tetano
Editor, Senior Moderator
ESC Heart Fail
. 2021 Nov 16.
doi: 10.1002/ehf2.13680. Online ahead of print.
Impact of COVID-19 pandemic on acute heart failure admissions and mortality: a multicentre study (COV-HF-SIRIO 6 study)
Jacek Kubica[SUP] 1 [/SUP], Małgorzata Ostrowska[SUP] 1 [/SUP], Wioleta Stolarek[SUP] 1 [/SUP], Michał Kasprzak[SUP] 1 [/SUP], Klaudyna Grzelakowska[SUP] 1 [/SUP], Jacek Kryś[SUP] 1 [/SUP], Aldona Kubica[SUP] 1 [/SUP], Piotr Adamski[SUP] 1 [/SUP], Przemysław Podhajski[SUP] 1 [/SUP], Eliano Pio Navarese[SUP] 1 [/SUP], Edyta Anielska-Michalak[SUP] 2 [/SUP], Oliwia Brycht[SUP] 3 [/SUP], Andrzej Curzytek[SUP] 4 [/SUP], Aneta Dudek[SUP] 5 [/SUP], Leszek Gromadziński[SUP] 6 [/SUP], Paweł Grzelakowski[SUP] 7 [/SUP], Leszek Kamiński[SUP] 8 [/SUP], Andrzej Kleinrok[SUP] 9 [/SUP], Marcin Kostkiewicz[SUP] 10 [/SUP], Marek Koziński[SUP] 11 [/SUP], Paweł Król[SUP] 12 [/SUP], Tomasz Kulawik[SUP] 13 [/SUP], Gleb Minczew[SUP] 14 [/SUP], Marcin Mindykowski[SUP] 15 [/SUP], Agnieszka Pawlak[SUP] 16 17 [/SUP], Janusz Prokopczuk[SUP] 18 [/SUP], Grzegorz Skonieczny[SUP] 19 [/SUP], Bożena Sobkowicz[SUP] 20 [/SUP], Sergiusz Sowiński[SUP] 21 [/SUP], Sebastian Stankala[SUP] 22 [/SUP], Paweł Szymański[SUP] 23 [/SUP], Andrzej Wester[SUP] 24 [/SUP], Przemysław Wilczewski[SUP] 25 [/SUP], Stanisław Bartuś[SUP] 26 [/SUP], Andrzej Budaj[SUP] 27 [/SUP], Mariusz Gąsior[SUP] 28 [/SUP], Marcin Gruchała[SUP] 29 [/SUP], Jarosław Drożdż[SUP] 3 [/SUP], Miłosz Jaguszewski[SUP] 29 [/SUP], Piotr Jankowski[SUP] 30 [/SUP], Jacek Legutko[SUP] 31 [/SUP], Maciej Lesiak[SUP] 32 [/SUP], Przemysław Leszek[SUP] 33 [/SUP], Przemysław Mitkowski[SUP] 32 [/SUP], Jadwiga Nessler[SUP] 34 [/SUP], Anna Tomaszuk-Kazberuk[SUP] 20 [/SUP], Agnieszka Tycińska[SUP] 20 [/SUP], Tomasz Zdrojewski[SUP] 35 [/SUP], Jarosław Kaźmierczak[SUP] 36 [/SUP]
Affiliations
Abstract
Aims: The coronavirus disease-2019 (COVID-19) pandemic has changed the landscape of medical care delivery worldwide. We aimed to assess the influence of COVID-19 pandemic on hospital admissions and in-hospital mortality rate in patients with acute heart failure (AHF) in a retrospective, multicentre study.
Methods and results: From 1 January 2019 to 31 December 2020, a total of 101 433 patients were hospitalized in 24 Cardiology Departments in Poland. The number of patients admitted due to AHF decreased by 23.4% from 9853 in 2019 to 7546 in 2020 (P < 0.001). We noted a significant reduction of self-referrals in the times of COVID-19 pandemic accounting 27.8% (P < 0.001), with increased number of AHF patients brought by an ambulance by 15.9% (P < 0.001). The length of hospital stay was overall similar (7.7 ± 2.8 vs. 8.2 ± 3.7 days; P = not significant). The in-hospital all-cause mortality in AHF patients was 444 (5.2%) in 2019 vs. 406 (6.5%) in 2020 (P < 0.001). A total number of AHF patients with concomitant COVID-19 was 239 (3.2% of AHF patients hospitalized in 2020). The rate of in-hospital deaths in AHF patients with COVID-19 was extremely high accounting 31.4%, reaching up to 44.1% in the peak of the pandemic in November 2020.
Conclusions: Our study indicates that the COVID-19 pandemic led to (i) reduced hospital admissions for AHF; (ii) decreased number of self-referred AHF patients and increased number of AHF patients brought by an ambulance; and (iii) increased in-hospital mortality for AHF with very high mortality rate for concomitant AHF and COVID-19.
Keywords: COVID-19; Heart failure; Hospitalization; In-hospital mortality.
