The impact of the coronavirus disease and Tele-Heart Failure Clinic on cardiovascular mortality and heart failure hospitalization in ambulatory patients with heart failure

We sought to investigate the impact of the COVID-19 pandemic and the Tele-HF Clinic (Tele-HFC) program on cardiovascular death, heart failure (HF) rehospitalization, and heart transplantation rates in a cohort of ambulatory HF patients during and after the peak of the pandemic. Using the HF clinic d...

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Bibliographic Details
Published in:PloS one 2021-03, Vol.16 (3), p.e0249043-e0249043
Main Authors: Puwanant, Sarinya, Sinphurmsukskul, Supanee, Krailak, Laddawan, Nakaviroj, Pavinee, Boonbumrong, Noppawan, Siwamogsatham, Sarawut, Chettakulanurak, Krailerk, Ariyachaipanich, Aekarach, Boonyaratavej, Smonporn
Format: Article
Language:English
Subjects:
Adult
Aged
Ambulatory Care Facilities
Biology and Life Sciences
Blood pressure
Body weight
Cardiology
Cardiovascular diseases
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - mortality
Check lists
Complications and side effects
Congestive heart failure
Coronary artery disease
Coronaviridae
Coronaviruses
COVID-19
COVID-19 - pathology
COVID-19 - virology
Data analysis
Databases, Factual
Diuretics
Dosage
Drafting software
Dyspnea
Editing
Ejection fraction
Epidemics
Failure analysis
Female
Health care
Heart diseases
Heart failure
Heart Failure - diagnosis
Heart Failure - mortality
Heart Failure - therapy
Heart rate
Heart Transplantation
Heart transplants
Hospitalization
Hospitalization - statistics & numerical data
Hospitals
Humans
Hyponatremia
Hypotension
Intolerance
Male
Medicine
Medicine and Health Sciences
Methodology
Middle Aged
Mortality
Oxygen
Oxygen consumption
Pandemics
Patient outcomes
Patient Readmission - statistics & numerical data
Patients
Physiological aspects
Renal function
Respiration
Risk factors
SARS-CoV-2 - isolation & purification
Severity of Illness Index
Supervision
Survival Rate
Thailand
Viral diseases
Visualization
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Summary:We sought to investigate the impact of the COVID-19 pandemic and the Tele-HF Clinic (Tele-HFC) program on cardiovascular death, heart failure (HF) rehospitalization, and heart transplantation rates in a cohort of ambulatory HF patients during and after the peak of the pandemic. Using the HF clinic database, we compared data of patients with HF before, during, and after the peak of the pandemic (January 1 to March 17 [pre-COVID], March 17 to May 31 [peak-COVID], and June 1 to October 1 [post-COVID]). During peak-COVID, all patients were managed by Tele-HFC or hospitalization. After June 1, patients chose either a face-to-face clinic visit or a continuous tele-clinic visit. Cardiovascular death and medical titration rates were similar in peak-COVID compared with all other periods. HF readmission rates were significantly lower in peak-COVID (8.7% vs. 2.5%, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0249043