Longer Hospitalizations and Higher In-Hospital Mortality for Acute Heart Failure during the COVID-19 Pandemic in Larger vs. Smaller Cardiology Departments: Subanalysis of the COV-HF-SIRIO 6 Multicenter Study

Ostrowska, Małgorzata; Kasprzak, Michał; Stolarek, Wioleta; Grzelakowska, Klaudyna; Kryś, Jacek; Adamski, Piotr; Podhajski, Przemysław; Navarese, Eliano Pio; Anielska-Michalak, Edyta; Matuszewska-Brycht, Oliwia; Curzytek, Andrzej; Dudek, Aneta; Gromadziński, Leszek; Grzelakowski, Paweł; Kamiński, Leszek; Kleinrok, Andrzej; Kostkiewicz, Magdalena; Koziński, Marek; Król, Paweł; Kulawik, Tomasz; Minczew, Gleb; Mindykowski, Marcin; Pawlak, Agnieszka; Prokopczuk, Janusz; Skonieczny, Grzegorz; Sobkowicz, Bożena; Sowiński, Sergiusz; Stankala, Sebastian; Szymański, P.; Wester, Andrzej; Wilczewski, Przemysław; Bartuś, Stanisław; Budaj, Andrzej; Gajda, Robert; Gąsior, Mariusz; Gruchała, Marcin; Dróżdż, Jarosław; Jaguszewski, Miłosz; Jankowski, Piotr; Legutko, Jacek; Lesiak, Maciej; Leszek, Przemysław; Mitkowski, Przemysław; Nessler, Jadwiga; Tomaszuk‐Kazberuk, Anna; Tycińska, Agnieszka; Zdrojewski, Tomasz; Kaźmierczak, Jarosław; Kubica, Jacek

doi:10.31083/j.rcm2309292

Cited by 6 publications

(7 citation statements)

References 35 publications

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“…In Poland, in 24 Cardiology Departments, the total number of hospitalizations in 2020 decreased by 28.6% compared to the year before [9]. The reduction in hospital admissions happened regardless of department size [10]. This trend can be ascribed not only to public sentiment associated with the pandemic but also to governmental regulations.…”

Section: Discussionmentioning

confidence: 95%

The impact of the COVID-19 pandemic on hospital functioning and mortality among non-COVID-19 patients

Rogaczewski

Cyls

Kasprzak

et al. 2022

Medical Research Journal

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Introduction:The pandemic resulted in significant changes in the work organization within medical facilities, mainly hospitals, which were handling the largest numbers of people infected with SARS-CoV-2. The objective of the study was to analyse the impact of the COVID-19 pandemic on the functioning of Antoni Jurasz University Hospital No. 1 in Bydgoszcz as a whole, as well as consider individual departments.Material and methods: The data were acquired from the database of Antoni Jurasz University Hospital No. 1 in Bydgoszcz and included: the average length of hospitalization, number of hospitalizations, and number of deaths, as well as COVID-19 status. Information was collected for each month in the 2020-2021 period with a distinction between specific departments. Results: The highest percentage of COVID-19 hospitalizations as well as the highest percentage of COVID-19 deaths were noted from October 2020 to May/June 2020 and in November and December 2021. Correlations between new monthly COVID-19 cases in Kuyavian-Pomeranian Voivodeship and several parameters (average length of hospitalization, total number of hospitalizations, mortality among non-COVID-19 patients) have been established for selected departments. Conclusions: The analysis of the two years of the COVID-19 pandemic in Antoni Jurasz University HospitalNo. 1 in Bydgoszcz, Poland, found in selected departments a significantly increased in-hospital mortality, decreased number of hospitalizations, and decreased length of stay. Departments exhibiting an opposite impact of the pandemic on the average length of hospitalization were identified.

