Reduction in heart failure hospitalization rate during coronavirus disease 19 pandemic outbreak.
Identifieur interne : 001095 ( Main/Corpus ); précédent : 001094; suivant : 001096Reduction in heart failure hospitalization rate during coronavirus disease 19 pandemic outbreak.
Auteurs : Paolo Severino ; Andrea D'Amato ; Andrea Saglietto ; Fabrizio D'Ascenzo ; Claudia Marini ; Marco Schiavone ; Nicol Ghionzoli ; Filippo Pirrotta ; Francesca Troiano ; Margherita Cannillo ; Marco Mennuni ; Andrea Rognoni ; Francesco Rametta ; Alessandro Galluzzo ; Gianluca Agnes ; Fabio Infusino ; Mariateresa Pucci ; Carlo Lavalle ; Luca Cacciotti ; Paul J. Mather ; Walter Grosso Marra ; Fabrizio Ugo ; Giovanni Forleo ; Maurizio Viecca ; Nuccia Morici ; Giuseppe Patti ; Gaetano M. De Ferrari ; Alberto Palazzuoli ; Massimo Mancone ; Francesco FedeleSource :
- ESC heart failure [ 2055-5822 ] ; 2020.
Abstract
AIMS
The recent coronavirus disease 19 (COVID-19) pandemic outbreak forced the adoption of restraint measures, which modified the hospital admission patterns for several diseases. The aim of the study is to investigate the rate of hospital admissions for heart failure (HF) during the early days of the COVID-19 outbreak in Italy, compared with a corresponding period during the previous year and an earlier period during the same year.
METHODS AND RESULTS
We performed a retrospective analysis on HF admissions number at eight hospitals in Italy throughout the study period (21 February to 31 March 2020), compared with an inter-year period (21 February to 31 March 2019) and an intra-year period (1 January to 20 February 2020). The primary outcome was the overall rate of hospital admissions for HF. A total of 505 HF patients were included in this survey: 112 during the case period, 201 during intra-year period, and 192 during inter-year period. The mean admission rate during the case period was 2.80 admissions per day, significantly lower compared with intra-year period (3.94 admissions per day; incidence rate ratio, 0.71; 95% confidence interval [CI], 0.56-0.89; P = 0.0037), or with inter-year (4.92 admissions per day; incidence rate ratio, 0.57; 95% confidence interval, 0.45-0.72; P < 0.001). Patients admitted during study period were less frequently admitted in New York Heart Association (NYHA) Class II compared with inter-year period (P = 0.019). At covariance analysis NYHA class was significantly lower in patients admitted during inter-year control period, compared with patients admitted during case period (P = 0.014).
CONCLUSIONS
Admissions for HF were significantly reduced during the lockdown due to the COVID-19 pandemic in Italy.
DOI: 10.1002/ehf2.13043
PubMed: 33094929
PubMed Central: PMC7754919
Links to Exploration step
pubmed:33094929Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reduction in heart failure hospitalization rate during coronavirus disease 19 pandemic outbreak.</title><author><name sortKey="Severino, Paolo" sort="Severino, Paolo" uniqKey="Severino P" first="Paolo" last="Severino">Paolo Severino</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="D Amato, Andrea" sort="D Amato, Andrea" uniqKey="D Amato A" first="Andrea" last="D'Amato">Andrea D'Amato</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Saglietto, Andrea" sort="Saglietto, Andrea" uniqKey="Saglietto A" first="Andrea" last="Saglietto">Andrea Saglietto</name><affiliation><nlm:affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="D Ascenzo, Fabrizio" sort="D Ascenzo, Fabrizio" uniqKey="D Ascenzo F" first="Fabrizio" last="D'Ascenzo">Fabrizio D'Ascenzo</name><affiliation><nlm:affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Marini, Claudia" sort="Marini, Claudia" uniqKey="Marini C" first="Claudia" last="Marini">Claudia Marini</name><affiliation><nlm:affiliation>Intensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Schiavone, Marco" sort="Schiavone, Marco" uniqKey="Schiavone M" first="Marco" last="Schiavone">Marco