ESC Heart Failure (Feb 2022)
Impact of COVID‐19 pandemic on acute heart failure admissions and mortality: a multicentre study (COV‐HF‐SIRIO 6 study)
- Jacek Kubica,
- Małgorzata Ostrowska,
- Wioleta Stolarek,
- Michał Kasprzak,
- Klaudyna Grzelakowska,
- Jacek Kryś,
- Aldona Kubica,
- Piotr Adamski,
- Przemysław Podhajski,
- Eliano Pio Navarese,
- Edyta Anielska‐Michalak,
- Oliwia Brycht,
- Andrzej Curzytek,
- Aneta Dudek,
- Leszek Gromadziński,
- Paweł Grzelakowski,
- Leszek Kamiński,
- Andrzej Kleinrok,
- Marcin Kostkiewicz,
- Marek Koziński,
- Paweł Król,
- Tomasz Kulawik,
- Gleb Minczew,
- Marcin Mindykowski,
- Agnieszka Pawlak,
- Janusz Prokopczuk,
- Grzegorz Skonieczny,
- Bożena Sobkowicz,
- Sergiusz Sowiński,
- Sebastian Stankala,
- Paweł Szymański,
- Andrzej Wester,
- Przemysław Wilczewski,
- Stanisław Bartuś,
- Andrzej Budaj,
- Mariusz Gąsior,
- Marcin Gruchała,
- Jarosław Drożdż,
- Miłosz Jaguszewski,
- Piotr Jankowski,
- Jacek Legutko,
- Maciej Lesiak,
- Przemysław Leszek,
- Przemysław Mitkowski,
- Jadwiga Nessler,
- Anna Tomaszuk‐Kazberuk,
- Agnieszka Tycińska,
- Tomasz Zdrojewski,
- Jarosław Kaźmierczak
Affiliations
- Jacek Kubica
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Małgorzata Ostrowska
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Wioleta Stolarek
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Michał Kasprzak
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Klaudyna Grzelakowska
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Jacek Kryś
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Aldona Kubica
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Piotr Adamski
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Przemysław Podhajski
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Eliano Pio Navarese
- Department of Cardiology and Internal Medicine, Collegium Medicum Nicolaus Copernicus University 9 Skłodowskiej‐Curie Street Bydgoszcz 85‐094 Poland
- Edyta Anielska‐Michalak
- Department of Cardiology Marian Zyndram‐Kościałkowski Ministry of Interior and Administration Hospital Białystok Poland
- Oliwia Brycht
- II Department of Cardiology, Chair of Cardiology, Cardiac Surgery and Vascular Diseases Medical University of Lodz Lodz Poland
- Andrzej Curzytek
- Department of Cardiology Hospital of the Ministry of Interior and Administration Rzeszów Poland
- Aneta Dudek
- 1st Department of Cardiology, Collegium Medicum Jan Kochanowski University Kielce Poland
- Leszek Gromadziński
- Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum University of Warmia and Mazury Olsztyn Poland
- Paweł Grzelakowski
- Department of Cardiology and Cardiac Surgery 10th Military Hospital and Polyclinic Bydgoszcz Poland
- Leszek Kamiński
- Department of Cardiology Independent Public Healthcare in Przeworsk Przeworsk Poland
- Andrzej Kleinrok
- Cardiology Department Pope John Paul II District Hospital in Zamość Zamosc Poland
- Marcin Kostkiewicz
- Cardiology Department Medical Care Center Jaroslaw Poland
- Marek Koziński
- Department of Cardiology and Internal Diseases, Institute of Maritime and Tropical Medicine Medical University of Gdańsk Gdynia Poland
- Paweł Król
- Department of Cardiology Tertiary Care Hospital Ciechanów Poland
- Tomasz Kulawik
- Department of Cardiology Masovian Rehabilitation Center “STOCER”, Dr. Włodzimierz Roefler Hospital Pruszków Poland
- Gleb Minczew
- Department of Cardiology District Hospital Tuchola Poland
- Marcin Mindykowski
- Department of Cardiology Dr. Emil Warmiński Tertiary Care Municipal Hospital Bydgoszcz Poland
- Agnieszka Pawlak
- Department of Invasive Cardiology Central Clinical Hospital of the Ministry of Interior and Administration Warsaw Poland
- Janusz Prokopczuk
- Department of Cardiology Polish Hospitals Kędzierzyn‐Koźle Poland
- Grzegorz Skonieczny
- Department of Cardiology and Intensive Cardiac Care Unit District Polyclinic Hospital Toruń Poland
- Bożena Sobkowicz
- Department of Cardiology Medical University in Białystok Białystok Poland
- Sergiusz Sowiński
- Department of Cardiology and Cardiac Intensive Care Tertiary Care Municipal Hospital Toruń Poland
