Impact of Nationwide COVID-19 Lockdowns on the Implantation Rate of Cardiac Implantable Electronic Devices
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Impact of Nationwide COVID-19 Lockdowns on the Implantation Rate of Cardiac Implantable Electronic Devices. / Wood-Kurland, Hannah K.; Phelps, Matthew; Thune, Jens Jakob; Philbert, Berit; Larroudé, Charlotte Ellen; Schou, Morten; Hansen, Morten Lock; Gislason, Gunnar H.; Bang, Casper N.
I: Heart Lung and Circulation, Bind 32, Nr. 3, 2023, s. 364-372.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Impact of Nationwide COVID-19 Lockdowns on the Implantation Rate of Cardiac Implantable Electronic Devices
AU - Wood-Kurland, Hannah K.
AU - Phelps, Matthew
AU - Thune, Jens Jakob
AU - Philbert, Berit
AU - Larroudé, Charlotte Ellen
AU - Schou, Morten
AU - Hansen, Morten Lock
AU - Gislason, Gunnar H.
AU - Bang, Casper N.
N1 - Publisher Copyright: © 2022 The Author(s)
PY - 2023
Y1 - 2023
N2 - Aim: The COVID-19 pandemic resulted in a significant decrease in the number of hospital admissions for severe emergent cardiovascular diseases during lockdowns worldwide. This study aimed to determine the impact of both the first and the second Danish nationwide lockdown on the implantation rate of cardiac implantable electronic devices (CIEDs). Methods: We retrospectively analysed the number of CIED implantations performed in Denmark and stratified them into 3-week intervals. Results: The total number of de novo CIED implantations decreased during the first lockdown by 15.5% and during the second by 5.1%. Comparing each 3-week interval using rate ratios, a significant decrease in the daily rates of the total number of de novo and replacement CIEDs (0.82, 95% CI [0.70, 0.96]), de novo CIEDs only (0.82, 95% CI [0.69, 0.98]), and non-acute pacemaker implantations (0.80, 95% CI [0.63, 0.99]) was observed during the first interval of the first lockdown. During the second lockdown (third interval), a significant decrease was seen in the daily rates of de novo CIEDs (0.73, 95% CI [0.55, 0.97]), and of pacemakers in total during both the second (0.78, 95% CI [0.62, 0.97]) and the third (0.60, 95% CI [0.42, 0.85]) intervals. Additionally, the daily rates of acute pacemaker implantation decreased during the second interval (0.47, 95% CI [0.27, 0.79]) and of non-acute implantation during the third interval (0.57, 95% CI [0.38, 0.84]). A significant increase was observed in the number of replacement procedures during the first interval of the second lockdown (1.70, 95% CI [1.04, 2.85]). Conclusions: Our study found only modest changes in CIED implantations in Denmark during two national lockdowns.
AB - Aim: The COVID-19 pandemic resulted in a significant decrease in the number of hospital admissions for severe emergent cardiovascular diseases during lockdowns worldwide. This study aimed to determine the impact of both the first and the second Danish nationwide lockdown on the implantation rate of cardiac implantable electronic devices (CIEDs). Methods: We retrospectively analysed the number of CIED implantations performed in Denmark and stratified them into 3-week intervals. Results: The total number of de novo CIED implantations decreased during the first lockdown by 15.5% and during the second by 5.1%. Comparing each 3-week interval using rate ratios, a significant decrease in the daily rates of the total number of de novo and replacement CIEDs (0.82, 95% CI [0.70, 0.96]), de novo CIEDs only (0.82, 95% CI [0.69, 0.98]), and non-acute pacemaker implantations (0.80, 95% CI [0.63, 0.99]) was observed during the first interval of the first lockdown. During the second lockdown (third interval), a significant decrease was seen in the daily rates of de novo CIEDs (0.73, 95% CI [0.55, 0.97]), and of pacemakers in total during both the second (0.78, 95% CI [0.62, 0.97]) and the third (0.60, 95% CI [0.42, 0.85]) intervals. Additionally, the daily rates of acute pacemaker implantation decreased during the second interval (0.47, 95% CI [0.27, 0.79]) and of non-acute implantation during the third interval (0.57, 95% CI [0.38, 0.84]). A significant increase was observed in the number of replacement procedures during the first interval of the second lockdown (1.70, 95% CI [1.04, 2.85]). Conclusions: Our study found only modest changes in CIED implantations in Denmark during two national lockdowns.
KW - Cardiac resynchronisation therapy
KW - Cardiovascular implantable electronic devices
KW - COVID-19
KW - Implantable cardioverter defibrillator
KW - Pacemaker
U2 - 10.1016/j.hlc.2022.10.013
DO - 10.1016/j.hlc.2022.10.013
M3 - Journal article
C2 - 36513581
AN - SCOPUS:85144911354
VL - 32
SP - 364
EP - 372
JO - Heart Lung and Circulation
JF - Heart Lung and Circulation
SN - 1443-9506
IS - 3
ER -
ID: 340412886