학술논문
Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India.
Document Type
Academic Journal
Author
Jayagopal PB; Lakshmi Hospital, Palakkad, Kerala, India. Electronic address: jaigopallakshmi@gmail.com.; Abdullakutty J; Lisie Hospital, Ernakulam, Kerala, India.; Sridhar L; Sri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, India.; Nanjappa V; Sri Jayadeva Institute of Cardiovascular Sciences & Research, Mysuru, Karnataka, India.; Joseph J; Caritas Hospital, Kottayam, Kerala, India.; Vaidyanathan PR; Kuppuswami Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India.; Somasekhar G; Aayush Hospitals, Vijayawada, Andhra Pradesh, India.; Raghu TR; Rajarajeshwari Medical College, Kambipura, Mysore Road, Bangalore, India.; Srinivas BC; Sri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka, India.; Chopra VK; Heart Failure Programme and Research, Max Super Specialty Hospital, Saket, New Delhi, India.; Manjunath CN; Sri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka, India.
Source
Publisher: Elsevier Country of Publication: India NLM ID: 0374675 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2213-3763 (Electronic) Linking ISSN: 00194832 NLM ISO Abbreviation: Indian Heart J Subsets: MEDLINE
Subject
Language
English
Abstract
Aim: This retrospective study compares admissions and outcomes due to acute decompensated heart failure (ADHF) during the COVID-19 pandemic from 25 March to 25 July 2020 with the historical patient control who were admitted during the same period in 2019.
Methods and Results: Data of the participating hospitals was collected and analysed from the ICC NHFR (Indian College of Cardiology National Heart Failure Registry) for 2019 and 2020. Total number of ADHF admissions, demographics, aetiology, co-morbid conditions and in-hospital mortality was compared and analysed. A significant decrease in the number of hospital admissions due to ADHF from 2019 to 2020 (1056 vs. 526 respectively) was noted. Incidence of admissions with <40% ejection fraction (EF) reduced in 2020 (72.4% and 80.2% in2020 and 2019)and >40% (EF) increased (27.6% and 19.8% in 2019 and 2020 respectively, p = 0.0005). Ischemic heart disease (IHD) was the most common aetiology (78.59% in 2019 and 80.98% in 2020, p = 0.268). The in-hospital mortality was numerically higher in 2020 (10%) than in 2019 (8%), but not statistically significant (p = 0.161).
Conclusion: This study from the registry shows that the incidence of ADHF admissions during COVID-19 lockdown significantly reduced compared to the previous year. Demographic patterns remained similar but patients presenting with de-novo HF increased; IHD was the most common cause. The in-hospital mortality was numerically higher during the lockdown. The impact of lockdown perhaps led to fewer hospitalisations and this is to be factored in future strategies to address health care delivery during such crises.
Competing Interests: Declaration of competing interest Authors declare no conflict of interest for this manuscript.
(Copyright © 2021 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.)
Methods and Results: Data of the participating hospitals was collected and analysed from the ICC NHFR (Indian College of Cardiology National Heart Failure Registry) for 2019 and 2020. Total number of ADHF admissions, demographics, aetiology, co-morbid conditions and in-hospital mortality was compared and analysed. A significant decrease in the number of hospital admissions due to ADHF from 2019 to 2020 (1056 vs. 526 respectively) was noted. Incidence of admissions with <40% ejection fraction (EF) reduced in 2020 (72.4% and 80.2% in2020 and 2019)and >40% (EF) increased (27.6% and 19.8% in 2019 and 2020 respectively, p = 0.0005). Ischemic heart disease (IHD) was the most common aetiology (78.59% in 2019 and 80.98% in 2020, p = 0.268). The in-hospital mortality was numerically higher in 2020 (10%) than in 2019 (8%), but not statistically significant (p = 0.161).
Conclusion: This study from the registry shows that the incidence of ADHF admissions during COVID-19 lockdown significantly reduced compared to the previous year. Demographic patterns remained similar but patients presenting with de-novo HF increased; IHD was the most common cause. The in-hospital mortality was numerically higher during the lockdown. The impact of lockdown perhaps led to fewer hospitalisations and this is to be factored in future strategies to address health care delivery during such crises.
Competing Interests: Declaration of competing interest Authors declare no conflict of interest for this manuscript.
(Copyright © 2021 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.)