- Sebastian Stankala
- Cardiology Subdivision of Heart Failure St. Elizabeth Hospital Biała Poland
- Paweł Szymański
- Department of Cardiology, Interventional Cardiology and Electrophysiology with Cardiac Intensive Care Unit Tertiary Care Hospital Grudziądz Poland
- Andrzej Wester
- 1st Department of Physiology, Institute of Medical Sciences University of Opole, Cardiology Center of Kluczbork SCANMED SA Opole Poland
- Przemysław Wilczewski
- Department of Cardiology Polish Hospitals Sztum Poland
- Stanisław Bartuś
- 2nd Department of Cardiology, Collegium Medicum Jagiellonian University Cracow Poland
- Andrzej Budaj
- Department of Cardiology Center of Postgraduate Medical Education, Grochowski Hospital Warsaw Poland
- Mariusz Gąsior
- 3rd Department of Cardiology, Silesian Center for Heart Diseases, Faculty of Medicine in Zabrze Medical University of Silesia Zabrze Poland
- Marcin Gruchała
- 1st Department of Cardiology Medical University of Gdansk Gdansk Poland
- Jarosław Drożdż
- II Department of Cardiology, Chair of Cardiology, Cardiac Surgery and Vascular Diseases Medical University of Lodz Lodz Poland
- Miłosz Jaguszewski
- 1st Department of Cardiology Medical University of Gdansk Gdansk Poland
- Piotr Jankowski
- 1st Department of Cardiology Jagiellonian University Medical College Krakow Poland
- Jacek Legutko
- Department of Interventional Cardiology, Institute of Cardiology Jagiellonian University Medical College, John Paul II Hospital Krakow Poland
- Maciej Lesiak
- Department of Cardiology Poznan University of Medical Sciences Poznan Poland
- Przemysław Leszek
- Department of Heart Failure and Transplantology National Institute of Cardiology Warsaw Poland
- Przemysław Mitkowski
- Department of Cardiology Poznan University of Medical Sciences Poznan Poland
- Jadwiga Nessler
- Department of Coronary Artery Disease and Heart Failure, Institute of Cardiology Jagiellonian University Medical College Krakow Poland
- Anna Tomaszuk‐Kazberuk
- Department of Cardiology Medical University in Białystok Białystok Poland
- Agnieszka Tycińska
- Department of Cardiology Medical University in Białystok Białystok Poland
- Tomasz Zdrojewski
- Department of Preventive Medicine and Education Medical University of Gdansk Gdansk Poland
- Jarosław Kaźmierczak
- Department of Cardiology Pomeranian Medical University Szczecin Poland
- DOI
- https://doi.org/10.1002/ehf2.13680
- Journal volume & issue
-
Vol. 9,
no. 1
pp. 721 – 728
Abstract
Abstract Aims The coronavirus disease‐2019 (COVID‐19) pandemic has changed the landscape of medical care delivery worldwide. We aimed to assess the influence of COVID‐19 pandemic on hospital admissions and in‐hospital mortality rate in patients with acute heart failure (AHF) in a retrospective, multicentre study. Methods and results From 1 January 2019 to 31 December 2020, a total of 101 433 patients were hospitalized in 24 Cardiology Departments in Poland. The number of patients admitted due to AHF decreased by 23.4% from 9853 in 2019 to 7546 in 2020 (P < 0.001). We noted a significant reduction of self‐referrals in the times of COVID‐19 pandemic accounting 27.8% (P < 0.001), with increased number of AHF patients brought by an ambulance by 15.9% (P < 0.001). The length of hospital stay was overall similar (7.7 ± 2.8 vs. 8.2 ± 3.7 days; P = not significant). The in‐hospital all‐cause mortality in AHF patients was 444 (5.2%) in 2019 vs. 406 (6.5%) in 2020 (P < 0.001). A total number of AHF patients with concomitant COVID‐19 was 239 (3.2% of AHF patients hospitalized in 2020). The rate of in‐hospital deaths in AHF patients with COVID‐19 was extremely high accounting 31.4%, reaching up to 44.1% in the peak of the pandemic in November 2020. Conclusions Our study indicates that the COVID‐19 pandemic led to (i) reduced hospital admissions for AHF; (ii) decreased number of self‐referred AHF patients and increased number of AHF patients brought by an ambulance; and (iii) increased in‐hospital mortality for AHF with very high mortality rate for concomitant AHF and COVID‐19.
Keywords
