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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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Affiliations- Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
- Department of Cardiology, Marian Zyndram-Kościałkowski Ministry of Interior and Administration Hospital, Białystok, Poland
- Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Poland
- Department of Cardiology, Hospital of the Ministry of Interior and Administration, Rzeszów, Poland
- 1st Department of Cardiology, Collegium Medicum, Jan Kochanowski University, Kielce, Poland
- Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
- Department of Cardiology and Cardiac Surgery, 10th Military Hospital and Polyclinic, Bydgoszcz, Poland
- Department of Cardiology Independent Public Healthcare in Przeworsk, Poland
- Institute of Humanities and Medicine, Academy of Zamosc, Poland
- Cardiology Department, Medical Care Center, Jaroslaw, Poland
- Department of Cardiology and Internal Diseases, Institute of Maritime and Tropical Medicine, Medical University of Gdansk, Gdynia, Poland
- Department of Cardiology, Tertiary Care Hospital, Ciechanow, Poland
- Department of Cardiology, Masovian Rehabilitation Center, Pruszkow, Poland
- Department of Cardiology, District Hospital, Tuchola, Poland
- Department of Cardiology, Dr. Emil Warmiński Tertiary Care Municipal Hospital, Bydgoszcz, Poland
- Department of Invasive Cardiology, Central Clinical Hospital of the Ministry of Interior and Administration, Warsaw, Poland
- Mossakowski Medical Research Institute, Polish Academy of Sciences, Warsaw, Poland
- Department of Cardiology, Polish Hospitals, Kedzierzyn Kozle, Poland
- Department of Cardiology and Intensive Cardiac Care Unit, District Polyclinic Hospital, Torun, Poland
- Department of Cardiology, Medical University in Bialystok, Poland
- Department of Cardiology and Cardiac Intensive Care, Tertiary Care Municipal Hospital, Torun, Poland
- Cardiology Subdivision of Heart Failure, St. Elizabeth Hospital, Biala, Poland
- Department of Cardiology, Interventional Cardiology and Electrophysiology with Cardiac Intensive Care Unit, Tertiary Care Hospital in Grudziadz, Poland
- 1st Department of Physiology, Institute of Medical Sciences, University of Opole, Poland
- Cardiology Center, SCANMED SA,, Kluczbork, Poland
- Department of Cardiology, Polish Hospitals, Sztum, Poland
- 2nd Department of Cardiology, Collegium Medicum, Jagiellonian University, Krakow, Poland
- Department of Cardiology, Center of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland
- Department of Kinesiology and Health Prevention, Jan Dlugosz University in Czestochowa, Poland
- Gajda-Med District Hospital, Pultusk, Poland
- 3rd Department of Cardiology, Silesian Center for Heart Diseases, Faculty of Medicine in Zabrze, Medical University of Silesia, Zabrze, Poland
- 1st Department of Cardiology, Medical University of Gdansk, Poland
- Department of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Warsaw, Poland
- Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital in Krakow, Poland
- Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland
- Department of Heart Failure and Transplantology, National Institute of Cardiology, Warsaw, Poland
- Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland
- Department of Coronary Artery Disease and Heart Failure, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
- Department of Arterial Hypertension and Diabetology, Medical University of Gdansk, Poland
- Department of Cardiology, Pomeranian Medical University, Szczecin, Poland
open access
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.
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.
Keywords
acute heart failure, COVID-19, hospital admission, in-hospital mortality
About this articleTitle
Comparison of reorganized versus unaltered cardiology departments during the COVID-19 era: A subanalysis of the COV-HF-SIRIO 6 study
Journal
Issue
Article type
Original Article
Pages
344-352
Published online
2023-01-16
Page views
2081
Article views/downloads
466
DOI
Pubmed
Bibliographic record
Cardiol J 2023;30(3):344-352.
Keywords
acute heart failure
COVID-19
hospital admission
in-hospital mortality
Authors
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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