Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/32685892/ below:

Pulmonary embolism during the COVID-19 pandemic: Decline in diagnostic procedures and incidence at a university hospital

Affiliations

• ¹ Clinical Division of Haematology and Haemostaseology, Department of Medicine I Medical University of Vienna Vienna Austria.
• ² Department of Emergency Medicine Medical University of Vienna Vienna Austria.
• ³ Department of Biomedical Imaging and Image-guided Therapy Medical University of Vienna Vienna Austria.
• ⁴ IT4Science, IT-Systems & Communications Medical University of Vienna Vienna Austria.

• PMID: 32685892
• PMCID: PMC7276790
• DOI: 10.1002/rth2.12391

Item in Clipboard

Stephan Nopp et al. Res Pract Thromb Haemost. 2020.

• ¹ Clinical Division of Haematology and Haemostaseology, Department of Medicine I Medical University of Vienna Vienna Austria.
• ² Department of Emergency Medicine Medical University of Vienna Vienna Austria.
• ³ Department of Biomedical Imaging and Image-guided Therapy Medical University of Vienna Vienna Austria.
• ⁴ IT4Science, IT-Systems & Communications Medical University of Vienna Vienna Austria.

• PMID: 32685892
• PMCID: PMC7276790
• DOI: 10.1002/rth2.12391

Item in Clipboard

Background: The COVID-19 pandemic has focused medical attention on treating affected patients and protecting others from infection. However, concerns have been raised regarding the pandemic´s impact and associated containment measures (eg curfew, lockdown) on non-coronavirus disease 2019 (COVID-19)-related acute medical diseases.

Objectives: To investigate changes in the incidence of pulmonary embolism (PE) during the COVID-19 pandemic compared to the period before the pandemic and reference periods in previous years.

Methods: In this single-center study, we explored all diagnostic imaging tests performed for suspected PE between weeks 1 and 17 of the years 2018, 2019, and 2020. Incidence of PE (ie, primary outcome) was analyzed. Secondary outcomes included number of imaging tests for suspected PE.

Results: Compared to weeks 1 to 11, 2020, an abrupt decline in PE diagnosis (mean weekly rate, 5.2; 95% confidence interval [CI], 3.8-6.6 vs 1.8; 95% CI, 0.0-3.6) and imaging tests (mean weekly rate, 32.5; 95% CI, 27.5-37.6 vs. 17.3; 95% CI, 11.6-23.1) was observed from week 12, with beginning of the containment measures and public lockdown in Austria. Compared to weeks 12 to 17 of 2018 and 2019, PE incidence and imaging tests were similarly decreased from 5.3 (95% CI, 3.6-7.1) to 1.8 (95% CI, 0.0-3.6) and 31.5 (95% CI, 27.1-35.9) to 17.3 (95% CI, 11.6-23.1), respectively. The median simplified pulmonary embolism severity index (sPESI) score of PE patients during the pandemic was higher than in all other PE patients (3; interquartile range, 1-3 vs 1; interquartile range, 0-2; P = .002).

Conclusion: Our study demonstrates that the COVID-19 pandemic has an impact on non-COVID-19-related acute diseases as shown by the decline in incidence of PE and imaging procedures for diagnostic workup. Further studies from other hospitals are needed to confirm our findings.

Keywords: COVID‐19; diagnostic imaging; incidence; pulmonary embolism; severe acute respiratory syndrome coronavirus 2; thromboembolism.

© 2020 The Authors. Research and Practice in Thrombosis and Haemostasis published by Wiley Periodicals LLC on behalf of International Society on Thrombosis and Haemostasis.

PubMed Disclaimer

Reduction of imaging tests at…

Reduction of imaging tests at the Vienna General Hospital carried out to diagnose…

Reduction of imaging tests at the Vienna General Hospital carried out to diagnose pulmonary embolism. (A) Dotted vertical line shows start of the public health measures in Austria. (B) Interyear analysis between the pandemic period in year 2020 (weeks 12‐17) and the reference period in 2018 and 2019 displayed as mean (with 95% confidence interval [CI]) weekly rate of tests: Rate ratio of 0.55 (95% CI, 0.44‐0.68). Bars represent the mean, and whiskers represent the upper limit of the 95% CI.

