Impact of the COVID-19 pandemic on cardiovascular mortality and catherization activity during the lockdown in central Germany: an observational study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-11-21

AUTHORS

Holger M. Nef, Albrecht Elsässer, Helge Möllmann, Mohammed Abdel-Hadi, Timm Bauer, Martin Brück, Holger Eggebrecht, Joachim R. Ehrlich, Markus W. Ferrari, Stephan Fichtlscherer, Ulrich Hink, Hans Hölschermann, Rifat Kacapor, Oliver Koeth, Serguei Korboukov, Steffen Lamparter, Alexander J. Laspoulas, Ralf Lehmann, Christoph Liebetrau, Tobias Plücker, Jörn Pons-Kühnemann, Volker Schächinger, Bernhard Schieffer, Peter Schott, Matthias Schulze, Claudius Teupe, Mariuca Vasa-Nicotera, Michael Weber, Christoph Weinbrenner, Gerald Werner, Christian W. Hamm, Oliver Dörr

ABSTRACT

AimsDuring the COVID-19 pandemic, hospital admissions for cardiac care have declined. However, effects on mortality are unclear. Thus, we sought to evaluate the impact of the lockdown period in central Germany on overall and cardiovascular deaths. Simultaneously we looked at catheterization activities in the same region.Methods and resultsData from 22 of 24 public health-authorities in central Germany were aggregated during the pandemic related lockdown period and compared to the same time period in 2019. Information on the total number of deaths and causes of death, including cardiovascular mortality, were collected. Additionally, we compared rates of hospitalization (n = 5178) for chronic coronary syndrome (CCS), acute coronary syndrome (ACS), and out of hospital cardiac arrest (OHCA) in 26 hospitals in this area. Data on 5,984 deaths occurring between March 23, 2020 and April 26, 2020 were evaluated. In comparison to the reference non-pandemic period in 2019 (deaths: n = 5832), there was a non-significant increase in all-cause mortality of 2.6% [incidence rate ratio (IRR) 1.03, 95% confidence interval (CI) 0.99–1.06; p = 0.16]. Cardiovascular and cardiac mortality increased significantly by 7.6% (IRR 1.08, 95%-CI 1.01–1.14; p = 0.02) and by 11.8% (IRR 1.12, 95%-CI 1.05–1.19; p < 0.001), respectively. During the same period, our data revealed a drop in cardiac catherization procedures.ConclusionDuring the COVID-19-related lockdown a significant increase in cardiovascular mortality was observed in central Germany, whereas catherization activities were reduced. The mechanisms underlying both of these observations should be investigated further in order to better understand the effects of a pandemic-related lockdown and social-distancing restrictions on cardiovascular care and mortality.Graphic abstract More... »

PAGES

292-301

Journal

TITLE

Clinical Research in Cardiology

ISSUE

2

VOLUME

110

Author Affiliations

  • Department of Cardiology, Herz-Kreislauf-Zentrum Klinikum Hersfeld-Rotenburg, Rotenburg, Germany
  • Department of Cardiology, Klinikum Oldenburg, Oldenburg, Germany
  • St.-Johannes-Hospital Klinik Für Innere Medizin I, Dortmund, Germany
  • Department of Cardiology, DRK Kliniken Nordhessen, Kassel, Germany
  • Department of Cardiology, Sana Klinikum Offenbach, Offenbach, Germany
  • Department of Cardiology, Lahn-Dill-Kliniken, Klinikum Wetzlar, Wetzlar, Germany
  • Department of Cardiology, Agaplesion Frankfurter Diakonie Kliniken, Frankfurt, Germany
  • Department of Cardiology, St. Josefs-Hospital Wiesbaden, Wiesbaden, Germany
  • Department of Cardiology, Helios Dr. Horst Schmidt Kliniken, Wiesbaden, Germany
  • Department of Cardiology, Klinikum Frankfurt Höchst, Frankfurt am Main, Germany
  • Department of Cardiology, Hochtaunus-Kliniken, Bad Homburg, Germany
  • Department of Cardiology, Kliniken Des Main-Taunus-Kreises, Bad Soden am Taunus, Germany
  • Department of Cardiology, GPR Gesundheits- Und Pflegezentrum Rüsselsheim, Rüsselsheim, Germany
  • Hessenklinik Stadtkrankenhaus Korbach, Korbach, Germany
  • Department of Cardiology, Diakonie-Krankenhaus Wehrda, Marburg, Germany
  • Department of Cardiology, Justus Liebig University Giessen, University Hospital Giessen, Medical Clinic I, Klinikstrasse 33, 35392, Giessen, Germany
  • Department of Cardiology, Asklepios Kliniken Langen, Langen, Germany
  • Department of Cardiology, Kerckhoff Heart Center, Bad Nauheim, Germany
  • Department of Cardiology, Eichhof-Stiftung Lauterbach, Lauterbach, Germany
  • Justus Liebig University Giessen, Medical Statistics, Institute of Medical Informatics, Giessen, Germany
  • Department of Cardiology, Klinikum Fulda, Fulda, Germany
  • Department of Internal Medicine/Cardiology and Angiology, University Hospital of Marburg, Marburg, Germany
  • Department of Cardiology, Klinikum Werra Meissner GmbH, Eschwege, Germany
  • Department of Cardiology, Asklepios Schwalm-Eder-Kliniken, Schwalmstadt, Germany
  • Department of Cardiology, Krankenhaus Sachsenhausen, Frankfurt am Main, Germany
  • Department of Cardiology, University of Frankfurt, Frankfurt, Germany
  • Department of Cardiology, Kreisklinik Groß-Umstadt, Groß-Umstadt, Germany
  • Department of Cardiology, Klinikum Hanau, Hanau, Germany
  • Department of Cardiology, Klinikum Darmstadt, Darmstadt, Germany
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00392-020-01780-0

    DOI

    http://dx.doi.org/10.1007/s00392-020-01780-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1132798504

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/33219854


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