Álvarez-Martín, Claudia Ribera, Aida Marsal, Josep Ramon Ariza-Solé, Albert Pérez-Hoyos, Santiago Oristrell, Gerard Soriano-Colomé, Toni Romaguera, Rafael Pijoan, Jose Ignacio Lidón, Rosa M. Mauri, Josepa Ferreira-González, Ignacio Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors |
title | Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors |
title_full | Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors |
title_fullStr | Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors |
title_full_unstemmed | Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors |
title_short | Dynamics of Emergency Cardiovascular Hospital Admissions and In-Hospital Mortality During the COVID-19 Pandemic: Time Series Analysis and Impact of Socioeconomic Factors |
title_sort | dynamics of emergency cardiovascular hospital admissions and in-hospital mortality during the covid-19 pandemic: time series analysis and impact of socioeconomic factors |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087754/ https://www.ncbi.nlm.nih.gov/pubmed/35557541 http://dx.doi.org/10.3389/fcvm.2022.827212 |
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