Impact of the COVID-19 pandemic on catheterization laboratory procedural volumes at a tertiary cardiac centre in a low- & middle-income country in South Asia

Autor: Cader, F A, Chowdhury, I Z, Chowdhury, M Z, Haq, M M, Khan, S R
Rok vydání: 2021
Předmět:
Zdroj: European Heart Journal
ISSN: 1522-9645
0195-668X
DOI: 10.1093/eurheartj/ehab724.1188
Popis: Background Globally, reports have suggested that cardiac catheterization procedures, particularly elective coronary procedures declined as a result of the COVID-19 pandemic. However, there is scarce data on this aspect, in terms of a South Asian low- & middle-income country (LMIC) setting. Purpose We aimed to evaluate temporal trends and impact of the pandemic on elective and emergency cardiac catheterization procedural volumes at a high-volume tertiary cardiac centre in a LMIC. Methods Data on both emergency and elective catheterization procedures, including coronary angiography, percutaneous coronary intervention (PCI), peripheral angiography, pacing & electrophysiology (EP) were collected from January to December 2020, and compared with corresponding data for the same months in 2019. Data were obtained from hospital's catheterization laboratory database. The difference was expressed as a percentage (%Δ). Data for each quarter were compared using paired t-test. A p value Results Overall, a significant (32.4%) reduction of cath lab procedures was seen in 2020, as compared with 2019 (p=0.006). There were significantly reduced numbers of coronary angiographies (%Δ −31.4%; p=0.009), PCI (%Δ −32.2%; p=0.008), peripheral procedures (%Δ −69.9%; p=0.001) and pacing & EP procedures (Δ−-48.7%; p=0.001) in 2020, as compared with 2019 (Table 1 & Figure 1). For coronary procedures this was most marked in 2nd and 3rd quarters of 2020 (p Conclusion The impact of COVID-19 resulted in a significant reduction in all cardiac catheterization procedures in 2020, as compared with 2019. This reduction was most marked for coronary procedures in the 2nd and 3rd quarters of 2020, with a significant reduction in elective procedures. Funding Acknowledgement Type of funding sources: None. Table 1
Databáze: OpenAIRE