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Impact Of The COVID-19 Pandemic on Hospital Admissions and In-Hospital Lethality From Cardiovascular Diseases in

Lucas Gomes Santos1, Regicley Vieira da Silva1, Thiago Cavalcanti Leal2

  • 1Department of Medicine, Federal University of Alagoas, Arapiraca, Alagoas, Brazil.

Current Problems in Cardiology
|April 23, 2022
PubMed

Insights

The COVID-19 pandemic in Brazil led to a 17.1% decrease in cardiovascular disease (CVD) hospital admissions. However, in-hospital lethality for CVD patients increased from 8.2% to 9.3% during the pandemic.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic significantly altered healthcare delivery globally.
  • Brazil implemented various government policies in response to the pandemic.
  • Cardiovascular diseases (CVD) represent a major health concern in Brazil.

Purpose of the Study:

  • To evaluate the impact of the COVID-19 pandemic on hospital admissions for CVD in Brazil during 2020.
  • To assess the effect of the pandemic on in-hospital lethality rates for CVD patients in Brazil.
  • To analyze regional and indicator-specific variations in CVD hospitalization and mortality trends.

Main Methods:

  • Ecological and time-series study design.
  • Analysis of national hospitalization and death data for CVD from January 2018 to December 2020.
  • Calculation of hospital admission rates, in-hospital lethality rates, and annual percent change.

Main Results:

  • A significant 17.1% reduction in CVD hospital admission rates was observed, with a decreasing trend from January to May 2020 (APC: -8.7%).
  • In-hospital lethality for CVD increased from 8.2% in 2018 to 9.3% in 2020.
  • Total hospital stay days for CVD reached 21.8 million during the study period, with varied regional impacts.

Conclusions:

  • The COVID-19 pandemic had a dual impact on CVD care in Brazil, decreasing admissions while increasing lethality.
  • Pandemic-related healthcare disruptions affected CVD indicators differently across Brazilian regions.
  • Further research is needed to understand the long-term consequences and optimize cardiovascular care during public health crises.

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