TY - JOUR
T1 - The Impact of the COVID-19 Pandemic on Hospital Services for Patients with Cardiac Diseases
T2 - A Scoping Review
AU - de Lange, Mats
AU - Carvalho, Ana Sofia
AU - Brito Fernandes, Óscar
AU - Lingsma, Hester
AU - Klazinga, Niek
AU - Kringos, Dionne
N1 - Funding Information: Funding: This research received no external funding. The participation of ÓBF occurred within a Marie Skłodowska-Curie Innovative Training Network (HealthPros—Healthcare Performance Intelligence Professionals) that has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement Nr. 765141 (https://healthpros-h2020.eu, accessed on 28 January 2022). Funding Information: This research received no external funding. The participation of ?BF occurred within a Marie Sk?odowska-Curie Innovative Training Network (HealthPros?Healthcare Performance Intelligence Professionals) that has received funding from the European Union?s Horizon 2020 research and innovation program under grant agreement Nr. 765141 (https://healthpros-h2020.eu, accessed on 28 January 2022). Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - This study aims to assess the impact of the COVID-19 pandemic on hospital cardiac care, as assessed by performance indicators. Scoping review methodology: performance indicators were extracted to inform on changes in care during January-June 2020. Database searches yielded 6277 articles, of which 838 met the inclusion criteria. After full-text screening, 94 articles were included and 1637 indicators were retrieved. Most of the indicators that provided information on changes in the number of admissions (n = 118, 88%) signaled a decrease in admissions; 88% (n = 15) of the indicators showed patients' delayed presentation and 40% (n = 54) showed patients in a worse clinical condition. A reduction in diagnostic and treatment procedures was signaled by 95% (n = 18) and 81% (n = 64) of the indicators, respectively. Length of stay decreased in 58% (n = 21) of the indicators, acute coronary syndromes treatment times increased in 61% (n = 65) of the indicators, and outpatient activity decreased in 94% (n = 17) of the indicators related to outpatient care. Telehealth utilization increased in 100% (n = 6). Outcomes worsened in 40% (n = 35) of the indicators, and mortality rates increased in 52% (n = 31). All phases of the pathway were affected. This information could support the planning of care during the ongoing pandemic and in future events.
AB - This study aims to assess the impact of the COVID-19 pandemic on hospital cardiac care, as assessed by performance indicators. Scoping review methodology: performance indicators were extracted to inform on changes in care during January-June 2020. Database searches yielded 6277 articles, of which 838 met the inclusion criteria. After full-text screening, 94 articles were included and 1637 indicators were retrieved. Most of the indicators that provided information on changes in the number of admissions (n = 118, 88%) signaled a decrease in admissions; 88% (n = 15) of the indicators showed patients' delayed presentation and 40% (n = 54) showed patients in a worse clinical condition. A reduction in diagnostic and treatment procedures was signaled by 95% (n = 18) and 81% (n = 64) of the indicators, respectively. Length of stay decreased in 58% (n = 21) of the indicators, acute coronary syndromes treatment times increased in 61% (n = 65) of the indicators, and outpatient activity decreased in 94% (n = 17) of the indicators related to outpatient care. Telehealth utilization increased in 100% (n = 6). Outcomes worsened in 40% (n = 35) of the indicators, and mortality rates increased in 52% (n = 31). All phases of the pathway were affected. This information could support the planning of care during the ongoing pandemic and in future events.
KW - Acute coronary syndrome
KW - COVID-19
KW - Cardiovascular diseases
KW - Continuity of patient care
KW - Performance indicator
KW - Quality of health care
UR - http://www.scopus.com/inward/record.url?scp=85126061492&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/ijerph19063172
DO - https://doi.org/10.3390/ijerph19063172
M3 - Review article
C2 - 35328859
SN - 1661-7827
VL - 19
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 6
M1 - 3172
ER -