Changes in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020
Abstract This population-based cohort study aimed to describe changes in incidence of cardiovascular disease (CVD) hospital diagnoses during the COVID-19 pandemic in The Netherlands compared with the pre-pandemic period. We used Dutch nationwide statistics about hospitalizations to estimate incidenc...
| Main Authors: | , , , , , , |
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| Format: | Article |
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Nature Portfolio
2023-08-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-39573-w |
| _version_ | 1797453236896006144 |
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| author | Eva K. Kempers Qingui Chen Chantal Visser Eric C. M. van Gorp Frederikus A. Klok Suzanne C. Cannegieter Marieke J. H. A. Kruip |
| author_facet | Eva K. Kempers Qingui Chen Chantal Visser Eric C. M. van Gorp Frederikus A. Klok Suzanne C. Cannegieter Marieke J. H. A. Kruip |
| author_sort | Eva K. Kempers |
| collection | DOAJ |
| description | Abstract This population-based cohort study aimed to describe changes in incidence of cardiovascular disease (CVD) hospital diagnoses during the COVID-19 pandemic in The Netherlands compared with the pre-pandemic period. We used Dutch nationwide statistics about hospitalizations to estimate incidence rate ratios (IRR) of hospital diagnoses of CVD during the first and second COVID-19 waves in The Netherlands in 2020 versus the same periods in 2019. Compared with 2019, the incidence rate of a hospital diagnosis of ischemic stroke (IRR 0.87; 95% CI 0.79–0.95), major bleeding (IRR 0.74; 95% CI 0.68–0.82), atrial fibrillation (IRR 0.73; 95% CI 0.65–0.82), myocardial infarction (IRR 0.78; 95% CI 0.72–0.84), and heart failure (IRR 0.74; 95% CI 0.65–0.85) declined during the first wave, but returned to pre-pandemic levels throughout 2020. However, the incidence rate of a hospital diagnosis of pulmonary embolism (PE) increased during both the first and second wave in 2020 compared with 2019 (IRR 1.30; 95% CI 1.15–1.48 and IRR 1.31; 95% CI 1.19–1.44, respectively). In conclusion, we observed substantial declines in incidences of CVD during the COVID-19 pandemic in The Netherlands in 2020, especially during the first wave, with an exception for an increase in incidence of PE. This study contributes to quantifying the collateral damage of the COVID-19 pandemic. |
| first_indexed | 2024-03-09T15:19:53Z |
| format | Article |
| id | doaj.art-c72198ff8a414ceeb4d6781dd6eebeaa |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-09T15:19:53Z |
| publishDate | 2023-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-c72198ff8a414ceeb4d6781dd6eebeaa2023-11-26T12:52:22ZengNature PortfolioScientific Reports2045-23222023-08-0113111110.1038/s41598-023-39573-wChanges in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020Eva K. Kempers0Qingui Chen1Chantal Visser2Eric C. M. van Gorp3Frederikus A. Klok4Suzanne C. Cannegieter5Marieke J. H. A. Kruip6Department of Hematology, Erasmus MC, Erasmus University Medical CenterDepartment of Clinical Epidemiology, Leiden University Medical CenterDepartment of Hematology, Erasmus MC, Erasmus University Medical CenterDepartment of Viroscience, Erasmus MC, Erasmus University Medical CenterDepartment of Medicine-Thrombosis and Hemostasis, Leiden University Medical CenterDepartment of Clinical Epidemiology, Leiden University Medical CenterDepartment of Hematology, Erasmus MC, Erasmus University Medical CenterAbstract This population-based cohort study aimed to describe changes in incidence of cardiovascular disease (CVD) hospital diagnoses during the COVID-19 pandemic in The Netherlands compared with the pre-pandemic period. We used Dutch nationwide statistics about hospitalizations to estimate incidence rate ratios (IRR) of hospital diagnoses of CVD during the first and second COVID-19 waves in The Netherlands in 2020 versus the same periods in 2019. Compared with 2019, the incidence rate of a hospital diagnosis of ischemic stroke (IRR 0.87; 95% CI 0.79–0.95), major bleeding (IRR 0.74; 95% CI 0.68–0.82), atrial fibrillation (IRR 0.73; 95% CI 0.65–0.82), myocardial infarction (IRR 0.78; 95% CI 0.72–0.84), and heart failure (IRR 0.74; 95% CI 0.65–0.85) declined during the first wave, but returned to pre-pandemic levels throughout 2020. However, the incidence rate of a hospital diagnosis of pulmonary embolism (PE) increased during both the first and second wave in 2020 compared with 2019 (IRR 1.30; 95% CI 1.15–1.48 and IRR 1.31; 95% CI 1.19–1.44, respectively). In conclusion, we observed substantial declines in incidences of CVD during the COVID-19 pandemic in The Netherlands in 2020, especially during the first wave, with an exception for an increase in incidence of PE. This study contributes to quantifying the collateral damage of the COVID-19 pandemic.https://doi.org/10.1038/s41598-023-39573-w |
| spellingShingle | Eva K. Kempers Qingui Chen Chantal Visser Eric C. M. van Gorp Frederikus A. Klok Suzanne C. Cannegieter Marieke J. H. A. Kruip Changes in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020 Scientific Reports |
| title | Changes in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020 |
| title_full | Changes in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020 |
| title_fullStr | Changes in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020 |
| title_full_unstemmed | Changes in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020 |
| title_short | Changes in incidence of hospitalization for cardiovascular diseases during the COVID-19 pandemic in The Netherlands in 2020 |
| title_sort | changes in incidence of hospitalization for cardiovascular diseases during the covid 19 pandemic in the netherlands in 2020 |
| url | https://doi.org/10.1038/s41598-023-39573-w |
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