Keller, Karsten and Schmitt, Volker H. and Hobohm, Lukas Martin Alois and Brochhausen, Christoph and Muenzel, Thomas and Espinola-Klein, Christine (2022) Temporal Trends in Patients with Peripheral Artery Disease Influenced by COVID-19 Pandemic. JOURNAL OF CLINICAL MEDICINE, 11 (21): 6433. ISSN , 2077-0383
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Background: The COVID-19 pandemic influences the health care management of acute and chronic diseases. Data concerning the influence of the pandemic on hospitalizations of patients with peripheral artery disease (PAD) are sparse. Methods: We analysed all patients hospitalized due to PAD between 1 January 2019 and 31 December 2020 in Germany. Hospitalizations of PAD patients during the pre-pandemic year 2019 were compared to the pandemic year 2020. Results: Overall, 361,029 hospitalizations of PAD patients in the years 2019 and 2020 (55.4% aged >= 70 years; 36.6% females) were included in this study. In the pre-pandemic year of 2019, a total of 25,501 (13.2%) more hospitalizations due to PAD were detected compared to the COVID-19 pandemic year of 2020 (2019: 192,765 [53.4%] vs. 2020: 168,264 [46.6%], p = 0.065). Overall, in 610 (0.4%) of the hospitalization cases, a COVID-19 infection was diagnosed. Regarding interventional/surgical treatments, total numbers of peripheral endovascular intervention of the lower extremity decreased by 9.9% (83,845 vs. 75,519, p < 0.001), surgical peripheral artery revascularization of the lower extremity by 11.4% (32,447 vs. 28,754, p = 0.041) and amputations by 4.0% (20,612 vs. 19,784, p < 0.001) in 2020 compared to 2019. The case fatality rate (2.6% vs. 2.4%, p < 0.001), as well as MACCE rate (3.4% vs. 3.2%, p < 0.001), were slightly higher during the pandemic year 2020 compared to the pre-pandemic year 2019. Conclusions: The COVID-19 pandemic influenced the number of hospitalizations of PAD patients with a 13.2% reduction in hospital admissions and decreased total numbers of revascularization and amputation treatments.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ACUTE PULMONARY-EMBOLISM; MYOCARDIAL-INFARCTION; GUIDELINES; PREVALENCE; ADMISSIONS; MANAGEMENT; MORBIDITY; OUTCOMES; SOCIETY; ESC; COVID-19; peripheral artery disease; time-trends; amputation; intervention |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Pathologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 01 Feb 2024 13:55 |
| Last Modified: | 01 Feb 2024 13:55 |
| URI: | https://pred.uni-regensburg.de/id/eprint/58384 |
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