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Effects of the COVID-19 pandemic on secondary care for cardiovascular disease in the UK: an electronic health record analysis across three countries.
Wright, F Lucy; Cheema, Kate; Goldacre, Raph; Hall, Nick; Herz, Naomi; Islam, Nazrul; Karim, Zainab; Moreno-Martos, David; Morales, Daniel R; O'Connell, Daniel; Spata, Enti; Akbari, Ashley; Ashworth, Mark; Barber, Mark; Briffa, Norman; Canoy, Dexter; Denaxas, Spiros; Khunti, Kamlesh; Kurdi, Amanj; Mamas, Mamas; Priedon, Rouven; Sudlow, Cathie; Morris, Eva J A; Lacey, Ben; Banerjee, Amitava.
Afiliación
  • Wright FL; The Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
  • Cheema K; British Heart Foundation, London NW1 7AW, UK.
  • Goldacre R; The Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
  • Hall N; The Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
  • Herz N; British Heart Foundation, London NW1 7AW, UK.
  • Islam N; The Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
  • Karim Z; British Heart Foundation, London NW1 7AW, UK.
  • Moreno-Martos D; Division of Population Health and Genomics, University of Dundee, Dundee DD1 4HN, UK.
  • Morales DR; Division of Population Health and Genomics, University of Dundee, Dundee DD1 4HN, UK.
  • O'Connell D; Department of Public Health, University of Southern Denmark, Odense DK-5000, Denmark.
  • Spata E; British Heart Foundation, London NW1 7AW, UK.
  • Akbari A; The Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
  • Ashworth M; Population Data Science, Swansea University Medical School, Faculty of Medicine, Health & Life Science, Swansea University, Wales, Swansea, SA2 8QA, UK.
  • Barber M; Primary Care Research Group, King's College London, London SE1 1UL, UK.
  • Briffa N; Scottish Stroke Care Audit, Public Health Scotland, Glasgow G2 6QE, UK.
  • Canoy D; Department of Cardiothoracic Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK.
  • Denaxas S; Population Health Sciences Institute, University of Newcastle, Newcastle NE2 4AX, UK.
  • Khunti K; Institute of Health Informatics, University College London, London NW1 2DA, UK.
  • Kurdi A; British Heart Foundation Data Science Centre, Health Data Research UK, London NW1 2BE, UK.
  • Mamas M; Leicester Diabetes Centre, University of Leicester, Leicester LE5 4PW, UK.
  • Priedon R; Strathclyde Institute of Pharmacy and Biomedical Science, University of Strathclyde, Glasgow G4 ORE, UK.
  • Sudlow C; Keele Cardiovascular Research Group, Keele University, Stoke on Trent ST5 5BG, UK.
  • Morris EJA; British Heart Foundation Data Science Centre, Health Data Research UK, London NW1 2BE, UK.
  • Lacey B; British Heart Foundation Data Science Centre, Health Data Research UK, London NW1 2BE, UK.
  • Banerjee A; The Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
Eur Heart J Qual Care Clin Outcomes ; 9(4): 377-388, 2023 06 21.
Article en En | MEDLINE | ID: mdl-36385522
BACKGROUND: Although morbidity and mortality from COVID-19 have been widely reported, the indirect effects of the pandemic beyond 2020 on other major diseases and health service activity have not been well described. METHODS AND RESULTS: Analyses used national administrative electronic hospital records in England, Scotland, and Wales for 2016-21. Admissions and procedures during the pandemic (2020-21) related to six major cardiovascular conditions [acute coronary syndrome (ACS), heart failure (HF), stroke/transient ischaemic attack (TIA), peripheral arterial disease (PAD), aortic aneurysm (AA), and venous thromboembolism(VTE)] were compared with the annual average in the pre-pandemic period (2016-19). Differences were assessed by time period and urgency of care.In 2020, there were 31 064 (-6%) fewer hospital admissions [14 506 (-4%) fewer emergencies, 16 560 (-23%) fewer elective admissions] compared with 2016-19 for the six major cardiovascular diseases (CVDs) combined. The proportional reduction in admissions was similar in all three countries. Overall, hospital admissions returned to pre-pandemic levels in 2021. Elective admissions remained substantially below expected levels for almost all conditions in all three countries [-10 996 (-15%) fewer admissions]. However, these reductions were offset by higher than expected total emergency admissions [+25 878 (+6%) higher admissions], notably for HF and stroke in England, and for VTE in all three countries. Analyses for procedures showed similar temporal variations to admissions. CONCLUSION: The present study highlights increasing emergency cardiovascular admissions during the pandemic, in the context of a substantial and sustained reduction in elective admissions and procedures. This is likely to increase further the demands on cardiovascular services over the coming years.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Cardiovasculares / Accidente Cerebrovascular / Tromboembolia Venosa / COVID-19 / Insuficiencia Cardíaca Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Eur Heart J Qual Care Clin Outcomes Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Cardiovasculares / Accidente Cerebrovascular / Tromboembolia Venosa / COVID-19 / Insuficiencia Cardíaca Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Eur Heart J Qual Care Clin Outcomes Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido