TY - JOUR
TI - Hospital attendance and admission trends for cardiac diseases during the COVID-19 outbreak and lockdown in Greece
AU - Oikonomou, E.
AU - Aznaouridis, K.
AU - Barbetseas, J.
AU - Charalambous, G.
AU - Gastouniotis, I.
AU - Fotopoulos, V.
AU - Gkini, K.-P.
AU - Katsivas, A.
AU - Koudounis, G.
AU - Koudounis, P.
AU - Koutouzis, M.
AU - Lamprinos, D.
AU - Lazaris, E.
AU - Lazaros, G.
AU - Marinos, G.
AU - Platogiannis, N.
AU - Platogiannis, D.
AU - Siasos, G.
AU - Terentes-Printzios, D.
AU - Theodoropoulou, A.
AU - Theofilis, P.
AU - Toutouzas, K.
AU - Tsalamandris, S.
AU - Tsiafoutis, I.
AU - Vavouranakis, M.
AU - Vogiatzi, G.
AU - Zografos, T.
AU - Baka, E.
AU - Tousoulis, D.
AU - Vlachopoulos, C.
JO - AIMS PUBLIC HEALTH
PY - 2020
VL - 187
TODO - null
SP - 115-119
PB - Elsevier B.V.
SN - null
TODO - 10.1016/j.puhe.2020.08.007
TODO - cardiovascular disease;  COVID-19;  epidemic;  hospital sector;  respiratory disease;  severe acute respiratory syndrome, acute coronary syndrome;  adult;  Article;  cardiology;  communicable disease control;  coronavirus disease 2019;  disease exacerbation;  emergency ward;  epidemic;  female;  Greece;  heart disease;  heart failure;  hospital admission;  human;  infection prevention;  lockdown;  major clinical study;  male;  retrospective study;  rural area;  ST segment elevation myocardial infarction;  trend study;  urban area;  aged;  Coronavirus infection;  heart disease;  hospital emergency service;  hospitalization;  legislation and jurisprudence;  middle aged;  pandemic;  quarantine;  very elderly;  virus pneumonia, Greece, Coronavirus;  SARS coronavirus, Adult;  Aged;  Aged, 80 and over;  Coronavirus Infections;  Emergency Service, Hospital;  Female;  Greece;  Heart Diseases;  Hospitalization;  Humans;  Male;  Middle Aged;  Pandemics;  Pneumonia, Viral;  Quarantine;  Retrospective Studies
TODO - Objectives: The coronavirus disease 2019 (COVID-19) outbreak, along with implementation of lockdown and strict public movement restrictions, in Greece has affected hospital visits and admissions. We aimed to investigate trends of cardiac disease admissions during the outbreak of the pandemic and possible associations with the applied restrictive measures. Study design: This is a retrospective observational study. Methods: Data for 4970 patients admitted via the cardiology emergency department (ED) across 3 large-volume urban hospitals in Athens and 2 regional/rural hospitals from February 3, 2020, up to April 12 were recorded. Data from the equivalent (for the COVID-19 outbreak) time period of 2019 and from the postlockdown time period were also collected. Results: A falling trend of cardiology ED visits and hospital admissions was observed starting from the week when the restrictive measures due to COVID-19 were implemented. Compared with the pre–COVID-19 outbreak time period, acute coronary syndrome (ACS) [145 (29/week) vs. 60 (12/week), −59%, P < 0.001], ST elevation myocardial infarction [46 (9.2/week) vs. 21 (4.2/week), −54%, P = 0.002], and non-ST elevation ACS [99 cases (19.8/week) vs. 39 (7.8/week), −60% P < 0.001] were reduced at the COVID-19 outbreak time period. Reductions were also noted for heart failure worsening and arrhythmias. The ED visits in the postlockdown period were significantly higher than in the COVID-19 outbreak time period (1511 vs 660; P < 0.05). Conclusion: Our data show significant drops in cardiology visits and admissions during the COVID-19 outbreak time period. Whether this results from restrictive measures or depicts a true reduction of cardiac disease cases warrants further investigation. © 2020 The Royal Society for Public Health
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