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The Impact of COVID-19 Outbreak on Cardiovascular Admissions
Abdulrahman Arabi1, Fida Ahmad1, Jassim Al-Suwaidi1
1Department of Cardiology and Cardiovascular Surgery, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
Insights
The COVID-19 pandemic significantly reduced cardiovascular admissions, including acute myocardial infarction and unstable angina, due to patient fear and lockdowns. Despite fewer admissions, total deaths remained stable.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic profoundly disrupted global healthcare, impacting hospital admissions.
- Understanding these disruptions is crucial for healthcare system management.
Purpose of the Study:
- To analyze the impact of the COVID-19 outbreak on cardiovascular admission patterns.
- To assess changes in specific cardiac conditions and interventions during the pandemic.
Main Methods:
- Retrospective observational study utilizing hospital discharge coded data.
- Data analysis covered January 1, 2019, to June 30, 2020, at Hamad Medical Corporation hospitals in Qatar.
Main Results:
- Significant reductions observed in cardiovascular admissions: acute myocardial infarction (31%), acute decompensated heart failure (48%), unstable angina (79%), and arrhythmia (80%).
- Primary percutaneous coronary intervention procedures saw a brief decline.
- Total deaths remained constant, but the mortality rate increased due to reduced admission numbers.
Conclusions:
- Fear of contracting COVID-19 and lockdown measures likely contributed to the decrease in cardiovascular admissions.
- These findings highlight the indirect effects of the pandemic on essential healthcare services.
Background:
The COVID-19 pandemic has caused major disruption in the health care deliveries and activities worldwide including hospital admission.
Method:
We used hospitals discharged coded data from January 1, 2019 to June 30, 2020 to examine the impact of COVID-19 outbreak on the pattern of cardiovascular admission among Hamad Medical Corporation hospitals in the State of Qatar.
Results:
In this retrospective observational study, we documented significant changes in the pattern of cardiovascular admissions in our hospitals. There was a significant reduction in hospitalizations of various subsets of cardiac disease. Admissions for acute myocardial infarction dropped by 31%, acute decompensated dropped by 48%, unstable angina dropped by 79% and arrythmia by 80%. Primary percutaneous coronary intervention procedures declined briefly. However, the total deaths remained the same despite the increase in mortality rate due to reduced admissions number.
Conclusion:
We postulate the fear of contracting the disease and the lock-down mentality during COVID-19 outbreak contribute to reduction of cardiovascular admission to our hospital.
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