دورية أكاديمية
أعرض في EDS

Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India

التفاصيل البيبلوغرافية
العنوان: Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
المؤلفون: P.B. Jayagopal, Jabir Abdullakutty, L. Sridhar, Veena Nanjappa, Johny Joseph, P.R. Vaidyanathan, G. Somasekhar, T.R. Raghu, B.C. Srinivas, V.K. Chopra, C.N. Manjunath
المصدر: Indian Heart Journal, Vol 73, Iss 4, Pp 464-469 (2021)
بيانات النشر: Elsevier, 2021.
سنة النشر: 2021
المجموعة: LCC:Surgery
LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: Heart failure, Covid-19, SARS-CoV2, Lockdown, Mortality, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: 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% (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.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 0019-4832
Relation: http://www.sciencedirect.com/science/article/pii/S0019483221001371; https://doaj.org/toc/0019-4832
DOI: 10.1016/j.ihj.2021.06.014
URL الوصول: https://doaj.org/article/2f4e1cc9d97142ce9947b6c73d2f8bd5
رقم الأكسشن: edsdoj.2f4e1cc9d97142ce9947b6c73d2f8bd5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:00194832
DOI:10.1016/j.ihj.2021.06.014