Impact of the COVID-19 Pandemic on Global TAVR Activity The COVID-TAVI Study
Por:
Armario, X, Carron, J, Simpkin, AJ, Elhadi, M, Kennedy, C, Abdel-Wahab, M, Bleiziffer, S, Lefèvre, T, Wolf, A, Pilgrim, T, Villablanca, PA, Blackman, DJ, Van Mieghem, NM, Hengstenberg, C, Swaans, MJ, Prendergast, BD, Patterson, T, Barbanti, M, Webb, JG, Behan, M, Resar, J, Chen, M, Hildick-Smith, D, Spence, MS, Zweiker, D, Bagur, R, Teles, R, Ribichini, FL, Jagielak, D, Park, DW, Kornowski, R, Wykrzykowska, JJ, Bunc, M, Estévez-Loureiro, R, Poon, K, Götberg, M, Jeger, RV, Ince, H, Packer, EJS, Angelillis, M, Nombela-Franco, L, Guo, YQ, Savontaus, M, Al-Moghairi, AM, Parasca, CA, Kliger, C, Roy, D, Molnár, L, Silva, M, White, J, Yamamoto, M, Carrilho-Ferreira, P, Toggweiler, S, Voudris, V, Ohno, Y, Rodrigues, I, Parma, R, Ojeda, S, Toutouzas, K, Regueiro, A, Grygier, M, AlMerri, K, Cruz-González, I, Fridrich, V, Hernández, JMD, Noble, S, Kala, P, Asmarats, L, Kurt, IH, Bosmans, J, Erglis, M, Casserly, I, Iskandarani, D, Bhindi, R, Kefer, J, Yin, WH, Rosseel, L, Kim, HS, O'Connor, S, Hellig, F, Sztejfman, M, Mendiz, O, Pineda, AM, Seth, A, Pllaha, E, Brito, FS, Bajoras, V, Balghith, MA, Lee, M, Eid-Lidt, G, Vandeloo, B, Vaz, VD, Alasnag, M, Ussia, GP, Tay, E, Mayol, J, Gunasekaran, S, Sardella, G, Buddhari, W, Kao, HL, Dager, A, Tzikas, A, Gudmundsdottir, IJ, Edris, A, Jaikel, LAG, Arias, EA, Al-Hijji, M, Ertuerk, M, Conde-Vela, C, Boljevic, D, Guadagnoli, AF, Hermlin, T, ElGuindy, AM, Lima, MD, Santos, LD, Perez, L, Maluenda, G, Akyüz, AR, Alhaddad, IA, Amin, H, So, CY, Al Nooryani, AA, Vaca, C, Albistur, J, Nguyen, QN, Arzamendi, D, Grube, E, Modine, T, Tchétché, D, Hayashida, K, Latib, A, Makkar, RR, Piazza, N, Sondergaard, L, McEvoy, JW, Mylotte, D
Publicada:
12 feb 2024
Ahead of Print:
1 feb 2024
Resumen:
BACKGROUND The COVID-19 pandemic adversely affected health care systems. Patients in need of transcatheter aortic valve replacement (TAVR) are especially susceptible to treatment delays. OBJECTIVES This study sought to evaluate the impact of the COVID-19 pandemic on global TAVR activity. METHODS This international registry reported monthly TAVR case volume in participating institutions prior to and during the COVID-19 pandemic (January 2018 to December 2021). Hospital -level information on public vs private, urban vs rural, and TAVR volume was collected, as was country -level information on socioeconomic status, COVID-19 incidence, and governmental public health responses. RESULTS We included 130 centers from 61 countries, including 65,980 TAVR procedures. The first and second pandemic waves were associated with a significant reduction of 15% (P < 0.001) and 7% (P < 0.001) in monthly TAVR case volume, respectively, compared with the prepandemic period. The third pandemic wave was not associated with reduced TAVR activity. A greater reduction in TAVR activity was observed in Africa (-52%; P = 0.001), Central -South America (-33%; P < 0.001), and Asia (-29%; P < 0.001). Private hospitals (P = 0.005), urban areas (P = 0.011), low -volume centers (P = 0.002), countries with lower development (P < 0.001) and economic status (P < 0.001), higher COVID-19 incidence (P < 0.001), and more stringent public health restrictions (P < 0.001) experienced a greater reduction in TAVR activity. CONCLUSIONS TAVR procedural volume declined substantially during the first and second waves of the COVID-19 pandemic, especially in Africa, Central -South America, and Asia. National socioeconomic status, COVID-1 9 incidence, and public health responses were associated with treatment delays. This information should inform public health policy in case of future global health crises. (J Am Coll Cardiol Intv 2024;17:374-387) (c) 2024 by the American College of Cardiology Foundation.
