open access

Ahead of print
Original Article
Submitted: 2022-09-07
Accepted: 2022-12-23
Published online: 2023-01-16
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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

Małgorzata Ostrowska1, Michał Kasprzak1, Wioleta Stolarek1, Klaudyna Grzelakowska1, Jacek Kryś1, Aldona Kubica1, Piotr Adamski1, Przemysław Podhajski1, Eliano Pio Navarese1, Edyta Anielska-Michalak2, Oliwia Matuszewska-Brycht3, Andrzej Curzytek4, Aneta Dudek5, Leszek Gromadziński6, Paweł Grzelakowski7, Leszek Kamiński8, Andrzej Kleinrok9, Marcin Kostkiewicz10, Marek Koziński11, Paweł Król12, Tomasz Kulawik13, Gleb Minczew14, Marcin Mindykowski15, Agnieszka Pawlak1617, Janusz Prokopczuk18, Grzegorz Skonieczny19, Bożena Sobkowicz20, Sergiusz Sowiński21, Sebastian Stankala22, Paweł Szymański23, Andrzej Wester24, Przemysław Wilczewski25, Stanisław Bartuś26, Andrzej Budaj27, Robert Gajda2829, Mariusz Gąsior30, Marcin Gruchała31, Jarosław Drożdż3, Miłosz Jaguszewski31, Piotr Jankowski32, Jacek Legutko33, Maciej Lesiak34, Przemysław Leszek35, Przemysław Mitkowski36, Jadwiga Nessler37, Anna Tomaszuk-Kazberuk20, Agnieszka Tycińska20, Tomasz Zdrojewski38, Jarosław Kaźmierczak39, Jacek Kubica1
DOI: 10.5603/CJ.a2023.0002
·
Pubmed: 36651570
Affiliations
  1. Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
  2. Department of Cardiology, Marian Zyndram-Kościałkowski Ministry of Interior and Administration Hospital, Białystok, Poland
  3. Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Łódź, Poland
  4. Department of Cardiology, Hospital of the Ministry of Interior and Administration, Rzeszów, Poland
  5. 1st Department of Cardiology, Collegium Medicum, Jan Kochanowski University, Kielce, Poland
  6. Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
  7. Department of Cardiology and Cardiac Surgery, 10th Military Hospital and Polyclinic, Bydgoszcz, Poland
  8. Department of Cardiology Independent Public Healthcare in Przeworsk, Przeworsk, Poland
  9. Institute of Humanities and Medicine, Academy of Zamosc, Zamość, Poland
  10. Cardiology Department, Medical Care Center, Jarosław, Poland
  11. Department of Cardiology and Internal Diseases, Institute of Maritime and Tropical Medicine, Medical University of Gdańsk, Gdynia, Poland
  12. Department of Cardiology, Tertiary Care Hospital, Ciechanów, Poland
  13. Department of Cardiology, Masovian Rehabilitation Center, Pruszków, Poland
  14. Department of Cardiology, District Hospital, Tuchola, Poland
  15. Department of Cardiology, Dr. Emil Warmiński Tertiary Care Municipal Hospital, Bydgoszcz, Poland
  16. Department of Invasive Cardiology, Central Clinical Hospital of the Ministry of Interior and Administration, Warszawa, Poland
  17. Mossakowski Medical Research Institute, Polish Academy of Sciences,, Warszawa, Poland
  18. Department of Cardiology, Polish Hospitals,, Kędzierzyn Koźle, Poland
  19. Department of Cardiology and Intensive Cardiac Care Unit, District Polyclinic Hospital, Toruń, Poland
  20. Department of Cardiology, Medical University in Białystok, Białystok, Poland
  21. Department of Cardiology and Cardiac Intensive Care, Tertiary Care Municipal Hospital, Toruń, Poland
  22. Cardiology Subdivision of Heart Failure. St. Elizabeth Hospital, Biała, Poland
  23. Department of Cardiology, Interventional Cardiology and Electrophysiology with Cardiac Intensive Care Unit, Tertiary Care Hospital in Grudziądz, Grudziądz, Poland
  24. 1st Department of Physiology, Institute of Medical Sciences, University of Opole 2, Cardiology Center of Kluczbork SCANMED SA,, Kluczbork, Poland
  25. Department of Cardiology, Polish Hospitals, Sztum, Poland
  26. 2nd Department of Cardiology, Collegium Medicum, Jagiellonian University, Krakow, Poland
  27. Department of Cardiology, Center of Postgraduate Medical Education, Grochowski Hospital,, Warszawa, Poland
  28. Department of Kinesiology and Health Prevention, Jan Dlugosz University in Częstochowa, Częstochowa, Poland
  29. Gajda-Med District Hospital, Pułtusk, Poland
  30. 3rd Department of Cardiology, Silesian Center for Heart Diseases, Faculty of Medicine in Zabrze, Medical University of Silesia, Zabrze, Poland
  31. 1st Department of Cardiology, Medical University of Gdansk, Poland
  32. Department of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Warszawa, Poland
  33. Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital in Krakow, Poland
  34. Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
  35. Department of Heart Failure and Transplantology, National Institute of Cardiology, Warszawa, Poland
  36. Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland
  37. Department of Coronary Artery Disease and Heart Failure, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
  38. Department of Arterial Hypertension and Diabetology, Medical University of Gdansk, Poland
  39. Department of Cardiology, Pomeranian Medical University, Szczecin, Poland

open access

Ahead of print
Original articles
Submitted: 2022-09-07
Accepted: 2022-12-23
Published online: 2023-01-16

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 subanalysis is 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: In cardiology departments reorganized to provide care for COVID-19 patients vs. unaltered ones, observed: i) a greater reduction in hospital admissions in 2020 vs. 2019; ii) higher rates of patients brought by ambulance and lower rates of self-referrals; and iii) higher all-cause in-hospital mortality for AHF due to COVID-19 related deaths.

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 subanalysis is 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: In cardiology departments reorganized to provide care for COVID-19 patients vs. unaltered ones, observed: i) a greater reduction in hospital admissions in 2020 vs. 2019; ii) higher rates of patients brought by ambulance and lower rates of self-referrals; and iii) higher all-cause in-hospital mortality for AHF due to COVID-19 related deaths.

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Keywords

acute heart failure, COVID-19, hospital admission, in-hospital mortality

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About this article
Title

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

Journal

Cardiology Journal

Issue

Ahead of print

Article type

Original Article

Published online

2023-01-16

Page views

151

Article views/downloads

73

DOI

10.5603/CJ.a2023.0002

Pubmed

36651570

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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