학술논문
Impact of COVID-19 on Cardiovascular Testing in the United States Versus the Rest of the World
Document Type
article
Author
Hirschfeld, Cole B; Shaw, Leslee J; Williams, Michelle C; Lahey, Ryan; Villines, Todd C; Dorbala, Sharmila; Choi, Andrew D; Shah, Nishant R; Bluemke, David A; Berman, Daniel S; Blankstein, Ron; Ferencik, Maros; Narula, Jagat; Winchester, David; Malkovskiy, Eli; Goebel, Benjamin; Randazzo, Michael J; Lopez-Mattei, Juan; Parwani, Purvi; Vitola, Joao V; Cerci, Rodrigo J; Better, Nathan; Raggi, Paolo; Lu, Bin; Sergienko, Vladimir; Sinitsyn, Valentin; Kudo, Takashi; Nørgaard, Bjarne Linde; Maurovich-Horvat, Pál; Cohen, Yosef A; Pascual, Thomas NB; Pynda, Yaroslav; Dondi, Maurizio; Paez, Diana; Einstein, Andrew J; Cerci, Rodrigo; Hinterleitner, Gerd; Lu, Yao; Morozova, Olga; Xu, Zhuoran; Cohen, Yosef; Randazzo, Michael; Choi, Andrew; Nasery, Mohammad Nawaz; Goda, Artan; Shirka, Ervina; Benlabgaa, Rabie; Bouyoucef, Salah; Medjahedi, Abdelkader; Nailli, Qais; Agolti, Mariela; Aguero, Roberto Nicolas; del Carmen Alak, Maria; Alberguina, Lucia Graciela; Arroñada, Guillermo; Astesiano, Andrea; Astesiano, Alfredo; Norton, Carolina Bas; Benteo, Pablo; Blanco, Juan; Bonelli, Juan Manuel; Bustos, Jose Javier; Cabrejas, Raul; Cachero, Jorge; Campisi, Roxana; Canderoli, Alejandro; Carames, Silvia; Carrascosa, Patrícia; Castro, Ricardo; Cendoya, Oscar; Cognigni, Luciano Martin; Collaud, Carlos; Cortes, Claudia; Courtis, Javier; Cragnolino, Daniel; Daicz, Mariana; De La Vega, Alejandro; De Maria, Silvia Teresa; Del Riego, Horacio; Dettori, Fernando; Deviggiano, Alejandro; Dragonetti, Laura
Source
JACC Cardiovascular Imaging. 14(9)
Subject
Language
Abstract
ObjectivesThis study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-U.S. institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic.BackgroundThe COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality.MethodsData were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States.ResultsReductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p