Filiaciones:
Armario, X:
Galway Univ Hosp, Dept Cardiol, Galway, Ireland
Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
Carron, J:
Galway Univ Hosp, Dept Cardiol, Galway, Ireland
Simpkin, AJ:
Univ Galway, Sch Math & Stat Sci, Galway, Ireland
Elhadi, M:
Galway Univ Hosp, Dept Cardiol, Galway, Ireland
Kennedy, C:
Galway Univ Hosp, Dept Cardiol, Galway, Ireland
Abdel-Wahab, M:
Heart Ctr Leipzig, Leipzig, Germany
Bleiziffer, S:
Heart & Diabet Ctr Northrhine Westfalia, Clin Thorac & Cardiovasc Surg, Bad Oeynhausen, Germany
Lefèvre, T:
Inst Cardiovasc Paris Sud, Massy, France
Wolf, A:
Elisabeth Krankenhaus Essen, Essen, Germany
Pilgrim, T:
Bern Univ Hosp, Bern, Switzerland
Villablanca, PA:
Henry Ford Hosp, Detroit, MI 48202 USA
Blackman, DJ:
Leeds Gen Infirm, Leeds, W Yorkshire, England
Van Mieghem, NM:
Erasmus MC, Rotterdam, Netherlands
Hengstenberg, C:
Med Univ, Gen Hosp Vienna, Vienna, Austria
Swaans, MJ:
St Antonius Hosp, Nieuwegein, Netherlands
Prendergast, BD:
St Thomas Hosp, London, England
Patterson, T:
St Thomas Hosp, London, England
Barbanti, M:
Univ Enna Kore, Enna, Italy
Webb, JG:
St Pauls Hosp, Vancouver, BC, Canada
Behan, M:
Royal Infirm Edinburgh NHS Trust, Edinburgh, Midlothian, Scotland
Resar, J:
Johns Hopkins Univ Hosp, Baltimore, MD 21287 USA
Chen, M:
Sichuan Univ, West China Hosp, Chengdu, Peoples R China
Hildick-Smith, D:
Royal Sussex Cty Hosp, Brighton, E Sussex, England
Spence, MS:
Royal Victoria Hosp, Belfast, Antrim, North Ireland
Zweiker, D:
Med Univ Graz, Graz, Austria
Bagur, R:
Univ Hosp, London Hlth Sci Ctr, London, ON, Canada
Teles, R:
Hosp Santa Cruz, Nova Med Sch, CHLO, CEDOC, Lisbon, Portugal
Ribichini, FL:
Azienda Osped Univ Integrata Verona, Verona, Italy
Jagielak, D:
Med Univ Gdansk, Gdansk, Poland
Park, DW:
Asan Med Ctr, Seoul, South Korea
Kornowski, R:
Rabin Med Ctr, Petah Tiqwa, Israel
Wykrzykowska, JJ:
Univ Med Ctr Groningen, Groningen, Netherlands
Bunc, M:
Univ Ljubljana, Med Ctr, Ljubljana, Slovenia
Estévez-Loureiro, R:
Hosp Univ Alvaro Cunqueiro, Vigo, Spain
Poon, K:
Prince Charles Hosp, Brisbane, Qld, Australia
Götberg, M:
Lund Univ, Skane Univ Hosp, Clin Sci, Lund, Sweden
Jeger, RV:
Basel Univ Hosp, Basel, Switzerland
Ince, H:
Univ Med Rostock, Rostock, Germany
Packer, EJS:
Haukeland Hosp, Bergen, Norway
Angelillis, M:
Azienda Osped Univ Pisana, Pisa, Italy
Nombela-Franco, L:
Hosp Clin San Carlos, Madrid, Spain
Guo, YQ:
Sichuan Univ, West China Hosp, Chengdu, Peoples R China
Savontaus, M:
Turku Univ Hosp, Turku, Finland
Al-Moghairi, AM:
Prince Sultan Cardiac Ctr, Riyadh, Saudi Arabia
Parasca, CA:
Emergency Inst Cardiovasc Dis, Bucharest, Romania
Kliger, C:
Lenox Hill Northwell Hlth, New York, NY USA
Roy, D:
St Vincents Hosp, Sydney, NSW, Australia
Molnár, L:
