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

IF 2.5 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiology journal Pub Date : 2023-01-01 Epub Date: 2023-01-18 DOI:10.5603/CJ.a2023.0002

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

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引用次数: 0

Abstract

Background: Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, numerous cardiology departments were reorganized to provide care for COVID-19 patients. We aimed to compare the impact of the COVID-19 pandemic on hospital admissions and in-hospital mortality in reorganized vs. unaltered cardiology departments.

Methods: The present research is a subanalysis of a multicenter retrospective COV-HF-SIRIO 6 study that includes all patients (n = 101,433) hospitalized in 24 cardiology departments in Poland between January 1, 2019 and December 31, 2020, with a focus on patients with acute heart failure (AHF).

Results: Reduction of all-cause hospitalizations was 50.6% vs. 21.3% for reorganized vs. unaltered cardiology departments in 2020 vs. 2019, respectively (p < 0.0001). Considering AHF alone respective reductions by 46.5% and 15.2% were registered (p < 0.0001). A higher percentage of patients was brought in by ambulance to reorganized vs. unaltered cardiology departments (51.7% vs. 34.6%; p < 0.0001) alongside with a lower rate of self-referrals (45.7% vs. 58.4%; p < 0.0001). The rate of all-cause in-hospital mortality in AHF patients was higher in reorganized than unaltered cardiology departments (10.9% vs. 6.4%; p < 0.0001). After the exclusion of patients with concomitant COVID-19, the mortality rates did not differ significantly (6.9% vs. 6.4%; p = 0.55).

Conclusions: A greater reduction in hospital admissions in 2020 vs. 2019, higher rates of patients brought by ambulance together with lower rates of self-referrals and higher all-cause in-hospital mortality for AHF due to COVID-19 related deaths were observed in cardiology departments reorganized to provide care for COVID-19 patients vs. unaltered ones.

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COVID-19 时代重组与未改建心脏病科的比较：COV-HF-SIRIO 6 研究的子分析。

背景：自2019年冠状病毒病（COVID-19）大流行以来，许多心脏病科进行了重组，以便为COVID-19患者提供治疗。我们旨在比较 COVID-19 大流行对重组与未重组心脏病科的入院率和院内死亡率的影响：本研究是一项多中心回顾性COV-HF-SIRIO 6研究的子分析，包括2019年1月1日至2020年12月31日期间在波兰24个心脏病科住院的所有患者（n = 101,433），重点是急性心力衰竭（AHF）患者：结果：在 2020 年与 2019 年期间，经过重组的心脏病科与未经过重组的心脏病科的全因住院率分别降低了 50.6% 和 21.3%（P < 0.0001）。仅就急性心肌梗死而言，分别减少了46.5%和15.2%（p < 0.0001）。与未改建的心脏科相比，改建后的心脏科由救护车送来的病人比例更高（51.7% 对 34.6%；p < 0.0001），同时自我转诊的比例也更低（45.7% 对 58.4%；p < 0.0001）。重组后的心内科比未重组的心内科患者院内全因死亡率更高（10.9% 对 6.4%；P < 0.0001）。在排除合并COVID-19的患者后，死亡率没有显著差异（6.9% vs. 6.4%; p = 0.55）：结论：与2019年相比，2020年入院人数减少更多，救护车送来的患者比例更高，自我转诊率更低，因COVID-19相关死亡而导致的AHF全因院内死亡率更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cardiology journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

5.10

自引率

10.30%

发文量

188

审稿时长

4-8 weeks

期刊介绍： Cardiology Journal is a scientific, peer-reviewed journal covering a broad spectrum of topics in cardiology. The journal has been published since 1994 and over the years it has become an internationally recognized journal of cardiological and medical community. Cardiology Journal is the journal for practicing cardiologists, researchers, and young trainees benefiting from broad spectrum of useful educational content.