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37. Miscellanea
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Cath lab activity during Covid-19 pandemic: report from one centre
Session:
CO 25- Covid19 e outros
Speaker:
João Baltazar Ferreira
Congress:
CPC 2021
Topic:
P. Other
Theme:
37. Miscellanea
Subtheme:
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Session Type:
Comunicações Orais
FP Number:
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Authors:
João Baltazar Ferreira; Daniel Faria; Inês Fialho; Marco Beringuilho; Mariana Passos; Joana Lopes; Miguel Santos; Pedro Farto e Abreu; Carlos Morais
Abstract
<p style="text-align:justify">Background</p> <p style="text-align:justify">Covid-19 pandemic broadly influenced the clinical activity during the year of 2020 worldwide. In Portugal, the first case was reported on the beginning of March, and given the following rising number of infection cases, the state of emergency was declared. It was again declared from November on following a new raise of the number of infection cases. We therefore consider there were 2 major waves of Covid-19 in Portugal. We aim to investigate how the pandemic waves may have interfered with the cath lab activity in our centre.</p> <p style="text-align:justify">Methods</p> <p style="text-align:justify">We retrospectively analyzed data from cath lab procedures from the beginning of 2016 to the end of 2020. We compared data from the months of the 2 major waves of Covid-19 in Portugal (March-April and November-December) with baseline data from 2016 to 2018 (we did not considered data from 2019 for baseline purposes because there were several months of inactivity on that year due to technical equipment failures).</p> <p style="text-align:justify">Results</p> <p style="text-align:justify">There was a reduction on global cath lab activity during both pandemic waves compared to baseline, but it was only statistically significant on the first wave (142 and 183 procedures for first and second wave respectively, with a 34.3% (p<0.001) and 14,8% (p=0.11) global reduction respectively compared to baseline monthly activity.</p> <p style="text-align:justify">The most significant reduction on procedures on first wave was from programmed ambulatory procedures (12.7% vs 23.8% baseline, p=0.002); that reduction was not observed on the second wave where ambulatory patients represented 31.15% of total procedures. There was no significant difference on the proportion of angioplasty procedures on both waves (51,8 and 51,1% vs 50,3% baseline; p=0,79 and p=0.88).</p> <p style="text-align:justify">There was not a significant difference on proportion of ST-elevation myocardial infarction (STEMI) patients on both waves (23% and 21.3% vs 18.8% baseline; p=0.22 and p=0.4). Also regarding STEMI patients from first pandemic wave there was no significant differences on severity at presentation (considering as severe those patients presenting with Killip class III or IV) (3.1% vs 6.6% baseline, p=0.23).</p> <p style="text-align:justify">Demographic patient characteristics were similar, as there was not a significant difference of mean age on patients admitted in both waves (mean age 66,57 and 67.34 years vs 65.97 years baseline, p=0.57 and p=0.15).</p> <p style="text-align:justify">Conclusions</p> <p style="text-align:justify">Covid-19 pandemic influenced broadly the global clinical activity, and the activity of the cath lab was no exception. Although there were less overall procedures, that difference was more evident and significant during the first wave of pandemic, and especially regarding ambulatory procedures. Several adaptation efforts were made after the first wave, which reflected positively on the second wave. Therefore, this reinforce the importance for prompt and efficient responses in cases of future pandemic, in order to preserve to the maximum the care of these patients.</p>
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