Semmelweis Univ, Heart & Vasc Ctr, Budapest, Hungary
Silva, M:
Ctr Hosp Vila Nova de Gaia Espinho, Vila Nova De Gaia, Portugal
White, J:
Auckland City Hosp, Auckland, New Zealand
Yamamoto, M:
Toyohashi Heart Ctr, Toyohashi, Aichi, Japan
Nagoya Heart Ctr, Nagoya, Aichi, Japan
Gifu Heart Ctr, Gifu, Japan
Carrilho-Ferreira, P:
Hosp Santa Maria, Lisbon, Portugal
Toggweiler, S:
Heart Ctr Lucerne, Luzern, Switzerland
Voudris, V:
Onassis Cardiac Surg Ctr, Athens, Greece
Ohno, Y:
Tokai Univ, Sch Med, Isehara, Kanagawa, Japan
Rodrigues, I:
Hosp Santa Marta, Lisbon, Portugal
Parma, R:
Med Univ Silesia, Katowice, Poland
Ojeda, S:
Univ Cordoba, Hosp Univ Reina Sofia, Inst Maimonides Invest Biomed Cordoba, Cordoba, Spain
Toutouzas, K:
Hippokrateion Hosp, Athens, Greece
Regueiro, A:
Hosp Clin Barcelona, Barcelona, Spain
Grygier, M:
Poznan Univ, Sch Med Sci, Poznan, Poland
AlMerri, K:
Chest Dis Hosp, Kuwait, Kuwait
Cruz-González, I:
Hosp Univ Salamanca, Salamanca, Spain
Fridrich, V:
Natl Inst Cardiovasc Dis, Bratislava, Slovakia
Hernández, JMD:
Hosp Univ Marques de Valdecilla, Santander, Spain
Noble, S:
Geneva Univ Hosp, Geneva, Switzerland
Kala, P:
Ctr Kardiovaskularni & Transplantacni Chirurg, Brno, Czech Republic
Asmarats, L:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Kurt, IH:
Adana City Training & Res Hosp, Adana, Turkey
Bosmans, J:
Antwerp Univ Hosp, Antwerp, Belgium
Erglis, M:
Pauls Stradins Univ Hosp, Riga, Latvia
Casserly, I:
Mater Misericordiae Univ Hosp, Dublin, Ireland
Mater Private Hosp, Dublin, Ireland
Iskandarani, D:
Amer Univ Beirut, Med Ctr, Beirut, Lebanon
Bhindi, R:
North Shore Private Hosp, Sydney, NSW, Australia
Kefer, J:
Clin Univ St Luc, Brussels, Belgium
Yin, WH:
Cheng Hsin Gen Hosp, Taipei, Taiwan
Rosseel, L:
Algemeen Stedelijk Ziekenhuis Aalst, Aalst, Belgium
Kim, HS:
Seoul Natl Univ Hosp, Seoul, South Korea
O'Connor, S:
St James Hosp, Dublin, Ireland
Hellig, F:
Sunninghill Hosp, Johannesburg, South Africa
Sztejfman, M:
Sanatorio Finochietto, Buenos Aires, DF, Argentina
Mendiz, O:
Fdn Favaloro, Buenos Aires, DF, Argentina
Pineda, AM:
Univ Florida, Coll Med, Jacksonville, FL USA
Seth, A:
Fortis Escorts Heart Inst, New Delhi, India
Pllaha, E:
Mater Dei Hosp, Msida, Malta
Brito, FS:
Hosp Sirio Libanes, Sao Paulo, Brazil
Bajoras, V:
Vilnius Univ, Vilnius Univ Hosp Santaros Clin, Clin Cardiac & Vasc Dis, Div Cardiol & Vasc Dis,Inst Clin Med,Fac Med, Vilnius, Lithuania
Balghith, MA:
King Abdulaziz Cardiac Ctr, Riyadh, Saudi Arabia
Lee, M:
Queen Elizabeth Hosp, Hong Kong, Peoples R China
Eid-Lidt, G:
Inst Nacl Cardiol Ignacio Chavez, Mexico City, DF, Mexico
Vandeloo, B:
Vrije Univ Brussel, Univ Ziekenhuis Brussel, Dept Cardiol, Brussels, Belgium
Vaz, VD:
Hosp Coracao Anis Rassi, Goiania, Go, Brazil