Decline in pulmonary embolus (PE)…

Decline in pulmonary embolus (PE) cases treated at the Vienna General Hospital associated…

Decline in pulmonary embolus (PE) cases treated at the Vienna General Hospital associated with the beginning of COVID‐19 containment measures in Austria. (A) Dotted vertical line shows start of the public health measures in Austria. (B) Interyear analysis between the pandemic period in year 2020 (weeks 12‐17) and the reference period in 2018 and 2019 displayed as mean (with 95% confidence interval [CI]) weekly incidence rates: Incidence‐rate ratio of 0.34 (95% CI, 0.18‐0.65). Bars represent the mean, and whiskers represent the upper limit of the 95% CI.

• Pulmonary Embolism Response Team activation during the COVID-19 pandemic in a New York City Academic Hospital: a retrospective cohort analysis.

  Kwok B, Brosnahan SB, Amoroso NE, Goldenberg RM, Heyman B, Horowitz JM, Jamin C, Sista AK, Smith DE, Yuriditsky E, Maldonado TS. Kwok B, et al. J Thromb Thrombolysis. 2021 Feb;51(2):330-338. doi: 10.1007/s11239-020-02264-8. J Thromb Thrombolysis. 2021. PMID: 32910409 Free PMC article. Clinical Trial.

• Deep vein thrombosis and pulmonary embolism among hospitalized coronavirus disease 2019-positive patients predicted for higher mortality and prolonged intensive care unit and hospital stays in a multisite healthcare system.

  Erben Y, Franco-Mesa C, Gloviczki P, Stone W, Quinones-Hinojoas A, Meltzer AJ, Lin M, Greenway MRF, Hamid O, Devcic Z, Toskich B, Ritchie C, Lamb CJ, De Martino RR, Siegel J, Farres H, Hakaim AG, Sanghavi DK, Li Y, Rivera C, Moreno-Franco P, O'Keefe NL, Gopal N, Marquez CP, Huang JF, Kalra M, Shields R, Prudencio M, Gendron T, McBane R, Park M, Hoyne JB, Petrucelli L, O'Horo JC, Meschia JF. Erben Y, et al. J Vasc Surg Venous Lymphat Disord. 2021 Nov;9(6):1361-1370.e1. doi: 10.1016/j.jvsv.2021.03.009. Epub 2021 Apr 6. J Vasc Surg Venous Lymphat Disord. 2021. PMID: 33836287 Free PMC article.

• Effect of heparin treatment on pulmonary embolism and in-hospital death in unvaccinated COVID-19 patients without overt deep vein thrombosis.

  Bais B, Sozio E, De Silvestri D, Volpetti S, Zannier ME, Filì C, Bassi F, Alcaro L, Cotrufo M, Pagotto A, Giacinta A, Patruno V, Da Porto A, Sbrojavacca R, Curcio F, Tascini C, Sechi LA, Colussi G. Bais B, et al. Thromb J. 2022 Jun 20;20(1):34. doi: 10.1186/s12959-022-00393-z. Thromb J. 2022. PMID: 35725464 Free PMC article.

• New-Onset Atrial Fibrillation and Adverse In-Hospital Outcome in Patients with Acute Pulmonary Embolism.

  Tang RB, Jing YY, Xu ZY, Dong JZ, Du X, Wu JH, Yu RH, Long DY, Ning M, Sang CH, Jiang CX, Bai R, Liu N, Wen SN, Li SN, Chen X, Huang ST, Cui YK, Ma CS. Tang RB, et al. Semin Thromb Hemost. 2020 Nov;46(8):887-894. doi: 10.1055/s-0040-1718397. Epub 2020 Dec 23. Semin Thromb Hemost. 2020. PMID: 33368110 Review.

• The prognostic value of pulmonary embolism severity index in acute pulmonary embolism: a meta-analysis.