Schiavone</name><affiliation><nlm:affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Ghionzoli, Nicol" sort="Ghionzoli, Nicol" uniqKey="Ghionzoli N" first="Nicol" last="Ghionzoli">Nicol Ghionzoli</name><affiliation><nlm:affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Pirrotta, Filippo" sort="Pirrotta, Filippo" uniqKey="Pirrotta F" first="Filippo" last="Pirrotta">Filippo Pirrotta</name><affiliation><nlm:affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Troiano, Francesca" sort="Troiano, Francesca" uniqKey="Troiano F" first="Francesca" last="Troiano">Francesca Troiano</name><affiliation><nlm:affiliation>Ivrea Hospital, Ivrea, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Cannillo, Margherita" sort="Cannillo, Margherita" uniqKey="Cannillo M" first="Margherita" last="Cannillo">Margherita Cannillo</name><affiliation><nlm:affiliation>Ivrea Hospital, Ivrea, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mennuni, Marco" sort="Mennuni, Marco" uniqKey="Mennuni M" first="Marco" last="Mennuni">Marco Mennuni</name><affiliation><nlm:affiliation>AOU Maggiore della Carità, Novara, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Rognoni, Andrea" sort="Rognoni, Andrea" uniqKey="Rognoni A" first="Andrea" last="Rognoni">Andrea Rognoni</name><affiliation><nlm:affiliation>AOU Maggiore della Carità, Novara, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Rametta, Francesco" sort="Rametta, Francesco" uniqKey="Rametta F" first="Francesco" last="Rametta">Francesco Rametta</name><affiliation><nlm:affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Galluzzo, Alessandro" sort="Galluzzo, Alessandro" uniqKey="Galluzzo A" first="Alessandro" last="Galluzzo">Alessandro Galluzzo</name><affiliation><nlm:affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Agnes, Gianluca" sort="Agnes, Gianluca" uniqKey="Agnes G" first="Gianluca" last="Agnes">Gianluca Agnes</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Infusino, Fabio" sort="Infusino, Fabio" uniqKey="Infusino F" first="Fabio" last="Infusino">Fabio Infusino</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Pucci, Mariateresa" sort="Pucci, Mariateresa" uniqKey="Pucci M" first="Mariateresa" last="Pucci">Mariateresa Pucci</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Madre Giuseppina Vannini Hospital, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Lavalle, Carlo" sort="Lavalle, Carlo" uniqKey="Lavalle C" first="Carlo" last="Lavalle">Carlo Lavalle</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Cacciotti, Luca" sort="Cacciotti, Luca" uniqKey="Cacciotti L" first="Luca" last="Cacciotti">Luca Cacciotti</name><affiliation><nlm:affiliation>Madre Giuseppina Vannini Hospital, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mather, Paul J" sort="Mather, Paul J" uniqKey="Mather P" first="Paul J" last="Mather">Paul J. Mather</name><affiliation><nlm:affiliation>Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia, PA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Grosso Marra, Walter" sort="Grosso Marra, Walter" uniqKey="Grosso Marra W" first="Walter" last="Grosso Marra">Walter Grosso Marra</name><affiliation><nlm:affiliation>Ivrea Hospital, Ivrea, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Ugo, Fabrizio" sort="Ugo, Fabrizio" uniqKey="Ugo F" first="Fabrizio" last="Ugo">Fabrizio Ugo</name><affiliation><nlm:affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Forleo, Giovanni" sort="Forleo, Giovanni" uniqKey="Forleo G" first="Giovanni" last="Forleo">Giovanni Forleo</name><affiliation><nlm:affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Viecca, Maurizio" sort="Viecca, Maurizio" uniqKey="Viecca M" first="Maurizio" last="Viecca">Maurizio Viecca</name><affiliation><nlm:affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Morici, Nuccia" sort="Morici, Nuccia" uniqKey="Morici N" first="Nuccia" last="Morici">Nuccia