Impact of the COVID-19 Pandemic on Global TAVR Activity The COVID-TAVI Study

BACKGROUND The COVID-19 pandemic adversely affected health care systems. Patients in need of transcatheter aortic valve replacement (TAVR) are especially susceptible to treatment delays. OBJECTIVES This study sought to evaluate the impact of the COVID-19 pandemic on global TAVR activity. METHODS Thi...

Descripción completa

Detalles Bibliográficos
Autores: Armario, X, Carron, J, Simpkin, AJ, Elhadi, M, Kennedy, C, Abdel-Wahab, M, Bleiziffer, S, Lefèvre, T, Wolf, A, Pilgrim, T, Villablanca, PA, Blackman, DJ, Van Mieghem, NM, Hengstenberg, C, Swaans, MJ, Prendergast, BD, Patterson, T, Barbanti, M, Webb, JG, Behan, M, Resar, J, Chen, M, Hildick-Smith, D, Spence, MS, Zweiker, D, Bagur, R, Teles, R, Ribichini, FL, Jagielak, D, Park, DW, Kornowski, R, Wykrzykowska, JJ, Bunc, M, Estévez-Loureiro, R, Poon, K, Götberg, M, Jeger, RV, Ince, H, Packer, EJS, Angelillis, M, Nombela-Franco, L, Guo, YQ, Savontaus, M, Al-Moghairi, AM, Parasca, CA, Kliger, C, Roy, D, Molnár, L, Silva, M, White, J, Yamamoto, M, Carrilho-Ferreira, P, Toggweiler, S, Voudris, V, Ohno, Y, Rodrigues, I, Parma, R, Ojeda, S, Toutouzas, K, Regueiro, A, Grygier, M, AlMerri, K, Cruz-González, I, Fridrich, V, Hernández, JMD, Noble, S, Kala, P, Asmarats, L, Kurt, IH, Bosmans, J, Erglis, M, Casserly, I, Iskandarani, D, Bhindi, R, Kefer, J, Yin, WH, Rosseel, L, Kim, HS, O'Connor, S, Hellig, F, Sztejfman, M, Mendiz, O, Pineda, AM, Seth, A, Pllaha, E, Brito, FS, Bajoras, V, Balghith, MA, Lee, M, Eid-Lidt, G, Vandeloo, B, Vaz, VD, Alasnag, M, Ussia, GP, Tay, E, Mayol, J, Gunasekaran, S, Sardella, G, Buddhari, W, Kao, HL, Dager, A, Tzikas, A, Gudmundsdottir, IJ, Edris, A, Jaikel, LAG, Arias, EA, Al-Hijji, M, Ertuerk, M, Conde-Vela, C, Boljevic, D, Guadagnoli, AF, Hermlin, T, ElGuindy, AM, Lima, MD, Santos, LD, Perez, L, Maluenda, G, Akyüz, AR, Alhaddad, IA, Amin, H, So, CY, Al Nooryani, AA, Vaca, C, Albistur, J, Nguyen, QN, Arzamendi, D, Grube, E, Modine, T, Tchétché, D, Hayashida, K, Latib, A, Makkar, RR, Piazza, N, Sondergaard, L, McEvoy, JW, Mylotte, D
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p17789
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17789
Access Level:acceso abierto
Palabra clave:aortic valve stenosis
coronavirus disease 2019
transcatheter aortic valve replacement
valvular heart disease
Descripción
Sumario:BACKGROUND The COVID-19 pandemic adversely affected health care systems. Patients in need of transcatheter aortic valve replacement (TAVR) are especially susceptible to treatment delays. OBJECTIVES This study sought to evaluate the impact of the COVID-19 pandemic on global TAVR activity. METHODS This international registry reported monthly TAVR case volume in participating institutions prior to and during the COVID-19 pandemic (January 2018 to December 2021). Hospital -level information on public vs private, urban vs rural, and TAVR volume was collected, as was country -level information on socioeconomic status, COVID-19 incidence, and governmental public health responses. RESULTS We included 130 centers from 61 countries, including 65,980 TAVR procedures. The first and second pandemic waves were associated with a significant reduction of 15% (P < 0.001) and 7% (P < 0.001) in monthly TAVR case volume, respectively, compared with the prepandemic period. The third pandemic wave was not associated with reduced TAVR activity. A greater reduction in TAVR activity was observed in Africa (-52%; P = 0.001), Central -South America (-33%; P < 0.001), and Asia (-29%; P < 0.001). Private hospitals (P = 0.005), urban areas (P = 0.011), low -volume centers (P = 0.002), countries with lower development (P < 0.001) and economic status (P < 0.001), higher COVID-19 incidence (P < 0.001), and more stringent public health restrictions (P < 0.001) experienced a greater reduction in TAVR activity. CONCLUSIONS TAVR procedural volume declined substantially during the first and second waves of the COVID-19 pandemic, especially in Africa, Central -South America, and Asia. National socioeconomic status, COVID-1 9 incidence, and public health responses were associated with treatment delays. This information should inform public health policy in case of future global health crises. (J Am Coll Cardiol Intv 2024;17:374-387) (c) 2024 by the American College of Cardiology Foundation.

Similares en LA Referencia