Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania : The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

被引：8

作者：

O'Sullivan, Patricia ^{[1
]}

Younger, John ^{[2
,3
]}

Van Pelt, Niels ^{[4
]}

O'Malley, Sue ^{[5
]}

Lenturut-Katal, Dora ^{[6
]}

Hirschfeld, Cole B. ^{[7
,8
]}

Vitola, Joao V. ^{[9
]}

Cerci, Rodrigo ^{[9
]}

Williams, Michelle C. ^{[10
]}

Shaw, Leslee J. ^{[7
,8
,11
]}

Raggi, Paolo ^{[12
,13
]}

Villines, Todd C. ^{[14
]}

Dorbala, Sharmila ^{[15
]}

Choi, Andrew D. ^{[16
]}

Cohen, Yosef ^{[17
]}

Goebel, Benjamin ^{[7
,8
,11
]}

Malkovskiy, Eli ^{[7
,8
,18
]}

Randazzo, Michael ^{[7
,8
]}

Pascual, Thomas N. B. ^{[19
]}

Pynda, Yaroslav ^{[20
]}

Dondi, Maurizio ^{[20
]}

Paez, Diana ^{[20
]}

Einstein, Andrew J. ^{[7
,8
,18
,21
]}

Better, Nathan ^{[1
,22
]}

机构：

[1] Royal Melbourne Hosp, Melbourne, Vic, Australia

[2] Royal Brisbane Hosp, Brisbane, Qld, Australia

[3] Univ Queensland, Brisbane, Qld, Australia

[4] Middlemore Hosp, Auckland, New Zealand

[5] Christchurch Hosp, Christchurch, New Zealand

[6] Port Moresby Gen Hosp, Port Moresby, Papua N Guinea

[7] Columbia Univ, Dept Med, Irving Med Ctr, New York, NY USA

[8] New York Presbyterian Hosp, New York, NY USA

[9] Quanta Diagnost, Curitiba, Parana, Brazil

[10] Univ Edinburgh, BHF Ctr Cardiovasc Sci, Edinburgh, Midlothian, Scotland

[11] Weill Cornell Med Coll, New York, NY USA

[12] Univ Alberta, Dept Med, Edmonton, AB, Canada

[13] Univ Alberta, Div Cardiol, Edmonton, AB, Canada

[14] Univ Virginia, Charlottesville, VA USA

[15] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

[16] George Washington Univ, Sch Med, Washington, DC USA

[17] Technion Israel Inst Technol, Haifa, Israel

[18] Columbia Univ, Irving Med Ctr, Sernour Paul & Gloria Milstein Div Cardiol, New York, NY USA

[19] Philippines Nucl Res Inst, Manila, Philippines

[20] IAEA, Vienna, Austria

[21] Columbia Univ, Dept Radiol, Irving Med Ctr, New York, NY USA

[22] Univ Melbourne, Melbourne, Vic, Australia

来源：

HEART LUNG AND CIRCULATION | 2021年 / 30卷 / 10期

关键词：

COVID-19; Coronavirus; Cardiac imaging; Cardiac investigations; DISEASES;

D O I：

10.1016/j.hlc.2021.04.021

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) 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, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p<0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p<0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology.

引用

页码：1477 / 1486

页数：10

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