Monitoring indirect impact of COVID-19 pandemic on services for cardiovascular diseases in the UK
| Autor: | Paul McKean, Jonathan A C Sterne, Rouven Priedon, Harry Hemingway, Jonathan R. Boyle, Florian Falter, Kuan Ken Lee, Benjamin Bray, Thomas W Johnson, Simon Ball, Nicholas L. Mills, Cathie Sudlow, Jonine D. Figueroa, Afzal N. Chaudhry, Michael Wyatt, Rikki Crawley, John Danesh, Alastair K Denniston, Reecha Sofat, Colin Berry, Amitava Banerjee, Fiona E. Strachan, Emily Jefferson, William Bradlow, Anoop S V Shah, Christopher Hall, E R Pearson, Graham King, Munir Pirmohamed, Zsolt Szarka, Suzanne Mason, Michael T C Poon, William Whiteley |
|---|---|
| Přispěvatelé: | Banerjee, Amitava [0000-0001-8741-3411], Berry, Colin [0000-0002-4547-8636], Hemingway, Harry [0000-0003-2279-0624], Lee, Kuan Ken [0000-0003-3404-4098], Mills, Nicholas L [0000-0003-0533-7991], Poon, Michael T C [0000-0002-0053-2184], Apollo - University of Cambridge Repository |
| Rok vydání: | 2020 |
| Předmět: |
health care delivery
medicine.medical_specialty Heart disease Coronavirus disease 2019 (COVID-19) Cross-sectional study medicine.medical_treatment Healthcare delivery economics and global health Carotid endarterectomy heart disease 030204 cardiovascular system & hematology global health care delivery 03 medical and health sciences 0302 clinical medicine Pandemic Epidemiology Medicine 030212 general & internal medicine business.industry Retrospective cohort study Emergency department medicine.disease aortic and arterial disease Emergency medicine epidemiology business Cardiology and Cardiovascular Medicine |
| Zdroj: | Heart HEART Ball, S, Banerjee, A, Berry, C, Boyle, J, Bray, B, Bradlow, W, Chaudhry, A, Crawley, R, Danesh, J, Denniston, A, Falter, F, Figueroa, J D, Hall, C, Hemingway, H, Jefferson, E, Johnson, T, King, G, Lee, K K, Mckean, P, Mason, S, Mills, N L, Pearson, E, Pirmohamed, M, Poon, M T C, Priedon, R, Shah, A, Sofat, R, Sterne, J A C, Strachan, F E, Sudlow, C L M, Szarka, Z, Whiteley, W & Wyatt, M 2020, ' Monitoring indirect impact of COVID-19 pandemic on services for cardiovascular diseases in the UK ', Heart, pp. heartjnl-2020-317870 . https://doi.org/10.1136/heartjnl-2020-317870 |
| ISSN: | 1355-6037 |
| DOI: | 10.17863/cam.58561 |
| Popis: | ObjectiveTo monitor hospital activity for presentation, diagnosis and treatment of cardiovascular diseases during the COVID-19) pandemic to inform on indirect effects.MethodsRetrospective serial cross-sectional study in nine UK hospitals using hospital activity data from 28 October 2019 (pre-COVID-19) to 10 May 2020 (pre-easing of lockdown) and for the same weeks during 2018–2019. We analysed aggregate data for selected cardiovascular diseases before and during the epidemic. We produced an online visualisation tool to enable near real-time monitoring of trends.ResultsAcross nine hospitals, total admissions and emergency department (ED) attendances decreased after lockdown (23 March 2020) by 57.9% (57.1%–58.6%) and 52.9% (52.2%–53.5%), respectively, compared with the previous year. Activity for cardiac, cerebrovascular and other vascular conditions started to decline 1–2 weeks before lockdown and fell by 31%–88% after lockdown, with the greatest reductions observed for coronary artery bypass grafts, carotid endarterectomy, aortic aneurysm repair and peripheral arterial disease procedures. Compared with before the first UK COVID-19 (31 January 2020), activity declined across diseases and specialties between the first case and lockdown (total ED attendances relative reduction (RR) 0.94, 0.93–0.95; total hospital admissions RR 0.96, 0.95–0.97) and after lockdown (attendances RR 0.63, 0.62–0.64; admissions RR 0.59, 0.57–0.60). There was limited recovery towards usual levels of some activities from mid-April 2020.ConclusionsSubstantial reductions in total and cardiovascular activities are likely to contribute to a major burden of indirect effects of the pandemic, suggesting they should be monitored and mitigated urgently. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|