Alasnag, M:
King Fahd Armed Forces Hosp, Jeddah, Saudi Arabia
Ussia, GP:
Fdn Policlin Univ Campus Biomed, Rome, Italy
Tay, E:
Natl Univ Heart Ctr, Singapore, Singapore
Mayol, J:
Sanatorio Amer, Montevideo, Uruguay
Gunasekaran, S:
Apollo Hosp, Chennai, Tamil Nadu, India
Sardella, G:
Policlin Umberto I Univ, Rome, Italy
Buddhari, W:
King Chulalongkorn Mem Hosp, Bangkok, Thailand
Kao, HL:
Natl Taiwan Univ Hosp, Taipei, Taiwan
Dager, A:
Angiog Occidente, Cali, Colombia
Tzikas, A:
European Interbalkan Med Ctr, Thessaloniki, Greece
Gudmundsdottir, IJ:
Univ Iceland, Univ Hosp Iceland, Fac Med, Reykjavik, Iceland
Edris, A:
Cleveland Clin Abu Dhabi, Abu Dhabi, U Arab Emirates
Jaikel, LAG:
Hosp Mexico, San Jose, Costa Rica
Arias, EA:
Inst Nacl Cardiol, Mexico City, DF, Mexico
Al-Hijji, M:
Hamad Med Corp, Heart Hosp, Doha, Qatar
Ertuerk, M:
Univ Hlth Sci, Istanbul Akif Ersoy Thorac & Cardiovasc Surg Trai, Istanbul, Turkiye
Conde-Vela, C:
Inst Nacl Cardiovasc, Lima, Peru
Boljevic, D:
Dedinje Cardiovasc Inst, Belgrade, Serbia
Guadagnoli, AF:
Inst Nacl Cirugia Cardiaca, Montevideo, Uruguay
Hermlin, T:
Tartu Univ Hosp, Tartu, Estonia
ElGuindy, AM:
Aswan Heart Ctr, Aswan, Egypt
Lima, MD:
Univ Sao Paulo, Hosp Clin Ribeirao Preto, Fac Med Ribeirao Preto, Ribeirao Preto, Brazil
Santos, LD:
Santa Lucia Hosp, Brasilia, DF, Brazil
Perez, L:
Hosp Clin Reg Guillermo Grant Benavente, Concepcion, Chile
Maluenda, G:
Hosp San Borja Arriaran, Santiago, Chile
Clin Alemana, Santiago, Chile
Akyüz, AR:
Hlth Sci Univ, Ahi Evren Thorac & Cardiovasc Surg Training & Res, Trabzon, Turkiye
Alhaddad, IA:
Jordan Hosp, Amman, Jordan
Amin, H:
Royal Med Serv, Mohammed Bin Khalifa Cardiac Ctr, Awali, Bahrain
So, CY:
Prince Wales Hosp, Hong Kong, Peoples R China
Al Nooryani, AA:
Al Qassimi Hosp, Sharjah, U Arab Emirates
Vaca, C:
Inst Cardiol Intervencionista Cardiovida SRL, Santa Cruz, Bolivia
Albistur, J:
Hosp Clin Dr Manuel Quintela, Montevideo, Uruguay
Nguyen, QN:
Vietnam Natl Heart Inst, Hanoi, Vietnam
Arzamendi, D:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Grube, E:
Heart Ctr Bonn, Bonn, Germany
Modine, T:
Ctr Hosp Univ, Bordeaux, France
Tchétché, D:
Clin Pasteur, Toulouse, France
Hayashida, K:
Keio Univ, Sch Med, Tokyo, Japan
Latib, A:
Montefiore Med Ctr, 111 E 210th St, Bronx, NY 10467 USA
Makkar, RR:
Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
Piazza, N:
McGill Univ, Hlth Ctr, Montreal, PQ, Canada
Sondergaard, L:
Rigshosp, Copenhagen, Denmark
McEvoy, JW:
Galway Univ Hosp, Dept Cardiol, Galway, Ireland
Univ Galway, Sch Med, Galway, Ireland
Mylotte, D:
Galway Univ Hosp, Dept Cardiol, Galway, Ireland
Univ Galway, Sch Med, Galway, Ireland
Green Published
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