Slagman, Anna ORCID: 0000-0003-2608-0347, Pigorsch, Mareen ORCID: 0000-0001-5616-7748, Greiner, Felix, Behringer, Wilhelm, Bernhard, Michael, Bienzeisler, Jonas, Blaschke, Sabine, Burst, Volker, Dechant, Katharina, Dommasch, Michael, Ewen, Sebastian, Gries, Andre, Hans, Felix Patricius ORCID: 0000-0002-7164-7624, Kanz, Karl-Georg, Klein, Matthias, Kuempers, Philipp, Napp, Matthias, Plata, Christopher, Ramshorn-Zimmer, Alexandra, Risse, Joachim ORCID: 0000-0002-1671-8506, Roehrig, Rainer, Somasundaram, Rajan, Schunk, Domagoj, Walcher, Felix, Walter, Thomas, Weismann, Dirk, Wolfrum, Sebastian, Woernle, Markus, Wu, Yves Noel and Moeckel, Martin (2022). Medical and cardio-vascular emergency department visits during the COVID-19 pandemic in 2020: is there a collateral damage? A retrospective routine data analysis. Clin. Res. Cardiol., 111 (10). S. 1174 - 1183. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1861-0692

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Abstract

Background In this retrospective routine data analysis, we investigate the number of emergency department (ED) consultations during the COVID-19 pandemic of 2020 in Germany compared to the previous year with a special focus on numbers of myocardial infarction and acute heart failure. Methods Aggregated case numbers for the two consecutive years 2019 and 2020 were obtained from 24 university hospitals and 9 non-university hospitals in Germany and assessed by age, gender, triage scores, disposition, care level and by ICD-10 codes including the tracer diagnoses myocardial infarction (I21) and heart failure (I50). Results A total of 2,216,627 ED consultations were analyzed, of which 1,178,470 occurred in 2019 and 1,038,157 in 2020. The median deviation in case numbers between 2019 and 2020 was - 14% [CI (- 11)-(- 16)]. After a marked drop in all cases in the first COVID-19 wave in spring 2020, case numbers normalized during the summer Thereafter starting in calendar week 39 case numbers constantly declined until the end of the year 2020. The decline in case numbers predominantly concerned younger [- 16%; CI (- 13)-(- 19)], less urgent [- 18%; CI (- 12)-(- 22)] and non-admitted cases [- 17%; CI (- 13)-(- 20)] in particular during the second wave. During the entire observation period admissions for chest pain [- 13%; CI (- 21)-2], myocardial infarction [- 2%; CI (- 9)-11] and heart failure [- 2%; CI (- 10)-6] were less affected and remained comparable to the previous year. Conclusions ED visits were noticeably reduced during both SARS-CoV-2 pandemic waves in Germany but cardiovascular diagnoses were less affected and no refractory increase was noted. However, long-term effects cannot be ruled out and need to be analysed in future studies. [GRAPHICS] .

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Slagman, AnnaUNSPECIFIEDorcid.org/0000-0003-2608-0347UNSPECIFIED
Pigorsch, MareenUNSPECIFIEDorcid.org/0000-0001-5616-7748UNSPECIFIED
Greiner, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Behringer, WilhelmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bernhard, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bienzeisler, JonasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blaschke, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Burst, VolkerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dechant, KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dommasch, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ewen, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gries, AndreUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hans, Felix PatriciusUNSPECIFIEDorcid.org/0000-0002-7164-7624UNSPECIFIED
Kanz, Karl-GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klein, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuempers, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Napp, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Plata, ChristopherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ramshorn-Zimmer, AlexandraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Risse, JoachimUNSPECIFIEDorcid.org/0000-0002-1671-8506UNSPECIFIED
Roehrig, RainerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Somasundaram, RajanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schunk, DomagojUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walcher, FelixUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walter, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weismann, DirkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolfrum, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Woernle, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wu, Yves NoelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moeckel, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-696893
DOI: 10.1007/s00392-022-02074-3
Journal or Publication Title: Clin. Res. Cardiol.
Volume: 111
Number: 10
Page Range: S. 1174 - 1183
Date: 2022
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1861-0692
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ACUTE MYOCARDIAL-INFARCTION; HOSPITAL ADMISSIONS; STROKE; PREVALENCE; FRANCE; WAVE; 1STMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69689

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