The impact of the COVID-19 pandemic on cardiology services

Fersia, Omar; Bryant, Sue Lacey; Nicholson, Rachael; McMeeken, K.; Brown, Carolyn; Donaldson, Brenda; Jardine, Aaron; Grierson, Valerie; Whalen, Vanessa; Mackay, Alastair M.

doi:10.1136/openhrt-2020-001359

Cited by 106 publications

(111 citation statements)

References 8 publications

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“…Similar results were observed by Fersia et all. The authors observed a significant decrease in both hospital admissions and performed procedures in the Cardiology Department at Dumfries and Galloway Royal Infirmary [1]. A study by Roffi et al also showed that the COVID 19 pandemic significantly reduced the number of invasive procedures.…”

Section: Discussionmentioning

confidence: 94%

COVID-19 pandemic year in the cardiology department

Lackowski

Piasecki

Kasprzak

et al. 2021

Medical Research Journal

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Introduction: A COVID-19 pandemic has resulted in noticeable changes in the functioning of the Department of Cardiology, dr A. Jurasz University Hospital no. 1 in Bydgoszcz. This study aims to compare the functioning of the university cardiology department in the pandemic year 2020 to the previous years. Materials and methods: The retrospective analysis of patients hospitalized in the Department of Cardiology, dr A. Jurasz University Hospital no 1 in Bydgoszcz, Poland, has been performed. Collected data included the number of patients admitted to the hospital, medical diagnoses, performed procedures and in-hospital mortality. Results: Throughout 2020 numbers of both new hospitalizations and diagnostic or therapeutic procedures in electrophysiology, echocardiography and invasive cardiology showed a major decrease. The greatest impact was observed in March, April, and the last 3 months of the year. The pandemic also affected in-hospital mortality. Conclusions: The observed decrease in the number of hospital admissions of specialized cardiac procedures performed in 2020 may have a serious impact on future patients' profile.

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Section: Discussionmentioning

confidence: 94%

COVID-19 pandemic year in the cardiology department

Lackowski

Piasecki

Kasprzak

et al. 2021

Medical Research Journal

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“…In addition, as suggested in [ 22 ], social determinants of health such as jobs, income, may also be a factor in increased mortality from other causes. It was reported in the UK [ 23 ] that cardiovascular disease, went untreated or was less well treated during the pandemic. The CDC reported in late June that in the 10 weeks after the pandemic was declared a national emergency on 13 March 2020, hospital emergency department visits declined by 23% for heart attacks, 20% for strokes and 10% for uncontrolled high blood sugar in people with diabetes [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Covid-19, non-Covid-19 and excess mortality rates not comparable across countries

Kelly

Petti²,

Noah

2021

Epidemiol. Infect.

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Evidence that more people in some countries and fewer in others are dying because of the pandemic, than is reflected by reported coronavirus disease 2019 (Covid-19) mortality rates, is derived from mortality data. Using publicly available databases, deaths attributed to Covid-19 in 2020 and all deaths for the years 2015–2020 were tabulated for 35 countries together with economic, health, demographic and government response stringency index variables. Residual mortality rates (RMR) in 2020 were calculated as excess mortality minus reported mortality rates due to Covid-19 where excess deaths were observed deaths in 2020 minus the average for 2015–2019. Differences in RMR are differences not attributed to reported Covid-19. For about half the countries, RMR's were negative and for half, positive. The absolute rates in some countries were double those in others. In a regression analysis, population density and proportion of female smokers were positively associated with both Covid-19 and excess mortality while the human development index and proportion of male smokers were negatively associated with both. RMR was not associated with any of the investigated variables. The results show that published data on mortality from Covid-19 cannot be directly comparable across countries. This may be due to differences in Covid-19 death reporting and in addition, the unprecedented public health measures implemented to control the pandemic may have produced either increased or reduced excess deaths due to other diseases. Further data on cause-specific mortality is required to determine the extent to which residual mortality represents non-Covid-19 deaths and to explain differences between countries.

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“…Health systems all over the world have been challenged and disrupted by soaring demand for care of COVID-19 patients. To make matters worse, factors such as fear, stigma, misinformation, and limitations on movement have bogged down the delivery of health care for a wide array of life-threatening conditions, such as cancer and cardiovascular diseases [3][4][5]. In fact, when health care systems are overwhelmed, patients may not be able to access necessary care, hence direct mortality from COVID-19 outbreaks and indirect mortality from preventable and treatable conditions both increase dramatically.…”

Section: Introduction: the Covid-19 Emergency And Termination Of Pregnancymentioning

confidence: 99%

Is the Right to Abortion at Risk in Times of COVID-19? The Italian State of Affairs within the European Context

et al. 2021

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The COVID-19 health emergency has thrown the health systems of most European countries into a deep crisis, forcing them to call off and postpone all interventions deemed not essential or life-saving in order to focus most resources on the treatment of COVID-19 patients. To facilitate women who are experiencing difficulties in terminating their pregnancies in Italy, the Ministry of Health has adapted to the regulations in force in most European countries and issued new guidelines that allow medical abortion up to 63 days, i.e., 9 weeks of gestational age, without mandatory hospitalization. This decision was met with some controversy, based on the assumption that the abortion pill could “incentivize” women to resort to abortion more easily. In fact, statistical data show that in countries that have been using medical abortion for some time, the number of abortions has not increased. The authors expect that even in Italy, as is the case in other European countries, the use of telemedicine is likely to gradually increase as a safe and valuable option in the third phase of the health emergency. The authors argue that there is a need to favor pharmacological abortion by setting up adequately equipped counseling centers, as is the case in other European countries, limiting hospitalization to only a few particularly complex cases.

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The impact of the COVID-19 pandemic on cardiology services

Cited by 106 publications

References 8 publications

COVID-19 pandemic year in the cardiology department

COVID-19 pandemic year in the cardiology department

Covid-19, non-Covid-19 and excess mortality rates not comparable across countries

Is the Right to Abortion at Risk in Times of COVID-19? The Italian State of Affairs within the European Context

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