Hospital admissions during Covid-19 lock-down in Germany: Differences in discretionary and unavoidable cardiovascular events

PloS One
Elisabeth StöhrVedat Tiyerili

Abstract

A decline in hospitalization for cardiovascular events and catheter laboratory activation was reported for the United States and Italy during the initial stage of the Covid-19 pandemic of 2020. We report on the deployment of emergency services for cardiovascular events in a defined region in western Germany during the government-imposed lock-down period. We examined 5799 consecutive patients who were treated by emergency services for cardiovascular events during the Covid-19 pandemic (January 1 to April 30, 2020), and compared those to the corresponding time frame in 2019. Examining the emergency physicians' records provided by nine locations in the area, we found a 20% overall decline in cardiovascular admissions. The greatest reduction could be seen immediately following the government-imposed social restrictions. This reduction was mainly driven by a reduction in discretionary admissions for dizziness/syncope (-53%), heart failure (-38%), exacerbated COPD (-28%) and unstable angina (-23%), while unavoidable admissions for ST-elevation myocardial infarction (STEMI), cardiopulmonary resuscitation (CPR) and stroke were unchanged. There was a greater decline in emergency admissions for patients ≥60 years. There was also a greate...Continue Reading

References

Feb 15, 1996·The New England Journal of Medicine·J LeorR A Kloner
Mar 29, 2008·Journal of the American College of Cardiology·Joel E Dimsdale
Apr 14, 2020·Journal of the American College of Cardiology·Santiago GarciaTimothy D Henry

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