Pulmonary embolism during the COVID-19 pandemic: Decline in diagnostic procedures and incidence at a university hospital.

Research and Practice in Thrombosis and Haemostasis
Stephan NoppCihan Ay

Abstract

The COVID-19 pandemic has focused medical attention on treating affected patients and protecting others from infection. However, concerns have been raised regarding the pandemic´s impact and associated containment measures (eg curfew, lockdown) on non-coronavirus disease 2019 (COVID-19)-related acute medical diseases. To investigate changes in the incidence of pulmonary embolism (PE) during the COVID-19 pandemic compared to the period before the pandemic and reference periods in previous years. In this single-center study, we explored all diagnostic imaging tests performed for suspected PE between weeks 1 and 17 of the years 2018, 2019, and 2020. Incidence of PE (ie, primary outcome) was analyzed. Secondary outcomes included number of imaging tests for suspected PE. Compared to weeks 1 to 11, 2020, an abrupt decline in PE diagnosis (mean weekly rate, 5.2; 95% confidence interval [CI], 3.8-6.6 vs 1.8; 95% CI, 0.0-3.6) and imaging tests (mean weekly rate, 32.5; 95% CI, 27.5-37.6 vs. 17.3; 95% CI, 11.6-23.1) was observed from week 12, with beginning of the containment measures and public lockdown in Austria. Compared to weeks 12 to 17 of 2018 and 2019, PE incidence and imaging tests were similarly decreased from 5.3 (95% CI, 3.6-7...Continue Reading

References

Oct 2, 2007·The American Journal of Medicine·Paul D SteinPamela K Woodard
Feb 8, 2020·JAMA : the Journal of the American Medical Association·Dawei WangZhiyong Peng
Mar 18, 2020·Circulation. Cardiovascular Quality and Outcomes·Chor-Cheung Frankie TamChung-Wah Siu
Apr 18, 2020·The New England Journal of Medicine·Lisa Rosenbaum
Apr 23, 2020·Journal of Thrombosis and Haemostasis : JTH·Jean-François LlitjosKarim Merouani
Apr 29, 2020·The New England Journal of Medicine·Ovidio De FilippoGaetano M De Ferrari

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