Impact of the COVID‐19 Pandemic on Patients Without COVID‐19 With Acute Myocardial Infarction and Heart Failure

Fox, Daniel K.; Waken, RJ; Johnson, Daniel Y.; Hammond, Gmerice; Yu, Jonathan; Fanous, Erika; Maddox, Thomas M.; Maddox, Karen E. Joynt

doi:10.1161/jaha.121.022625

Cited by 31 publications

(27 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prior studies have demonstrated a variety of significant disruptions to usual care during COVID, 28 , 29 including changes in treatment for acute myocardial infarction 30 31 and heart failure. 32 Studies have suggested that patients presenting with acute conditions such as heart attack and stroke were generally sicker upon arrival during COVID, 33 perhaps corroborating the delays in care reported by survey respondents. While concrete data on the long-term impacts of care delay and deferral are lacking, this is an important area for future work.…”

Section: Discussionmentioning

confidence: 83%

Care Disruption During COVID-19: a National Survey of Hospital Leaders

et al. 2023

Self Cite

View full text Add to dashboard Cite

Background The COVID-19 pandemic caused massive disruption in usual care delivery patterns in hospitals across the USA, and highlighted long-standing inequities in health care delivery and outcomes. Its effect on hospital operations, and whether the magnitude of the effect differed for hospitals serving historically marginalized populations, is unknown. Objective To investigate the perspectives of hospital leaders on the effects of COVID-19 on their facilities’ operations and patient outcomes. Methods A survey was administered via print and electronic means to hospital leaders at 588 randomly sampled acute-care hospitals participating in Medicare’s Inpatient Prospective Payment System, fielded from November 2020 to June 2021. Summary statistics were tabulated, and responses were adjusted for sampling strategy and non-response. Results There were 203 responses to the survey (41.6%), with 20.7% of respondents representing safety-net hospitals and 19.7% representing high-minority hospitals. Over three-quarters of hospitals reported COVID testing shortages, about two-thirds reported staffing shortages, and 78.8% repurposed hospital spaces to intensive care units, with a slightly higher proportion of high-minority hospitals reporting these effects. About half of respondents felt that non-COVID inpatients received worsened quality or outcomes during peak COVID surges, and almost two-thirds reported worsened quality or outcomes for outpatient non-COVID patients as well, with few differences by hospital safety-net or minority status. Over 80% of hospitals participated in alternative payment models prior to COVID, and a third of these reported decreasing these efforts due to the pandemic, with no differences between safety-net and high-minority hospitals. Conclusions COVID-19 significantly disrupted the operations of hospitals across the USA, with hospitals serving patients in poverty and racial and ethnic minorities reporting relatively similar care disruption as non-safety-net and lower-minority hospitals. Supplementary Information The online version contains supplementary material available at 10.1007/s11606-022-08002-5.

show abstract

Section: Discussionmentioning

confidence: 83%

Care Disruption During COVID-19: a National Survey of Hospital Leaders

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…Therefore, there is a concern that patients' clinical conditions may deteriorate when surgery is delayed, especially in patients who have acute appendicitis (which would have been treated immediately in the past but where treatment might be delayed for patients presenting during the COVID-19 pandemic). In other medical or surgical emergencies, such as myocardial infarction and testicular torsion, there have been some reports that the incidence of disease complications increased during the COVID-19 pandemic [10,11]. There were several reports that the incidence of complicated acute appendicitis and rates of non-surgical treatment have increased compared to pre-COVID-19 levels [12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Clinical Experience of Emergency Appendectomy under the COVID-19 Pandemic in a Single Institution in South Korea

Choi

Chung

et al. 2022

Medicina

View full text Add to dashboard Cite

Background and Objectives: The COVID-19 pandemic has brought serious changes in healthcare systems worldwide, some of which have affected patients who need emergency surgery. Acute appendicitis is the most common surgical disease requiring emergency surgery. This study was performed to determine how the COVID-19 pandemic has changed the treatment of patients with acute appendicitis in South Korea. Materials and Methods: We retrospectively reviewed a medical database that included patients who underwent surgery for acute appendicitis in our hospital from January 2019 to May 2021. We classified the patients into two groups according to whether they were treated before or after the COVID pandemic and 10 March 2020 was used as the cutoff date, which is when the World Health Organization declared the COVID pandemic. Results: A total of 444 patients were included in the “Pre-COVID-19” group and 393 patients were included in the “COVID-19” group. In the “COVID-19” group, the proportion of patients with severe morbidity was significantly lower. The time that the patients spent in the emergency room before surgery was significantly longer in the ”COVID-19” group (519.11 ± 486.57 min vs. 705.27 ± 512.59 min; p-value < 0.001). There was no difference observed in the severity of appendicitis or in the extent of surgery between the two groups. Conclusions: During the COVID-19 pandemic, a statistically significant time delay (186.16 min) was needed to confirm COVID-19 infection status. However, there was no clinical difference in the severity of appendicitis or in the extent of surgery. To ensure the safety of patients and medical staff, a COVID-19 PCR test should be performed.

show abstract

“…Moreover, many cardiovascular diseases are time-dependent. An overwhelmed and fully committed health care system in the fight against respiratory disease caused by the SARS-CoV-2 pandemic partially neglected time-dependent conditions (Fox et al 2022 ; Velek et al 2022 ).…”

Section: Discussionmentioning

confidence: 99%

The impact of the SARS-CoV-2 pandemic on cause-specific mortality patterns: a systematic literature review

Sanmarchi

Esposito

Adorno

et al. 2022

J Public Health (Berl.)

View full text Add to dashboard Cite

Background Understanding the effects of the COVID-19 pandemic on cause-specific mortality should be a priority, as this metric allows for a detailed analysis of the true burden of the pandemic. The aim of this systematic literature review is to estimate the impact of the pandemic on different causes of death, providing a quantitative and qualitative analysis of the phenomenon. Methods We searched MEDLINE, Scopus, and ProQuest for studies that reported cause-specific mortality during the COVID-19 pandemic, extracting relevant data. Results A total of 2413 articles were retrieved, and after screening 22 were selected for data extraction. Cause-specific mortality results were reported using different units of measurement. The most frequently analyzed cause of death was cardiovascular diseases (n = 16), followed by cancer (n = 14) and diabetes (n = 11). We reported heterogeneous patterns of cause-specific mortality, except for suicide and road accident. Conclusions Evidence on non-COVID-19 cause-specific deaths is not exhaustive. Reliable scientific evidence is needed by policymakers to make the best decisions in an unprecedented and extremely uncertain historical period. We advocate for the urgent need to find an international consensus to define reliable methodological approaches to establish the true burden of the COVID-19 pandemic on non-COVID-19 mortality.

show abstract

Impact of the COVID‐19 Pandemic on Patients Without COVID‐19 With Acute Myocardial Infarction and Heart Failure

Cited by 31 publications

References 26 publications

Care Disruption During COVID-19: a National Survey of Hospital Leaders

Care Disruption During COVID-19: a National Survey of Hospital Leaders

Clinical Experience of Emergency Appendectomy under the COVID-19 Pandemic in a Single Institution in South Korea

The impact of the SARS-CoV-2 pandemic on cause-specific mortality patterns: a systematic literature review

Contact Info

Product

Resources

About