Reduced Rate of Hospital Presentations for Heart Failure During the COVID-19 Pandemic in Toronto, Canada

The Canadian Journal of Cardiology
Claudia FrankfurterAna C Alba

Abstract

Coronavirus disease 2019 (COVID-19) has resulted in public health measures and health care reconfigurations likely to have impact on chronic disease care. We aimed to assess the volume and characteristics of patients presenting to hospitals with acute decompensated heart failure (ADHF) during the 2020 COVID-19 pandemic compared with a time-matched 2019 cohort. Patients presenting to hospitals with ADHF from March 1, to April 19, 2020 and 2019 in an urban hospital were examined. Multivariable logistic-regression models were used to evaluate the difference in probability of ADHF-related hospitalization between the 2 years. During the COVID-19 pandemic, a total of 1106 emergency department (ED) visits for dyspnea or peripheral edema were recorded, compared with 800 ED visits in 2019. A decrease in ADHF-related ED visits of 43.5% (14.8%-79.4%, P = 0.002) and ADHF-related admissions of 39.3% (8.6%-78.5%, P = 0.009) was observed compared with 2019. Patients with ADHF presenting to hospitals (n = 128) were similar in age, sex, and comorbidities compared with the 2019 cohort (n = 186); however, a higher proportion had recent diagnoses of heart failure. Upon ED presentation, the relative probability of hospitalization or admission to in...Continue Reading

Citations

Nov 3, 2020·European Journal of Heart Failure·Sebastian KönigUNKNOWN Helios Hospitals, Germany
Jan 7, 2021·Heart Failure Reviews·Alberto PalazzuoliPeter A McCullough
Feb 25, 2021·Risk Management and Healthcare Policy·Tetyana KendzerskaClaire E Kendall
Feb 23, 2021·Annals of Emergency Medicine·Lisa A CalderIan G Stiell
Nov 20, 2020·The Canadian Journal of Cardiology·Darren Lau, Finlay A McAlister
Nov 19, 2021·European Heart Journal·UNKNOWN Task Force for the management of COVID-19 of the European Society of Cardiology

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