The impact of the COVID‐19 pandemic on the care of pulmonary hypertension patients outside the Hubei province in China

Yuqin Chen; Bihua Zhong; Qian Jiang; Yilin Chen; Wenjun He; Ning Lai; Dansha Zhou; Jiahao He; Yiting Yao; Yi Shen; Juan Li; Jianuo Yang; Zhe Zhang; Ran Ma; Jian Wang; Chunli Liu

doi:10.1002/pul2.12130

Pulmonary Circulation (Jul 2022)

The impact of the COVID‐19 pandemic on the care of pulmonary hypertension patients outside the Hubei province in China

Yuqin Chen,
Bihua Zhong,
Qian Jiang,
Yilin Chen,
Wenjun He,
Ning Lai,
Dansha Zhou,
Jiahao He,
Yiting Yao,
Yi Shen,
Juan Li,
Jianuo Yang,
Zhe Zhang,
Ran Ma,
Jian Wang,
Chunli Liu

Affiliations

Yuqin Chen: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Bihua Zhong: Department of Respiratory and Critical Care Medicine The Second People's Hospital of Foshan (Affiliated Foshan Hospital of Southern Medical University) Foshan Guangdong China
Qian Jiang: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Yilin Chen: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Wenjun He: Department of Pulmonary Medicine, PHEniX Laboratory Amsterdam UMC location Vrije Universiteit Amsterdam Amsterdam The Netherlands
Ning Lai: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Dansha Zhou: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Jiahao He: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Yiting Yao: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Yi Shen: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Juan Li: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Jianuo Yang: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Zhe Zhang: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Ran Ma: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Jian Wang: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China
Chunli Liu: State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangdong Key Laboratory of Vascular Disease, Guangdong‐Hong Kong‐Macao Joint Laboratory of Respiratory Infectious Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University Guangzhou China

DOI: https://doi.org/10.1002/pul2.12130
Journal volume & issue: Vol. 12, no. 3
pp. n/a – n/a

Abstract

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Abstract The Coronavirus disease 2019 (COVID‐19) pandemic has severely affected the lives of people around the world, especially some patients with severe chronic diseases. This study aims to evaluate the impact of the COVID‐19 outbreak from December 2019 to April 2020 on treating patients with PH. A questionnaire regarding the medical condition of PH patients during the COVID‐19 pandemic was designed by PH diagnostic experts in The First Affiliated Hospital of Guangzhou Medical University, China Respiratory Center. One hundred and fifty‐six subjects with PH from non‐Hubei regions in China were invited to participate in this survey online. 63.4% (n = 99) of them had difficulty seeing a doctor, and the main reason was fear of contracting severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) in the hospital. Medical treatment was affected in 25% (n = 39) of patients, and who lived in rural areas, and discontinued medical therapy for financial reasons were at a higher risk of medical treatment being affected. Patients who reduced nutrition, and had difficulty seeing a doctor were more likely to get deteriorated. During the epidemic, the hospitalization rate of PH patients was 33.33%. Patients with aggravated PH had a high risk of hospitalization (odds ratio [OR] = 2.844), while patients who visited a doctor during the epidemic reduced the risk of hospitalization (OR = 0.33). In conclusion, during the COVID‐19 pandemic, PH patients had difficulty seeing a doctor, and their medical treatment was affected, even worsened, and increased the risk of hospitalization.

Published in Pulmonary Circulation

ISSN: 2045-8940 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the respiratory system
Website: https://onlinelibrary.wiley.com/journal/20458940

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Abstract

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