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Recovery Rates of Diagnostic Cardiac Procedural Volume in Oceania 1 Year Into COVID-19: The IAEA Non-Invasive
Anver Sethwala1, Cole B Hirschfeld2, Patricia O'Sullivan1
1Royal Melbourne Hospital, Melbourne, Vic, Australia.
Insights
Cardiac diagnostic procedure volumes in Oceania returned to pre-pandemic levels one year into the COVID-19 pandemic. Recovery rates for these cardiology procedures did not significantly differ from the rest of the world.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic significantly impacted healthcare systems globally, leading to disruptions in routine medical procedures.
- Assessing the recovery of cardiac diagnostic procedures is crucial for understanding healthcare system resilience.
Purpose of the Study:
- To evaluate the recovery rates of diagnostic cardiac procedure volumes in the Oceania Region midway through the COVID-19 pandemic.
- To compare Oceania's recovery rates with the rest of the world (RoW).
Main Methods:
- A survey compared cardiac diagnostic procedure volumes in March 2019 (pre-pandemic), April 2020 (first wave), and April 2021 (1 year into pandemic).
- Data from 31 healthcare facilities in Oceania were compared with 549 centers in the RoW.
- Procedure volumes were analyzed by test type and facility characteristics (metropolitan/regional, public/private, hospital/outpatient, teaching/non-teaching).
Main Results:
- Oceania performed 11,902 cardiac procedures in April 2021, compared to 11,835 pre-pandemic and 5,986 in April 2020.
- Total procedure volumes in Oceania recovered to pre-pandemic levels (-6% median change) with no significant difference compared to the RoW (-3% median change).
- Poorer recovery was suggested for anatomical coronary testing (CT coronary angiography, invasive coronary angiography) in Oceania compared to RoW, though not statistically significant for all measures.
Conclusions:
- Diagnostic cardiology procedure volumes in Oceania normalized to pre-pandemic levels within one year of the COVID-19 pandemic.
- No significant differences in recovery rates were observed between Oceania and the RoW, or across different types of healthcare facilities within Oceania.
Aim:
The aim of this study was to assess the recovery rates of diagnostic cardiac procedure volumes in the Oceania Region, midway through the coronavirus disease 2019 (COVID-19) pandemic.
Methods:
A survey was performed comparing procedure volumes between March 2019 (pre-pandemic), April 2020 (during first wave of COVID-19 pandemic), and April 2021 (1 year into the COVID-19 pandemic). A total of 31 health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, as well as teaching and non-teaching hospitals. A comparison was made with 549 centres in 96 countries in the rest of the world (RoW) outside of Oceania. The total number and median percentage change in procedure volume were measured between the three timepoints, compared by test type and by facility.
Results:
A total of 11,902 cardiac diagnostic procedures were performed in Oceania in April 2021 as compared with 11,835 pre-pandemic in March 2019 and 5,986 in April 2020; whereas, in the RoW, 499,079 procedures were performed in April 2021 compared with 497,615 pre-pandemic in March 2019 and 179,014 in April 2020. There was no significant difference in the median recovery rates for total procedure volumes between Oceania (-6%) and the RoW (-3%) (p=0.81). While there was no statistically significant difference in percentage recovery been functional ischaemia testing and anatomical coronary testing in Oceania as compared with the RoW, there was, however, a suggestion of poorer recovery in anatomical coronary testing in Oceania as compared with the RoW (CT coronary angiography -16% in Oceania vs -1% in RoW, and invasive coronary angiography -20% in Oceania vs -9% in RoW). There was no statistically significant difference in recovery rates in procedure volume between metropolitan vs regional (p=0.44), public vs private (p=0.92), hospital vs outpatient (p=0.79), or teaching vs non-teaching centres (p=0.73).
Conclusions:
Total cardiology procedure volumes in Oceania normalised 1 year post-pandemic compared to pre-pandemic levels, with no significant difference compared with the RoW and between the different types of health care facilities.
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