Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey

The impact of the COVID-19 pandemic on cardiovascular healthcare in Croatia remains largely unexplored. This study aimed to compare the utilization and provision of cardiovascular services during the pre-pandemic (2017–2019) and pandemic (2020–2021) periods, leveraging nationwide data from the Croat...

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Main Authors: Josip Lukenda, Josip Andelo Borovac
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/12/3/42
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author Josip Lukenda
Josip Andelo Borovac
author_facet Josip Lukenda
Josip Andelo Borovac
author_sort Josip Lukenda
collection DOAJ
description The impact of the COVID-19 pandemic on cardiovascular healthcare in Croatia remains largely unexplored. This study aimed to compare the utilization and provision of cardiovascular services during the pre-pandemic (2017–2019) and pandemic (2020–2021) periods, leveraging nationwide data from the Croatian Health Insurance Fund, which covers 95% of all insurance claims in the country. Our findings reveal that while the use of coronary angiographies decreased during the pandemic, there was a notable increase in the utilization of advanced heart failure treatment modalities and percutaneous coronary interventions, particularly in the context of acute myocardial infarction. Additionally, transcatheter aortic valve implantations saw a significant rise during the pandemic period. Furthermore, laboratory diagnostic testing for troponin and natriuretic peptides experienced a marked increase, while the utilization of most other cardiovascular services remained stable or showed only minor declines compared to the pre-pandemic era. These observations suggest that the Croatian cardiovascular healthcare system displayed resilience during the COVID-19 pandemic, successfully maintaining and even expanding access to various diagnostic and interventional procedures despite facing widespread societal and logistical challenges.
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spelling doaj.art-e59ff3b73b6840098bfb1cc05e93872a2024-03-27T13:33:37ZengMDPI AGDiseases2079-97212024-02-011234210.3390/diseases12030042Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide SurveyJosip Lukenda0Josip Andelo Borovac1Department of Internal Medicine, University Hospital “Sveti Duh”, 10000 Zagreb, CroatiaCardiovascular Diseases Department, University Hospital of Split, 21000 Split, CroatiaThe impact of the COVID-19 pandemic on cardiovascular healthcare in Croatia remains largely unexplored. This study aimed to compare the utilization and provision of cardiovascular services during the pre-pandemic (2017–2019) and pandemic (2020–2021) periods, leveraging nationwide data from the Croatian Health Insurance Fund, which covers 95% of all insurance claims in the country. Our findings reveal that while the use of coronary angiographies decreased during the pandemic, there was a notable increase in the utilization of advanced heart failure treatment modalities and percutaneous coronary interventions, particularly in the context of acute myocardial infarction. Additionally, transcatheter aortic valve implantations saw a significant rise during the pandemic period. Furthermore, laboratory diagnostic testing for troponin and natriuretic peptides experienced a marked increase, while the utilization of most other cardiovascular services remained stable or showed only minor declines compared to the pre-pandemic era. These observations suggest that the Croatian cardiovascular healthcare system displayed resilience during the COVID-19 pandemic, successfully maintaining and even expanding access to various diagnostic and interventional procedures despite facing widespread societal and logistical challenges.https://www.mdpi.com/2079-9721/12/3/42cardiology servicesCroatiaCOVID-19pandemichealthcarenational sample
spellingShingle Josip Lukenda
Josip Andelo Borovac
Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey
Diseases
cardiology services
Croatia
COVID-19
pandemic
healthcare
national sample
title Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey
title_full Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey
title_fullStr Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey
title_full_unstemmed Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey
title_short Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey
title_sort impact of covid 19 pandemic on cardiovascular healthcare in croatia a comprehensive nationwide survey
topic cardiology services
Croatia
COVID-19
pandemic
healthcare
national sample
url https://www.mdpi.com/2079-9721/12/3/42
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