Evidence map›Paper›PMID 33497509›Full record

ArticleClinical cardiology2021

Hospitalization deficit of in- and outpatient cases with cardiovascular diseases and utilization of cardiological interventions during the COVID-19 pandemic: Insights from the German-wide helios hospital network.

Sebastian König, Laura Ueberham, Vincent Pellissier, Sven Hohenstein, Andreas Meier-Hellmann, Holger Thiele, Vusal Ahmadli, Michael A Borger, Ralf Kuhlen, Gerhard Hindricks and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Remote proctoring for high-risk coronary interventions with mechanical circulatory support during COVID-19 pandemic and beyond.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sebastian KönigHeart Center Leipzig at University of Leipzig, Department of Electrophysiology, Leipzig, Germany.ORCID https://orcid.org/0000-0002-3759-3052
Laura UeberhamHeart Center Leipzig at University of Leipzig, Department of Electrophysiology, Leipzig, Germany.
Vincent PellissierLeipzig Heart Institute, Leipzig, Germany.
Sven HohensteinLeipzig Heart Institute, Leipzig, Germany.
Andreas Meier-HellmannHelios Hospitals, Berlin, Germany.
Holger ThieleLeipzig Heart Institute, Leipzig, Germany.
Vusal AhmadliLeipzig Heart Institute, Leipzig, Germany.
Michael A BorgerLeipzig Heart Institute, Leipzig, Germany.
Ralf KuhlenHelios Health, Berlin, Germany.
Gerhard HindricksHeart Center Leipzig at University of Leipzig, Department of Electrophysiology, Leipzig, Germany.
Andreas BollmannHeart Center Leipzig at University of Leipzig, Department of Electrophysiology, Leipzig, Germany.
Helios hospitals, Germany

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment numbers of various cardiovascular diseases were reduced throughout the early phase of the ongoing COVID-19 pandemic. Aim of this study was to (a) expand previous study periods to examine the long-term course of hospital admission numbers, (b) provide data for in- and outpatient care pathways, and (c) illustrate changes of numbers of cardiovascular procedures. METHODS AND

resultsAdministrative data of patients with ICD-10-encoded primary diagnoses of cardiovascular diseases (heart failure, cardiac arrhythmias, ischemic heart disease, valvular heart disease, hypertension, peripheral vascular disease) and in- or outpatient treatment between March, 13th 2020 and September, 10th 2020 were analyzed and compared with 2019 data. Numbers of cardiovascular procedures were calculated using OPS-codes. The cumulative hospital admission deficit (CumAD) was computed as the difference between expected and observed admissions for every week in 2020. In total, 80 hospitals contributed 294 361 patient cases to the database without relevant differences in baseline characteristics between the studied periods. There was a CumAD of -10% to -16% at the end of the study interval in 2020 for all disease groups driven to varying degrees by both reductions of in- and outpatient case numbers. The number of performed interventions was significantly reduced for all examined procedures (catheter ablations: -10%; cardiac electronic device implantations: -7%; percutaneous cardiovascular interventions: -9%; cardiovascular surgery: -15%).

conclusionsThis study provides data on the long-term development of cardiovascular patient care during the COVID-19 pandemic demonstrating a significant CumAD for several cardiovascular diseases and a concomitant performance deficit of cardiovascular interventions.

Indexed as

Disease ManagementAgedCardiovascular DiseasesComorbidityCOVID-19FemaleGermanyHospitalizationHospitalsHumansMaleMiddle AgedOutpatientsPandemicsRetrospective StudiesSARS-CoV-2cardiovascular hospitalizationscardiovascular proceduresCOVID-19SARS-CoV-2

Identifiers

PMID33497509
PMCPMC7943897

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.