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The Impact of the COVID-19 Pandemic on Hospital Services for Patients with Cardiac Diseases: A Scoping Review

Author

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  • Mats de Lange

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
    These authors contributed equally to this work.)

  • Ana Sofia Carvalho

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
    Department of Public Health, Erasmus University Medical Center, Postbus, 3000 CA Rotterdam, The Netherlands
    These authors contributed equally to this work.)

  • Óscar Brito Fernandes

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
    Department of Health Economics, Corvinus University of Budapest, Fővám tér 8, H-1093 Budapest, Hungary)

  • Hester Lingsma

    (Department of Public Health, Erasmus University Medical Center, Postbus, 3000 CA Rotterdam, The Netherlands)

  • Niek Klazinga

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Dionne Kringos

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

Abstract

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.

Suggested Citation

  • Mats de Lange & Ana Sofia Carvalho & Óscar Brito Fernandes & Hester Lingsma & Niek Klazinga & Dionne Kringos, 2022. "The Impact of the COVID-19 Pandemic on Hospital Services for Patients with Cardiac Diseases: A Scoping Review," IJERPH, MDPI, vol. 19(6), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3172-:d:766433
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    References listed on IDEAS

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    1. Fan Wu & Su Zhao & Bin Yu & Yan-Mei Chen & Wen Wang & Zhi-Gang Song & Yi Hu & Zhao-Wu Tao & Jun-Hua Tian & Yuan-Yuan Pei & Ming-Li Yuan & Yu-Ling Zhang & Fa-Hui Dai & Yi Liu & Qi-Min Wang & Jiao-Jiao , 2020. "Author Correction: A new coronavirus associated with human respiratory disease in China," Nature, Nature, vol. 580(7803), pages 7-7, April.
    2. Fan Wu & Su Zhao & Bin Yu & Yan-Mei Chen & Wen Wang & Zhi-Gang Song & Yi Hu & Zhao-Wu Tao & Jun-Hua Tian & Yuan-Yuan Pei & Ming-Li Yuan & Yu-Ling Zhang & Fa-Hui Dai & Yi Liu & Qi-Min Wang & Jiao-Jiao , 2020. "A new coronavirus associated with human respiratory disease in China," Nature, Nature, vol. 579(7798), pages 265-269, March.
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    1. Oosterhoff, Marije & Kouwenberg, Lisanne H.J.A. & Rotteveel, Adriënne H. & van Vliet, Ella D. & Stadhouders, Niek & de Wit, G. Ardine & van Giessen, Anoukh, 2023. "Estimating the health impact of delayed elective care during the COVID -19 pandemic in the Netherlands," Social Science & Medicine, Elsevier, vol. 320(C).
    2. de Graaff, Bert & Huizenga, Sabrina & van de Bovenkamp, Hester & Bal, Roland, 2023. "Framing the pandemic: Multiplying “crises” in Dutch healthcare governance during the emerging COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 328(C).

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