El riesgo competitivo puede explicar en gran medida la disminución de los ingresos por enfermedad cardiovascular aguda durante la pandemia de COVID-19

Rodríguez‐Padial, Luis; Arias, Miguel Á.

doi:10.1016/j.recesp.2020.07.022

Cited by 10 publications

(2 citation statements)

References 8 publications

(7 reference statements)

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“…Such was the need to centralize resources around SARS-CoV-2 infection that it relegated other conditions (e.g., IHD and cancer) to second place. Reduced attendance at care centers and underdiagnosis of diseases that, owing to their pathophysiology, continued to appear during the “first wave” were probably the result of fear of contracting the virus, lockdown itself, the idea of not overloading hospitals with non-COVID diseases, the redistribution of health professionals outside their specialties, and the key role played by the pandemic itself (competitive risk) [ 5 ]. The present study highlights some of these consequences.…”

Section: Discussionmentioning

confidence: 99%

Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

García¹,

Guevara²,

García³

et al. 2022

Cardiol Cardiovasc Med

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Background: In early 2020, the SARS-CoV-2 pandemic caused an unprecedented overload for the health service. A decrease in admissions for Acute Coronary Syndrome (ACS) was reported during lockdown, although many aspects remain to be clarified. The main objective of this study was to evaluate the impact of the pandemic and of lockdown itself in this area. Methods: We performed a retrospective observational study based on data from patients who visited the emergency department of a tertiary hospital with chest pain during 2018-2020, as well as those who were admitted for ACS. Personal details, date of admission, additional test results (laboratory and echocardiography), and therapy were recorded. Patients were divided into 3 groups: preCOVID (n=1,301), lockdown (n=45), and postlockdown (n=343). Results: Fewer visits to the emergency department for chest pain and admissions for ACS were recorded during lockdown (48.6% and 51.1% respectively, p<0.05). Patients who were admitted during lockdown were characterized by poorer control of cardiovascular risk factors, visited later (more evolving infarctions: 2.7% vs. 14.3%, p<0.05), experienced more echocardiographic complications during admission, and had more than 3-fold mortality rates (both in-hospital and postdischarge). Conclusion: The COVID-19 pandemic and lockdown itself had a negative effect on ischemic heart disease beyond SARS-CoV-2 infection.

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Section: Discussionmentioning

confidence: 99%

Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

García¹,

Guevara²,

García³

et al. 2022

Cardiol Cardiovasc Med

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show abstract

“…The existence of competing risks is also one of our main hypotheses to explain the reduction in admissions for acute cardiovascular disease during the COVID-19 pandemic. 1 The excess mortality from all causes of more than 50% that occurred in Catalonia (11 568 deaths), especially in patients older than 74 years (9749), 2 would also explain the slight decrease in the average age of patients seen. 3 …”

mentioning

confidence: 99%

Competing risk largely explains the drop in admissions for acute cardiovascular disease during the COVID-19 pandemic. Response

Ribera

Ferré

Romaguera

2020

Revista Española de Cardiología (English Edition)

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The impact of COVID-19 in patients with severe aortic stenosis: Artificial intelligence research

Pascual-Tejerina

Beneyto²,

Cantón³

et al. 2022

Cirugía Española (English Edition)

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El riesgo competitivo puede explicar en gran medida la disminución de los ingresos por enfermedad cardiovascular aguda durante la pandemia de COVID-19

Cited by 10 publications

References 8 publications

Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

Competing risk largely explains the drop in admissions for acute cardiovascular disease during the COVID-19 pandemic. Response

The impact of COVID-19 in patients with severe aortic stenosis: Artificial intelligence research

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