Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India
Aim: This retrospective study compares admissions and outcomes due to acute decompensated heart failure (ADHF) during the COVID-19 pandemic from 25 March to 25 July 2020 with the historical patient control who were admitted during the same period in 2019. Methods and results: Data of the participati...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-07-01
|
| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483221001371 |
| _version_ | 1818749855114199040 |
|---|---|
| author | P.B. Jayagopal Jabir Abdullakutty L. Sridhar Veena Nanjappa Johny Joseph P.R. Vaidyanathan G. Somasekhar T.R. Raghu B.C. Srinivas V.K. Chopra C.N. Manjunath |
| author_facet | P.B. Jayagopal Jabir Abdullakutty L. Sridhar Veena Nanjappa Johny Joseph P.R. Vaidyanathan G. Somasekhar T.R. Raghu B.C. Srinivas V.K. Chopra C.N. Manjunath |
| author_sort | P.B. Jayagopal |
| collection | DOAJ |
| description | Aim: This retrospective study compares admissions and outcomes due to acute decompensated heart failure (ADHF) during the COVID-19 pandemic from 25 March to 25 July 2020 with the historical patient control who were admitted during the same period in 2019. Methods and results: Data of the participating hospitals was collected and analysed from the ICC NHFR (Indian College of Cardiology National Heart Failure Registry) for 2019 and 2020. Total number of ADHF admissions, demographics, aetiology, co-morbid conditions and in-hospital mortality was compared and analysed. A significant decrease in the number of hospital admissions due to ADHF from 2019 to 2020 (1056 vs. 526 respectively) was noted. Incidence of admissions with <40% ejection fraction (EF) reduced in 2020 (72.4% and 80.2% in2020 and 2019)and >40% (EF) increased (27.6% and 19.8% in 2019 and 2020 respectively, p = 0.0005). Ischemic heart disease (IHD) was the most common aetiology (78.59% in 2019 and 80.98% in 2020, p = 0.268). The in-hospital mortality was numerically higher in 2020 (10%) than in 2019 (8%), but not statistically significant (p = 0.161). Conclusion: This study from the registry shows that the incidence of ADHF admissions during COVID-19 lockdown significantly reduced compared to the previous year. Demographic patterns remained similar but patients presenting with de-novo HF increased; IHD was the most common cause. The in-hospital mortality was numerically higher during the lockdown. The impact of lockdown perhaps led to fewer hospitalisations and this is to be factored in future strategies to address health care delivery during such crises. |
| first_indexed | 2024-12-18T04:10:24Z |
| format | Article |
| id | doaj.art-2f4e1cc9d97142ce9947b6c73d2f8bd5 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-18T04:10:24Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-2f4e1cc9d97142ce9947b6c73d2f8bd52022-12-21T21:21:29ZengElsevierIndian Heart Journal0019-48322021-07-01734464469Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South IndiaP.B. Jayagopal0Jabir Abdullakutty1L. Sridhar2Veena Nanjappa3Johny Joseph4P.R. Vaidyanathan5G. Somasekhar6T.R. Raghu7B.C. Srinivas8V.K. Chopra9C.N. Manjunath10Lakshmi Hospital, Palakkad, Kerala, India; Corresponding author.Lisie Hospital, Ernakulam, Kerala, IndiaSri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, IndiaSri Jayadeva Institute of Cardiovascular Sciences & Research, Mysuru, Karnataka, IndiaCaritas Hospital, Kottayam, Kerala, IndiaKuppuswami Naidu Memorial Hospital, Coimbatore, Tamil Nadu, IndiaAayush Hospitals, Vijayawada, Andhra Pradesh, IndiaRajarajeshwari Medical College, Kambipura, Mysore Road, Bangalore, IndiaSri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka, IndiaHeart Failure Programme and Research, Max Super Specialty Hospital, Saket, New Delhi, IndiaSri Jayadeva Institute of Cardiovascular Science and Research, Bengaluru, Karnataka, IndiaAim: This retrospective study compares admissions and outcomes due to acute decompensated heart failure (ADHF) during the COVID-19 pandemic from 25 March to 25 July 2020 with the historical patient control who were admitted during the same period in 2019. Methods and results: Data of the participating hospitals was collected and analysed from the ICC NHFR (Indian College of Cardiology National Heart Failure Registry) for 2019 and 2020. Total number of ADHF admissions, demographics, aetiology, co-morbid conditions and in-hospital mortality was compared and analysed. A significant decrease in the number of hospital admissions due to ADHF from 2019 to 2020 (1056 vs. 526 respectively) was noted. Incidence of admissions with <40% ejection fraction (EF) reduced in 2020 (72.4% and 80.2% in2020 and 2019)and >40% (EF) increased (27.6% and 19.8% in 2019 and 2020 respectively, p = 0.0005). Ischemic heart disease (IHD) was the most common aetiology (78.59% in 2019 and 80.98% in 2020, p = 0.268). The in-hospital mortality was numerically higher in 2020 (10%) than in 2019 (8%), but not statistically significant (p = 0.161). Conclusion: This study from the registry shows that the incidence of ADHF admissions during COVID-19 lockdown significantly reduced compared to the previous year. Demographic patterns remained similar but patients presenting with de-novo HF increased; IHD was the most common cause. The in-hospital mortality was numerically higher during the lockdown. The impact of lockdown perhaps led to fewer hospitalisations and this is to be factored in future strategies to address health care delivery during such crises.http://www.sciencedirect.com/science/article/pii/S0019483221001371Heart failureCovid-19SARS-CoV2LockdownMortality |
| spellingShingle | P.B. Jayagopal Jabir Abdullakutty L. Sridhar Veena Nanjappa Johny Joseph P.R. Vaidyanathan G. Somasekhar T.R. Raghu B.C. Srinivas V.K. Chopra C.N. Manjunath Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India Indian Heart Journal Heart failure Covid-19 SARS-CoV2 Lockdown Mortality |
| title | Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India |
| title_full | Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India |
| title_fullStr | Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India |
| title_full_unstemmed | Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India |
| title_short | Acute decompensated heart failure (ADHF) during COVID-19 pandemic-insights from South India |
| title_sort | acute decompensated heart failure adhf during covid 19 pandemic insights from south india |
| topic | Heart failure Covid-19 SARS-CoV2 Lockdown Mortality |
| url | http://www.sciencedirect.com/science/article/pii/S0019483221001371 |
| work_keys_str_mv | AT pbjayagopal acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT jabirabdullakutty acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT lsridhar acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT veenananjappa acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT johnyjoseph acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT prvaidyanathan acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT gsomasekhar acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT trraghu acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT bcsrinivas acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT vkchopra acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia AT cnmanjunath acutedecompensatedheartfailureadhfduringcovid19pandemicinsightsfromsouthindia |