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The impact of COVID-19 on heart failure hospitalization and management: report from a Heart Failure Unit in London during the peak of the pandemic

European Journal of Heart Failure, 2020-06, Vol.22 (6), p.978 [Peer Reviewed Journal]

2020 The Authors. European Journal of Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. ;2020. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at https://novel-coronavirus.onlinelibrary.wiley.com ;EISSN: 1879-0844 ;DOI: 10.1002/ejhf.1925 ;PMID: 32478951

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  • Title:
    The impact of COVID-19 on heart failure hospitalization and management: report from a Heart Failure Unit in London during the peak of the pandemic
  • Author: Bromage, Daniel I ; Cannatà, Antonio ; Rind, Irfan A ; Gregorio, Caterina ; Piper, Susan ; Shah, Ajay M ; McDonagh, Theresa A
  • Subjects: Aged ; Betacoronavirus ; Comorbidity ; Coronavirus Infections - epidemiology ; Coronavirus Infections - therapy ; COVID-19 ; Disease Management ; Female ; Follow-Up Studies ; Heart Failure - epidemiology ; Heart Failure - therapy ; Hospitalization - trends ; Humans ; Incidence ; London - epidemiology ; Male ; Pandemics ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - therapy ; Prognosis ; SARS-CoV-2
  • Is Part Of: European Journal of Heart Failure, 2020-06, Vol.22 (6), p.978
  • Description: To examine the impact of COVID-19 on acute heart failure (AHF) hospitalization rates, clinical characteristics and management of patients admitted to a tertiary Heart Failure Unit in London during the peak of the pandemic. Data from King's College Hospital, London, reported to the National Heart Failure Audit for England and Wales, between 2 March-19 April 2020 were compared both to a pre-COVID cohort and the corresponding time periods in 2017 to 2019 with respect to absolute hospitalization rates. Furthermore, we performed detailed comparison of patients hospitalized during the COVID-19 pandemic and patients presenting in the same period in 2019 with respect to clinical characteristics and management during the index admission. A significantly lower admission rate for AHF was observed during the study period compared to all other included time periods. Patients admitted during the COVID-19 pandemic had higher rates of New York Heart Association III or IV symptoms (96% vs. 77%, P = 0.03) and severe peripheral oedema (39% vs. 14%, P = 0.01). We did not observe any differences in inpatient management, including place of care and pharmacological management of heart failure with reduced ejection fraction. Incident AHF hospitalization significantly declined in our centre during the COVID-19 pandemic, but hospitalized patients had more severe symptoms at admission. Further studies are needed to investigate whether the incidence of AHF declined or patients did not present to hospital while the national lockdown and social distancing restrictions were in place. From a public health perspective, it is imperative to ascertain whether this will be associated with worse long-term outcomes.
  • Publisher: England: John Wiley & Sons, Inc
  • Language: English
  • Identifier: EISSN: 1879-0844
    DOI: 10.1002/ejhf.1925
    PMID: 32478951
  • Source: Coronavirus Research Database
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