Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center Experience
Objective: To better manage the burden of the COVID-19 pandemic on hospitals, numerous scheduled procedures have been postponed nationwide. Design and Methods: Retrospective analysis of patient characteristics and outcomes of patients hospitalized with peripheral arterial disease (PAD) in the period...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/3/890 |
| _version_ | 1797624184121065472 |
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| author | Elias Noory Tanja Böhme Jonas Salm Ulrich Beschorner Dirk Westermann Thomas Zeller |
| author_facet | Elias Noory Tanja Böhme Jonas Salm Ulrich Beschorner Dirk Westermann Thomas Zeller |
| author_sort | Elias Noory |
| collection | DOAJ |
| description | Objective: To better manage the burden of the COVID-19 pandemic on hospitals, numerous scheduled procedures have been postponed nationwide. Design and Methods: Retrospective analysis of patient characteristics and outcomes of patients hospitalized with peripheral arterial disease (PAD) in the period prior to the COVID-19 pandemic (2018 and 2019) and during the pandemic (2020 and 2021). This study assesses the in-hospital outcomes. Main endpoints are Rutherford stages at admission for intervention, incidence of amputation, of total occlusion, and duration of intervention. The data were analyzed descriptively. Results: The total number of interventions due to PAD had decreased in 2020, but not significantly during the pandemic period (<i>n</i> = 5351) compared to the period prior to COVID-19 pandemic (<i>n</i> = 5351) (<i>p</i> = 0.589). The proportion of interventions treated for critical limb-threatening ischaemia (CLTI) increased from 2018/2019 (<i>n</i> = 2112) to 2020/2021 (<i>n</i> = 2426) (<i>p</i> < 0.001). However, the proportion of patients with wounds requiring amputation was not higher during the pandemic (<i>n</i> = 191) than before (<i>n</i> = 176) (minor amputations <i>p</i> = 0.2302, major amputations <i>p</i> = 0.9803). The proportion of total occlusions did not differ significantly between the pre-COVID-19 (<i>n</i> = 3082) and the COVID-19 pandemic periods (<i>n</i> = 2996) (<i>p</i> = 0.8207). Multilevel interventions did not increase significantly from 2018/2019 (<i>n</i> = 1930) to 2020/2021 (<i>n</i> = 2071). Between 2018/2019 and 2020/2021, the procedure duration and fluoroscopy duration increased significantly. However, parameters such as contrast agent volume and radiation dose did not differ significantly. The average length of stay was 4.6 days. Conclusion: The COVID-19 pandemic had an impact on the in-patient care of PAD patients in terms of disease stage severity and complexity. However, the amputation rate was not affected. |
| first_indexed | 2024-03-11T09:39:26Z |
| format | Article |
| id | doaj.art-efacc50a63cf481ea202e0f49bde2969 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:39:26Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-efacc50a63cf481ea202e0f49bde29692023-11-16T17:08:41ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112389010.3390/jcm12030890Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center ExperienceElias Noory0Tanja Böhme1Jonas Salm2Ulrich Beschorner3Dirk Westermann4Thomas Zeller5Clinic for Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, Campus Bad Krozingen, Südring 15, 79189 Bad Krozingen, GermanyClinic for Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, Campus Bad Krozingen, Südring 15, 79189 Bad Krozingen, GermanyClinic for Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, Campus Bad Krozingen, Südring 15, 79189 Bad Krozingen, GermanyClinic for Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, Campus Bad Krozingen, Südring 15, 79189 Bad Krozingen, GermanyClinic for Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, Campus Bad Krozingen, Südring 15, 79189 Bad Krozingen, GermanyClinic for Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, Campus Bad Krozingen, Südring 15, 79189 Bad Krozingen, GermanyObjective: To better manage the burden of the COVID-19 pandemic on hospitals, numerous scheduled procedures have been postponed nationwide. Design and Methods: Retrospective analysis of patient characteristics and outcomes of patients hospitalized with peripheral arterial disease (PAD) in the period prior to the COVID-19 pandemic (2018 and 2019) and during the pandemic (2020 and 2021). This study assesses the in-hospital outcomes. Main endpoints are Rutherford stages at admission for intervention, incidence of amputation, of total occlusion, and duration of intervention. The data were analyzed descriptively. Results: The total number of interventions due to PAD had decreased in 2020, but not significantly during the pandemic period (<i>n</i> = 5351) compared to the period prior to COVID-19 pandemic (<i>n</i> = 5351) (<i>p</i> = 0.589). The proportion of interventions treated for critical limb-threatening ischaemia (CLTI) increased from 2018/2019 (<i>n</i> = 2112) to 2020/2021 (<i>n</i> = 2426) (<i>p</i> < 0.001). However, the proportion of patients with wounds requiring amputation was not higher during the pandemic (<i>n</i> = 191) than before (<i>n</i> = 176) (minor amputations <i>p</i> = 0.2302, major amputations <i>p</i> = 0.9803). The proportion of total occlusions did not differ significantly between the pre-COVID-19 (<i>n</i> = 3082) and the COVID-19 pandemic periods (<i>n</i> = 2996) (<i>p</i> = 0.8207). Multilevel interventions did not increase significantly from 2018/2019 (<i>n</i> = 1930) to 2020/2021 (<i>n</i> = 2071). Between 2018/2019 and 2020/2021, the procedure duration and fluoroscopy duration increased significantly. However, parameters such as contrast agent volume and radiation dose did not differ significantly. The average length of stay was 4.6 days. Conclusion: The COVID-19 pandemic had an impact on the in-patient care of PAD patients in terms of disease stage severity and complexity. However, the amputation rate was not affected.https://www.mdpi.com/2077-0383/12/3/890COVID-19 pandemicperipheral artery diseaseamputation |
| spellingShingle | Elias Noory Tanja Böhme Jonas Salm Ulrich Beschorner Dirk Westermann Thomas Zeller Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center Experience Journal of Clinical Medicine COVID-19 pandemic peripheral artery disease amputation |
| title | Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center Experience |
| title_full | Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center Experience |
| title_fullStr | Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center Experience |
| title_full_unstemmed | Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center Experience |
| title_short | Impact of COVID-19 Pandemic on Clinical Care of Peripheral Arterial Disease Patients: A Single-Center Experience |
| title_sort | impact of covid 19 pandemic on clinical care of peripheral arterial disease patients a single center experience |
| topic | COVID-19 pandemic peripheral artery disease amputation |
| url | https://www.mdpi.com/2077-0383/12/3/890 |
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