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Section: Discussionmentioning

confidence: 95%

The impact of the COVID-19 pandemic on hospital functioning and mortality among non-COVID-19 patients

Rogaczewski

Cyls

Kasprzak

et al. 2022

Medical Research Journal

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“… 45 , 46 Additionally, cardiac consultations, electrophysiology procedures, 47 and hospitalization for HF declined 48 during the pandemic, potentially influencing the outcome of these patients. 49 , 50 Furthermore, during the first year of the pandemic, US census regions were disproportionately affected by the COVID‐19 pandemic, leading to a different mortality excess in the country. 51 Specifically, the higher COVID‐19 related mortality rates were registered in the South due to a higher infection rate, limited access to health care resources, differences in the prevalence of underlying conditions associated with higher mortality rates, such as arterial hypertension, diabetes, and obesity as well as to different implementation of COVID‐19 preventive strategies.…”

Section: Discussionmentioning

confidence: 99%

Heart Failure–Related Death in Subjects With Atrial Fibrillation in the United States, 1999 to 2020

Zuin,

Bertini,

Vitali

et al. 2024

JAHA

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Background Population‐based data on heart failure (HF)‐related death in patients with atrial fibrillation (AF) are lacking. We assessed HF‐related death in people with AF in the United States over the past 21 years and examined differences by age, sex, race, ethnicity, urbanization, and census region. Methods and Results Data were extracted from the Centers for Disease Control and Prevention Wide‐Ranging Online Data for Epidemiologic Research to determine trends in age‐adjusted mortality rates per 100 000 people, due to HF‐related death among subjects with AF aged ≥15 years. To calculate nationwide annual trends, we assessed the average annual percent change (AAPC) and annual percent change with relative 95% CIs using joinpoint regression. Between 1999 and 2020, 916 685 HF‐related deaths (396 205 men and 520 480 women) occurred among US adults having a concomitant AF. The overall age‐adjusted mortality rates increased (AAPC: +4.1% [95% CI, 3.8–4.4]; P <0.001), especially after 2011 (annual percent change, +6.8% [95% CI, 6.2–7.4]; P <0.001) in men (AAPC, +4.8% [95% CI, 4.4–5.1]; P <0.001), in White subjects (AAPC: +4.2% [95% CI, 3.9 to 4.6]; P <0.001) and in subjects aged <65 years (AAPC: +7.5% [95% CI, 6.7–8.4]; P <0.001). The higher percentage of deaths were registered in the South (32.8%). During the first year of the COVID‐19 pandemic, a significant excess in HF‐related deaths among patients with AF aged >65 years was observed. Conclusions A worrying increase in the HF‐related mortality rate among patients with AF has been observed in the United States over the past 2 decades.

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“…The length of hospital stay was similar in both groups, but the 30-day mortality for AHF was significantly higher during the COVID-19 pandemic vs. before accounting 21% vs. 11%, respectively (risk ratio: 1.9; 95% CI 1.09–3.3). In a previous subanalysis of the COV-HF-SIRIO-6 multicenter study, longer hospitalizations were found (9.6 vs. 6.6 days; p < 0.001) and higher in-hospital mortality (10.7% vs. 3.2%; p < 0.001) was found for AHF during the COVID-19 pandemic in larger vs. smaller cardiology departments [ 32 ]. As reported in a retrospective study including 13,484 patients hospitalized in a German network of 67 hospitals, in-hospital mortality for AHF was higher during the COVID-19 pandemic vs. time-related period in 2019 (7.3% vs. 6.0%; p = 0.02) [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of reorganized versus unaltered cardiology departments during the COVID-19 era: A subanalysis of the COV-HF-SIRIO 6 study

et al. 2023

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Longer Hospitalizations and Higher In-Hospital Mortality for Acute Heart Failure during the COVID-19 Pandemic in Larger vs. Smaller Cardiology Departments: Subanalysis of the COV-HF-SIRIO 6 Multicenter Study

Cited by 6 publications

References 35 publications

The impact of the COVID-19 pandemic on hospital functioning and mortality among non-COVID-19 patients

The impact of the COVID-19 pandemic on hospital functioning and mortality among non-COVID-19 patients

Heart Failure–Related Death in Subjects With Atrial Fibrillation in the United States, 1999 to 2020

Comparison of reorganized versus unaltered cardiology departments during the COVID-19 era: A subanalysis of the COV-HF-SIRIO 6 study

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