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Consequences of canceling elective invasive cardiac procedures during Covid‐19 outbreak
Author(s) -
Moreno Raúl,
Díez JoséLuis,
Diarte JoséAntonio,
Macaya Fernando,
Torrre Hernández JoséMaría,
RodríguezLeor Oriol,
Trillo Ramiro,
AlonsoBriales Juan,
AmatSantos Ignacio,
Romaguera Rafael,
Díaz JoséFrancisco,
Vaquerizo Beatriz,
Ojeda Soledad,
CruzGonzález Ignacio,
MorenaSalas Daniel,
Pérez de Prado Armando,
Sarnago Fernando,
Portero Pilar,
GutierrezBarrios Alejandro,
Alfonso Fernando,
Bosch Eduard,
Pinar Eduardo,
RuizArroyo JoséRamón,
RuizQuevedo Valeriano,
JiménezMazuecos Jesús,
Lozano Fernando,
Rumoroso JoséRamón,
Novo Enrique,
Irazusta Francisco J,
García del Blanco Bruno,
Moreu José,
BallesterosPradas Sara M,
Frutos Araceli,
Villa Manuel,
AlegríaBarrero Eduardo,
Lázaro Rosa,
Paredes Emilio
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29433
Subject(s) - medicine , covid-19 , pandemic , outbreak , population , surgery , disease , virology , environmental health , infectious disease (medical specialty)
Background During COVID‐19 pandemic in Spain, elective procedures were canceled or postponed, mainly due to health care systems overwhelming. Objective The objective of this study was to evaluate the consequences of interrupting invasive procedures in patients with chronic cardiac diseases due to the COVID‐19 outbreak in Spain. Methods The study population is comprised of 2,158 patients that were pending on elective cardiac invasive procedures in 37 hospitals in Spain on the 14th of March 2020, when a state of alarm and subsequent lockdown was declared in Spain due to the COVID‐19 pandemic. These patients were followed‐up until April 31th. Results Out of the 2,158 patients, 36 (1.7%) died. Mortality was significantly higher in patients pending on structural procedures (4.5% vs. 0.8%, respectively; p < .001), in those >80 year‐old (5.1% vs. 0.7%, p < .001), and in presence of diabetes (2.7% vs. 0.9%, p = .001), hypertension (2.0% vs. 0.6%, p = .014), hypercholesterolemia (2.0% vs. 0.9%, p = .026) [Correction added on December 23, 2020, after first online publication: as per Dr. Moreno's request changes in p‐values were made after original publication in Abstract.], chronic renal failure (6.0% vs. 1.2%, p < .001), NYHA > II (3.8% vs. 1.2%, p = .001), and CCS > II (4.2% vs. 1.4%, p = .013), whereas was it was significantly lower in smokers (0.5% vs. 1.9%, p = .013). Multivariable analysis identified age > 80, diabetes, renal failure and CCS > II as independent predictors for mortality. Conclusion Mortality at 45 days during COVID‐19 outbreak in patients with chronic cardiovascular diseases included in a waiting list due to cancellation of invasive elective procedures was 1.7%. Some clinical characteristics may be of help in patient selection for being promptly treated when similar situations happen in the future.