Indian Heart Journal (Sep 2023)

Impact of COVID-19 on heart failure hospitalization and outcome in India – A cardiological society of India study (CSI–HF in COVID 19 times study – “The COVID C–HF study”)

  • Jayagopal P. B,
  • Ramakrishnan S,
  • Mohanan P. P,
  • Jabir A,
  • Venugopal K,
  • M.K. Das,
  • Santhosh K,
  • Syam N,
  • J. Ezhilan,
  • Rajeev Agarwal,
  • Vaidyanathan P R,
  • Ahmed Hussain Choudhary,
  • Meena C B,
  • Amit Malviya,
  • Arun Gopi,
  • Chopra V K,
  • Stigi Joseph,
  • Krishna Kishore Goyal,
  • John F. John,
  • Sandeep Bansal,
  • Harikrishnan S,
  • Praveen Nagula,
  • Johny Joseph,
  • Ajit Bagawat,
  • Sandeep Seth,
  • Urmil Shah,
  • Pravin K. Goel,
  • P.K. Asokan,
  • K.K. Sethi,
  • Satyavan Sharma,
  • (Lt.Gen)Anup Banerji,
  • Sunandan Sikdar,
  • ManojKumar Agarwala,
  • Sharad Chandra,
  • BishwaBhushan Bharti,
  • S.M. Ashraf,
  • Smit Srivastava,
  • B. Kesavamoorthy,
  • Harinder Kumar Bali,
  • Dipak Sarma,
  • Rajendra Kumar Jain,
  • Sameer I. Dani,
  • B.H. Natesh,
  • Rabindra Nath Chakraborty,
  • Vivek Gupta,
  • Narendra Nath Khanna,
  • Dipankar Mukhopadhyay,
  • Subroto Mandal,
  • Biswajit Majumder,
  • Sridhar L,
  • Meennahalli Palleda Girish,
  • DipakRanjan Das,
  • Tom Devasia,
  • Bhavesh Vajifdar,
  • Tanuj Bhatia,
  • Zia Abdullah,
  • Sanjeev Sharma,
  • Sudeep Kumar,
  • Mathew Lincy,
  • Nitish Naik,
  • Dhiman Kahali,
  • Dhurjati Prasad Sinha,
  • Dipankar Ghosh Dastidar,
  • Gurpreet Sing Wander,
  • Rakesh Yadav,
  • Satyendra Tewari,
  • Suman Bhandari,
  • Pratap Chandra Rath,
  • Vijay Harikisan Bang,
  • Debabrata Roy,
  • ParthoSarathi Banerjee,
  • S. Shanmugasundaram,
  • Geevar Zachariah

Journal volume & issue
Vol. 75, no. 5
pp. 370 – 375

Abstract

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Objectives: The presentation and outcomes of acute decompensated heart failure (ADHF) during COVID times (June 2020 to Dec 2020) were compared with the historical control during the same period in 2019. Methods: Data of 4806 consecutive patients of acute HF admitted in 22 centres in the country were collected during this period. The admission patterns, aetiology, outcomes, prescription of guideline-directed medical therapy (GDMT) and interventions were analysed in this retrospective study. Results: Admissions for acute heart failure during the pandemic period in 2020 decreased by 20% compared to the corresponding six-month period in 2019, with numbers dropping from 2675 to 2131. However, no difference in the epidemiology was seen. The mean age of presentation in 2019 was 61.75 (±13.7) years, and 59.97 (±14.6) years in 2020. There was a significant decrease in the mean age of presentation (p = 0.001). Also. the proportion of male patients decreased significantly from 68.67% to 65.84% (p = 0.037). The in-hospital mortality for acute heart failure did not differ significantly between 2019 and 2020 (4.19% and 4.,97%) respectively (p = 0.19). The proportion of patients with HFrEF did not change in 2020 compared to 2019 (76.82% vs 75.74%, respectively). The average duration of hospital stay was 6.5 days. Conclusion: The outcomes of ADHF patients admitted during the Covid pandemic did not differ significantly. The length of hospital stay remained the same. The study highlighted the sub-optimal use of GDMT, though slightly improving over the last few years.

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