Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients

Background: The aim of this study was to assess the effects of the COVID-19 pandemic on the use and outcomes of cardiac procedures among people with chronic obstructive pulmonary disease (COPD) in Spain. Methods: We used national hospital discharge data to select patients admitted to hospital with a...

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Autores: Miguel Díez, Javier De, Jiménez García, Rodrigo, Miguel Yanes, José María De, Hernández Barrera, Valentín, Carabantes Alarcón, David, Zamorano León, José Javier, Noriega, Concepción, López De Andrés, Ana Isabel
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/72188
Acceso en línea:https://hdl.handle.net/20.500.14352/72188
Access Level:acceso abierto
Palabra clave:616.9
616.12
616.24
COPD
COVID-19
Cardiac procedures
Hospitalization
Medicina
Cardiología
Enfermedades infecciosas
Neumología
32 Ciencias Médicas
3205.01 Cardiología
3205.05 Enfermedades Infecciosas
3205.08 Enfermedades Pulmonares
id ES_bcb2e662c4a1ba0dab297614ad970db2
oai_identifier_str oai:docta.ucm.es:20.500.14352/72188
network_acronym_str ES
network_name_str España
repository_id_str
spelling Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD PatientsMiguel Díez, Javier DeJiménez García, RodrigoMiguel Yanes, José María DeHernández Barrera, ValentínCarabantes Alarcón, DavidZamorano León, José JavierNoriega, ConcepciónLópez De Andrés, Ana Isabel616.9616.12616.24COPDCOVID-19Cardiac proceduresHospitalizationMedicinaCardiologíaEnfermedades infecciosasNeumología32 Ciencias Médicas3205.01 Cardiología3205.05 Enfermedades Infecciosas3205.08 Enfermedades PulmonaresBackground: The aim of this study was to assess the effects of the COVID-19 pandemic on the use and outcomes of cardiac procedures among people with chronic obstructive pulmonary disease (COPD) in Spain. Methods: We used national hospital discharge data to select patients admitted to hospital with a diagnosis of COPD from 1 January 2019 to 31 December 2020. Results: The number of COPD patients hospitalized in 2019 who underwent a cardiac procedure was 4483, 16.2% higher than in 2020 (n = 3757). The length of hospital stay was significantly lower in 2020 than in 2019 (9.37 vs. 10.13 days; p = 0.004), and crude in-hospital mortality (IHM) was significantly higher (5.32% vs. 4.33%; p = 0.035). Multivariable logistic regression models to assess the differences in IHM from 2019 to 2020 showed Odds Ratio (OR) values over 1, suggesting a higher risk of dying in 2020 compared to in 2019. However, the ORs were only statistically significant for “any cardiac procedure” (1.18, 95% CI 1.03–1.47). The Charlson comorbidity index increased IHM for each of the procedures analyzed. The probability of IHM was higher for women and older patients who underwent coronary artery bypass graft or open valve replacement procedures. Suffering a COVID-19 infection was associated with significantly higher mortality after cardiac procedures. Conclusions: The COVID-19 pandemic limited the access to healthcare for patients with COPD.MDPIUniversidad Complutense de Madrid20222022-01-0120222022-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/72188reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/721882026-06-02T12:44:21Z
dc.title.none.fl_str_mv Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
title Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
spellingShingle Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
Miguel Díez, Javier De
616.9
616.12
616.24
COPD
COVID-19
Cardiac procedures
Hospitalization
Medicina
Cardiología
Enfermedades infecciosas
Neumología
32 Ciencias Médicas
3205.01 Cardiología
3205.05 Enfermedades Infecciosas
3205.08 Enfermedades Pulmonares
title_short Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
title_full Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
title_fullStr Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
title_full_unstemmed Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
title_sort Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients
dc.creator.none.fl_str_mv Miguel Díez, Javier De
Jiménez García, Rodrigo
Miguel Yanes, José María De
Hernández Barrera, Valentín
Carabantes Alarcón, David
Zamorano León, José Javier
Noriega, Concepción
López De Andrés, Ana Isabel
author Miguel Díez, Javier De
author_facet Miguel Díez, Javier De
Jiménez García, Rodrigo
Miguel Yanes, José María De
Hernández Barrera, Valentín
Carabantes Alarcón, David
Zamorano León, José Javier
Noriega, Concepción
López De Andrés, Ana Isabel
author_role author
author2 Jiménez García, Rodrigo
Miguel Yanes, José María De
Hernández Barrera, Valentín
Carabantes Alarcón, David
Zamorano León, José Javier
Noriega, Concepción
López De Andrés, Ana Isabel
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.9
616.12
616.24
COPD
COVID-19
Cardiac procedures
Hospitalization
Medicina
Cardiología
Enfermedades infecciosas
Neumología
32 Ciencias Médicas
3205.01 Cardiología
3205.05 Enfermedades Infecciosas
3205.08 Enfermedades Pulmonares
topic 616.9
616.12
616.24
COPD
COVID-19
Cardiac procedures
Hospitalization
Medicina
Cardiología
Enfermedades infecciosas
Neumología
32 Ciencias Médicas
3205.01 Cardiología
3205.05 Enfermedades Infecciosas
3205.08 Enfermedades Pulmonares
description Background: The aim of this study was to assess the effects of the COVID-19 pandemic on the use and outcomes of cardiac procedures among people with chronic obstructive pulmonary disease (COPD) in Spain. Methods: We used national hospital discharge data to select patients admitted to hospital with a diagnosis of COPD from 1 January 2019 to 31 December 2020. Results: The number of COPD patients hospitalized in 2019 who underwent a cardiac procedure was 4483, 16.2% higher than in 2020 (n = 3757). The length of hospital stay was significantly lower in 2020 than in 2019 (9.37 vs. 10.13 days; p = 0.004), and crude in-hospital mortality (IHM) was significantly higher (5.32% vs. 4.33%; p = 0.035). Multivariable logistic regression models to assess the differences in IHM from 2019 to 2020 showed Odds Ratio (OR) values over 1, suggesting a higher risk of dying in 2020 compared to in 2019. However, the ORs were only statistically significant for “any cardiac procedure” (1.18, 95% CI 1.03–1.47). The Charlson comorbidity index increased IHM for each of the procedures analyzed. The probability of IHM was higher for women and older patients who underwent coronary artery bypass graft or open valve replacement procedures. Suffering a COVID-19 infection was associated with significantly higher mortality after cardiac procedures. Conclusions: The COVID-19 pandemic limited the access to healthcare for patients with COPD.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/72188
url https://hdl.handle.net/20.500.14352/72188
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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