Impact of a prolonged COVID-19 lockdown on patterns of admission, mortality and performance indicators in a cardiovascular intensive care unit

Abstract Background The effects of an early and prolonged lockdown during the coronavirus disease 2019 (COVID-19) pandemic on cardiovascular intensive care units (CICUs) are not well established. Objectives This study analyses patterns of admission, mortality and performance indicators in a CICU bef...

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Bibliographic Details
Published in:International Journal for Quality in Health Care 2021-03, Vol.33 (1)
Main Authors: Szarfer, Jorge Luis, Puente, Luciana, Bono, Leandro, Estrella, María Laura, Doppler, Eugenia, Napoli Llobera, Mariano, Arce, María Patricia, Borri, Karina Alejandra, Fiandesio, Mariana Elisa, Ferraris, Marta Josefina, Gagliardi, Juan
Format: Article
Language:English
Subjects:
Adult
Aged
Argentina - epidemiology
Bed Occupancy - statistics & numerical data
Cardiovascular Diseases - epidemiology
COVID-19 - epidemiology
Cross-Sectional Studies
Female
Health Policy
Hospital Mortality - trends
Humans
Intensive Care Units - statistics & numerical data
Length of Stay - statistics & numerical data
Male
Middle Aged
Original
Pandemics
Patient Admission - statistics & numerical data
Pharmacy Service, Hospital - economics
Pharmacy Service, Hospital - statistics & numerical data
Quality Indicators, Health Care - statistics & numerical data
Retrospective Studies
SARS-CoV-2
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Summary:Abstract Background The effects of an early and prolonged lockdown during the coronavirus disease 2019 (COVID-19) pandemic on cardiovascular intensive care units (CICUs) are not well established. Objectives This study analyses patterns of admission, mortality and performance indicators in a CICU before and during the Argentine lockdown in the COVID-19 pandemic. Methods This is a retrospective observational cross-sectional study of all consecutive patients aged 18 years or more admitted to the cardiac intensive care unit at a high-volume reference hospital in Buenos Aires, Argentina, comparing hospitalization rates, primary causes of admission, inpatient utilization indicators, pharmacy supplies’ expenditures and in-hospital mortality between 5 March and 31 July 2020, with two corresponding control periods in 2019 and 2018. Results We included 722 female patients [mean age of 61.6 (SD 15.5) years; 237 (32.8%)]. Overall hospitalizations dropped 53.2% (95%CI: 45.3, 61.0%), from 295.5 patients/year over the periods 2018/2019 to 137 patients in 2020. Cardiovascular disease–related admissions dropped 59.9%, while admission for non-cardiac causes doubled its prevalence from 9.6% over the periods 2018/2019 to 22.6% in the study period (P 
ISSN:1353-4505
1464-3677
DOI:10.1093/intqhc/mzab029