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Heart failure admissions during COVID-19 pandemic
Sajan Narayanan1, Abdullakutty Jabir2, Rajesh G3, Rajasekhar Varma4, Vinod Thomas5, Manoj Thomas6, KS Gopakumar7, Anil Balachandran8
1 Senior Consultant and Interventional Cardiologist, Little Flower Hospital and Research Institute, , India
2 Senior Consultant and Interventional Cardiologist, Lisie Heart Institute, , India
3 Consultant Cardiologist, Little Flower Hospital, Angamaly, India
4 Senior Consultant and Interventional Cardiologist, Aster Mims, Cheranelloor, India
5 Senior Consultant and Interventional Cardiologist, Renai Medicity, Palarivattom P.O, India
6 Senior Consultant and Interventional Cardiologist, St. Joseph’s Hospital, Kothamangalam, India
7 Senior Consultant and Interventional Cardiologist, MBMM Hospital, Kothamangalam, Ernakulam, Kerala, India
8 Senior Consultant and Interventional Cardiologist, Lakshmi Hospital, Pallimmukku, Kochi, India
Correspondence Address:
Dr. Sajan Narayanan
Department of Cardiology, Little Flower Hospital & Research Institute, Angamaly, Kochi 683572, Kerala.
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/khj.khj_3_21
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Background and Objectives: Severe acute respiratory syndrome due to coronavirus (SARS-COVID-19) was declared as pandemic on March 12, 2020. Government of India declared a total lockdown from March 25, 2020. We report the trends in heart failure (HF) admissions to cardiac care units (CCU) of Ernakulam district of Kerala during lockdown period in comparison with the equivalent period of 2019. Materials and Methods: We conducted a retrospective multicenter observational survey to collect data on admissions for HF at CCUs of Ernakulam district in Kerala from January to May 15, 2020. Records were analyzed for admissions during the equivalent period of 2019. Trends in admissions during lockdown phases were analyzed separately. Results: We observed a reducing trend in the number of admissions with a diagnosis of HF from February 2020. During lockdown phase, a 25.4% reduction in the number of HF admissions was recorded as compared to the equivalent period of 2019. The decrease was evident during all three phases of lockdown. Hospitals located within Kochi Corporation Limits recorded 36.2%, 22%, and 22.9% decrease, respectively, during phases 1, 2, and 3 of lockdown period. There was no decrease in the number of HF admissions to centers located at the periphery during this period. Conclusion: This study confirms a reduction in the number of HF admissions during lockdown period. The decrease was more evident in centers located within metropolitan city limits. |