  Zhou XY, Ben SQ, Chen HL, Ni SS. Zhou XY, et al. Respir Res. 2012 Dec 4;13(1):111. doi: 10.1186/1465-9921-13-111. Respir Res. 2012. PMID: 23210843 Free PMC article. Review.

• Developing Validated Tools to Identify Pulmonary Embolism in Electronic Databases: Rationale and Design of the PE-EHR+ Study.

  Bikdeli B, Lo YC, Khairani CD, Bejjani A, Jimenez D, Barco S, Mahajan S, Caraballo C, Secemsky EA, Klok FA, Hunsaker AR, Aghayev A, Muriel A, Wang Y, Hussain MA, Appah-Sampong A, Lu Y, Lin Z, Aneja S, Khera R, Goldhaber SZ, Zhou L, Monreal M, Krumholz HM, Piazza G. Bikdeli B, et al. Thromb Haemost. 2023 Jun;123(6):649-662. doi: 10.1055/a-2039-3222. Epub 2023 Feb 21. Thromb Haemost. 2023. PMID: 36809777 Free PMC article.

• The prevalence of thrombocytopenia in patients with acute cancer-associated thrombosis.

  Hsu C, Patell R, Zwicker JI. Hsu C, et al. Blood Adv. 2023 Sep 12;7(17):4721-4727. doi: 10.1182/bloodadvances.2022008644. Blood Adv. 2023. PMID: 36170802 Free PMC article.

• Multisystem Inflammatory Syndrome in Children Presenting With Pseudotumor Cerebri and a Review of the Literature.

  Bilen NM, Sahbudak Bal Z, Yildirim Arslan S, Kanmaz S, Kurugol Z, Ozkinay F. Bilen NM, et al. Pediatr Infect Dis J. 2021 Dec 1;40(12):e497-e500. doi: 10.1097/INF.0000000000003327. Pediatr Infect Dis J. 2021. PMID: 34533492 Free PMC article. Review.

• Managing HIV-Associated Hodgkin Lymphoma During the COVID-19 Pandemic: Case Report and Literature Review.

  Padurariu-Covit MD, Andreescu M, Niculet E, Plesea-Condratovici A, Arbune M. Padurariu-Covit MD, et al. Viruses. 2025 Mar 12;17(3):404. doi: 10.3390/v17030404. Viruses. 2025. PMID: 40143331 Free PMC article. Review.

• Complications and mortality of cardiovascular emergency admissions during COVID-19 associated restrictive measures.

  Bugger H, Gollmer J, Pregartner G, Wünsch G, Berghold A, Zirlik A, von Lewinski D. Bugger H, et al. PLoS One. 2020 Sep 24;15(9):e0239801. doi: 10.1371/journal.pone.0239801. eCollection 2020. PLoS One. 2020. PMID: 32970774 Free PMC article.

1. 1. World Health Organization . Coronavirus disease 2019 (COVID‐19): situation report, 97. Geneva: World Health Organization; 2020.
2. 1. Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid‐19. N Engl J Med. 2020. 10.1056/NEJMms2009984. - DOI - PubMed
3. 1. Metzler B, Siostrzonek P, Binder RK, Bauer A, Reinstadler SJ. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID‐19: the pandemic response causes cardiac collateral damage. Eur Heart J. 2020;41 (19):1852–3. - PMC - PubMed
4. 1. Rodríguez‐Leor O, Cid‐Álvarez B, Ojeda S, Martín‐Moreiras J, Ramón Rumoroso J, López‐Palop R, et al. Impacto de la pandemia de COVID‐19 sobre la actividad asistencial en cardiología intervencionista en España. REC Interv Cardiol. 2020;2:82–9.
5. 1. Tam C‐CF, Cheung K‐S, Lam S, Wong A, Yung A, Sze M, et al. Impact of Coronavirus Disease 2019 (COVID‐19) Outbreak on ST‐Segment‐Elevation Myocardial Infarction Care in Hong Kong. China. Circulation: Cardiovascular Quality and Outcomes. 2020;13(4):e006631. - PMC - PubMed

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3