Reduction in new cardiac electronic device implantations in Catalonia during COVID-19
Por:
Arbelo, E, Angera, I, Trucco, E, Rivas-Gandara, N, Guerra, JM, Bisbal, F, Jauregui-Abularach, M, Valles, E, Martin, G, Sbraga, F, Tolosana, JM, Linhart, M, Francisco-Pascual, J, Montiel-Serrano, J, Pereferrer, D, Menendez-Ramirez, D, Jimenez, J, Elamrani, A, Borras, R, Dallaglio, PD, Benito, E, Santos-Ortega, A, Rodriguez-Font, E, Sarrias, A, Gonzalez-Matos, CE, Marti-Almor, J, Cabrera, S, Mont, L
Publicada:
1 mar 2021
Ahead of Print:
1 feb 2021
Resumen:
Aims During the COVID-19 pandemic, concern regarding its effect on the management of non-communicable diseases has been raised. However, there are no data on the impact on cardiac implantable electronic devices (CIED) implantation rates. We aimed to determine the impact of SARS-CoV2 on the monthly incidence rates and type of pacemaker (PM) and implantable cardiac defibrillator (ICD) implantations in Catalonia before and after the declaration of the state of alarm in Spain on 14 March 2020.
Methods and results Data on new CIED implantations for 2017-20 were prospectively collected by nine hospitals in Catalonia. A mixed model with random intercepts corrected for time was used to estimate the change in monthly CIED implantations. Compared to the pre-COVID-19 period, an absolute decrease of 56.5% was observed (54.7% in PM and 63.7% in ICD) in CIED implantation rates. Total CIED implantations for 2017-19 and January and February 2020 was 250/month (>195 PM and >55 ICD), decreasing to 207 (161 PM and 46 ICD) in March and 131 (108 PM and 23 ICD) in April 2020. In April 2020, there was a significant fall of 185.25 CIED implantations compared to 2018 [95% confidence interval (CI) 129.6-240.9; P< 0.001] and of 188 CIED compared to 2019 (95% CI 132.3-243.7; P < 0.001). No significant differences in the type of PM or ICD were observed, nor in the indication for primary or secondary prevention.
Conclusions During the first wave of the COVID-19 pandemic, a substantial decrease in CIED implantations was observed in Catalonia. Our findings call for measures to avoid long-term social impact.
Filiaciones:
Arbelo, E:
Univ Barcelona, Hosp Clin, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain
Inst Invest August Pi iSunyer IDIBAPS, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid, Spain
Angera, I:
Hosp Univ Bellvitge, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain
Inst Invest Biomed Bellvitge IDIBELL, Barcelona, Spain
Trucco, E:
Hosp Univ Doctor Josep Trueta, Cardiol Dept, Arrhythmia Sect, Girona, Spain
Inst Invest Biomed Girona IDIBGI, Girona, Spain
Rivas-Gandara, N:
Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Cardiol, Arrhythmia Unit, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Vall dHebron Inst Recerca VHIR, Barcelona, Spain
Guerra, JM:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Arrhythmia Unit, CIBER CV, Barcelona, Spain
Bisbal, F:
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid, Spain
Univ Hosp Germans Trias & Pujol, Heart Inst iCOR, Cardiol Dept, Arrhythmia Sect, Badalona, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
Jauregui-Abularach, M:
Hosp Arnau Vilanova, Dept Cardiol, Arrhythmia Unit, Lleida, Spain
Inst Recerca Biomed Lleida Fundacio Dr Pifarre IR, Lleida, Spain
Valles, E:
Univ Autonoma Barcelona, Hosp del Mar IMIM, Arrhythmia Sect, Cardiol Dept, Barcelona, Spain
Martin, G:
Univ Rovira & Virgili, Hosp Joan XXIII, Cardiol Dept, Arrhythmia Sect, Tarragona, Spain
Inst Invest Sanitaria Pere Virgili, IISPV, Tarragona, Spain
Sbraga, F:
Hosp Univ Bellvitge, Dept Cardiac Surg, Barcelona, Spain
Tolosana, JM:
Univ Barcelona, Hosp Clin, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain
Inst Invest August Pi iSunyer IDIBAPS, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid, Spain
Linhart, M:
Hosp Univ Doctor Josep Trueta, Cardiol Dept, Arrhythmia Sect, Girona, Spain
Inst Invest Biomed Girona IDIBGI, Girona, Spain
Francisco-Pascual, J:
Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Cardiol, Arrhythmia Unit, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Vall dHebron Inst Recerca VHIR, Barcelona, Spain
Montiel-Serrano, J:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Arrhythmia Unit, CIBER CV, Barcelona, Spain
Pereferrer, D:
Univ Hosp Germans Trias & Pujol, Heart Inst iCOR, Cardiol Dept, Arrhythmia Sect, Badalona, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
Menendez-Ramirez, D:
Hosp Arnau Vilanova, Dept Cardiol, Arrhythmia Unit, Lleida, Spain
Inst Recerca Biomed Lleida Fundacio Dr Pifarre IR, Lleida, Spain
Jimenez, J:
Univ Autonoma Barcelona, Hosp del Mar IMIM, Arrhythmia Sect, Cardiol Dept, Barcelona, Spain
Elamrani, A:
Univ Rovira & Virgili, Hosp Joan XXIII, Cardiol Dept, Arrhythmia Sect, Tarragona, Spain
Inst Invest Sanitaria Pere Virgili, IISPV, Tarragona, Spain
Borras, R:
Univ Barcelona, Hosp Clin, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain
Inst Invest August Pi iSunyer IDIBAPS, Barcelona, Spain
Dallaglio, PD:
Hosp Univ Bellvitge, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain
Inst Invest Biomed Bellvitge IDIBELL, Barcelona, Spain
Benito, E:
Hosp Univ Doctor Josep Trueta, Cardiol Dept, Arrhythmia Sect, Girona, Spain
Inst Invest Biomed Girona IDIBGI, Girona, Spain
Santos-Ortega, A:
Univ Autonoma Barcelona, Hosp Univ Vall dHebron, Dept Cardiol, Arrhythmia Unit, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Vall dHebron Inst Recerca VHIR, Barcelona, Spain
Rodriguez-Font, E:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Arrhythmia Unit, CIBER CV, Barcelona, Spain
Sarrias, A:
Univ Hosp Germans Trias & Pujol, Heart Inst iCOR, Cardiol Dept, Arrhythmia Sect, Badalona, Spain
Fundacio Inst Invest Ciencies Salut Germans Trias, Badalona, Spain
Gonzalez-Matos, CE:
Hosp Arnau Vilanova, Dept Cardiol, Arrhythmia Unit, Lleida, Spain
Inst Recerca Biomed Lleida Fundacio Dr Pifarre IR, Lleida, Spain
Marti-Almor, J:
Univ Autonoma Barcelona, Hosp del Mar IMIM, Arrhythmia Sect, Cardiol Dept, Barcelona, Spain
Cabrera, S:
Univ Rovira & Virgili, Hosp Joan XXIII, Cardiol Dept, Arrhythmia Sect, Tarragona, Spain
Inst Invest Sanitaria Pere Virgili, IISPV, Tarragona, Spain
Mont, L:
Univ Barcelona, Hosp Clin, Cardiol Dept, Arrhythmia Sect, Barcelona, Spain
Inst Invest August Pi iSunyer IDIBAPS, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid, Spain
Bronze, Green Published
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