. 2021 Nov 16.
doi: 10.1002/ehf2.13680. Online ahead of print.
Impact of COVID-19 pandemic on acute heart failure admissions and mortality: a multicentre study (COV-HF-SIRIO 6 study)
Jacek Kubica[SUP] 1 [/SUP], Małgorzata Ostrowska[SUP] 1 [/SUP], Wioleta Stolarek[SUP] 1 [/SUP], Michał Kasprzak[SUP] 1 [/SUP], Klaudyna Grzelakowska[SUP] 1 [/SUP], Jacek Kryś[SUP] 1 [/SUP], Aldona Kubica[SUP] 1 [/SUP], Piotr Adamski[SUP] 1 [/SUP], Przemysław Podhajski[SUP] 1 [/SUP], Eliano Pio Navarese[SUP] 1 [/SUP], Edyta Anielska-Michalak[SUP] 2 [/SUP], Oliwia Brycht[SUP] 3 [/SUP], Andrzej Curzytek[SUP] 4 [/SUP], Aneta Dudek[SUP] 5 [/SUP], Leszek Gromadziński[SUP] 6 [/SUP], Paweł Grzelakowski[SUP] 7 [/SUP], Leszek Kamiński[SUP] 8 [/SUP], Andrzej Kleinrok[SUP] 9 [/SUP], Marcin Kostkiewicz[SUP] 10 [/SUP], Marek Koziński[SUP] 11 [/SUP], Paweł Król[SUP] 12 [/SUP], Tomasz Kulawik[SUP] 13 [/SUP], Gleb Minczew[SUP] 14 [/SUP], Marcin Mindykowski[SUP] 15 [/SUP], Agnieszka Pawlak[SUP] 16 17 [/SUP], Janusz Prokopczuk[SUP] 18 [/SUP], Grzegorz Skonieczny[SUP] 19 [/SUP], Bożena Sobkowicz[SUP] 20 [/SUP], Sergiusz Sowiński[SUP] 21 [/SUP], Sebastian Stankala[SUP] 22 [/SUP], Paweł Szymański[SUP] 23 [/SUP], Andrzej Wester[SUP] 24 [/SUP], Przemysław Wilczewski[SUP] 25 [/SUP], Stanisław Bartuś[SUP] 26 [/SUP], Andrzej Budaj[SUP] 27 [/SUP], Mariusz Gąsior[SUP] 28 [/SUP], Marcin Gruchała[SUP] 29 [/SUP], Jarosław Drożdż[SUP] 3 [/SUP], Miłosz Jaguszewski[SUP] 29 [/SUP], Piotr Jankowski[SUP] 30 [/SUP], Jacek Legutko[SUP] 31 [/SUP], Maciej Lesiak[SUP] 32 [/SUP], Przemysław Leszek[SUP] 33 [/SUP], Przemysław Mitkowski[SUP] 32 [/SUP], Jadwiga Nessler[SUP] 34 [/SUP], Anna Tomaszuk-Kazberuk[SUP] 20 [/SUP], Agnieszka Tycińska[SUP] 20 [/SUP], Tomasz Zdrojewski[SUP] 35 [/SUP], Jarosław Kaźmierczak[SUP] 36 [/SUP]
Affiliations
- PMID: 34786869
- DOI: 10.1002/ehf2.13680
Abstract
Aims: The coronavirus disease-2019 (COVID-19) pandemic has changed the landscape of medical care delivery worldwide. We aimed to assess the influence of COVID-19 pandemic on hospital admissions and in-hospital mortality rate in patients with acute heart failure (AHF) in a retrospective, multicentre study.
Methods and results: From 1 January 2019 to 31 December 2020, a total of 101 433 patients were hospitalized in 24 Cardiology Departments in Poland. The number of patients admitted due to AHF decreased by 23.4% from 9853 in 2019 to 7546 in 2020 (P < 0.001). We noted a significant reduction of self-referrals in the times of COVID-19 pandemic accounting 27.8% (P < 0.001), with increased number of AHF patients brought by an ambulance by 15.9% (P < 0.001). The length of hospital stay was overall similar (7.7 ± 2.8 vs. 8.2 ± 3.7 days; P = not significant). The in-hospital all-cause mortality in AHF patients was 444 (5.2%) in 2019 vs. 406 (6.5%) in 2020 (P < 0.001). A total number of AHF patients with concomitant COVID-19 was 239 (3.2% of AHF patients hospitalized in 2020). The rate of in-hospital deaths in AHF patients with COVID-19 was extremely high accounting 31.4%, reaching up to 44.1% in the peak of the pandemic in November 2020.
Conclusions: Our study indicates that the COVID-19 pandemic led to (i) reduced hospital admissions for AHF; (ii) decreased number of self-referred AHF patients and increased number of AHF patients brought by an ambulance; and (iii) increased in-hospital mortality for AHF with very high mortality rate for concomitant AHF and COVID-19.
Keywords: COVID-19; Heart failure; Hospitalization; In-hospital mortality.