Morici</name><affiliation><nlm:affiliation>Intensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Patti, Giuseppe" sort="Patti, Giuseppe" uniqKey="Patti G" first="Giuseppe" last="Patti">Giuseppe Patti</name><affiliation><nlm:affiliation>AOU Maggiore della Carità, Novara, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="De Ferrari, Gaetano M" sort="De Ferrari, Gaetano M" uniqKey="De Ferrari G" first="Gaetano M" last="De Ferrari">Gaetano M. De Ferrari</name><affiliation><nlm:affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Palazzuoli, Alberto" sort="Palazzuoli, Alberto" uniqKey="Palazzuoli A" first="Alberto" last="Palazzuoli">Alberto Palazzuoli</name><affiliation><nlm:affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mancone, Massimo" sort="Mancone, Massimo" uniqKey="Mancone M" first="Massimo" last="Mancone">Massimo Mancone</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Fedele, Francesco" sort="Fedele, Francesco" uniqKey="Fedele F" first="Francesco" last="Fedele">Francesco Fedele</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33094929</idno><idno type="pmid">33094929</idno><idno type="doi">10.1002/ehf2.13043</idno><idno type="pmc">PMC7754919</idno><idno type="wicri:Area/Main/Corpus">001095</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001095</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Reduction in heart failure hospitalization rate during coronavirus disease 19 pandemic outbreak.</title><author><name sortKey="Severino, Paolo" sort="Severino, Paolo" uniqKey="Severino P" first="Paolo" last="Severino">Paolo Severino</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="D Amato, Andrea" sort="D Amato, Andrea" uniqKey="D Amato A" first="Andrea" last="D'Amato">Andrea D'Amato</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Saglietto, Andrea" sort="Saglietto, Andrea" uniqKey="Saglietto A" first="Andrea" last="Saglietto">Andrea Saglietto</name><affiliation><nlm:affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="D Ascenzo, Fabrizio" sort="D Ascenzo, Fabrizio" uniqKey="D Ascenzo F" first="Fabrizio" last="D'Ascenzo">Fabrizio D'Ascenzo</name><affiliation><nlm:affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Marini, Claudia" sort="Marini, Claudia" uniqKey="Marini C" first="Claudia" last="Marini">Claudia Marini</name><affiliation><nlm:affiliation>Intensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Schiavone, Marco" sort="Schiavone, Marco" uniqKey="Schiavone M" first="Marco" last="Schiavone">Marco Schiavone</name><affiliation><nlm:affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Ghionzoli, Nicol" sort="Ghionzoli, Nicol" uniqKey="Ghionzoli N" first="Nicol" last="Ghionzoli">Nicol Ghionzoli</name><affiliation><nlm:affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Pirrotta, Filippo" sort="Pirrotta, Filippo" uniqKey="Pirrotta F" first="Filippo" last="Pirrotta">Filippo Pirrotta</name><affiliation><nlm:affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Troiano, Francesca" sort="Troiano, Francesca" uniqKey="Troiano F" first="Francesca" last="Troiano">Francesca Troiano</name><affiliation><nlm:affiliation>Ivrea Hospital, Ivrea, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Cannillo, Margherita" sort="Cannillo, Margherita" uniqKey="Cannillo M" first="Margherita" last="Cannillo">Margherita Cannillo</name><affiliation><nlm:affiliation>Ivrea Hospital, Ivrea, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mennuni, Marco" sort="Mennuni, Marco" uniqKey="Mennuni M" first="Marco" last="Mennuni">Marco Mennuni</name><affiliation><nlm:affiliation>AOU Maggiore della Carità, Novara, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Rognoni, Andrea" sort="Rognoni, Andrea" uniqKey="Rognoni A" first="Andrea" last="Rognoni">Andrea Rognoni</name><affiliation><nlm:affiliation>AOU Maggiore della Carità, Novara, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Rametta, Francesco" sort="Rametta, Francesco" uniqKey="Rametta F" first="Francesco" last="Rametta">Francesco Rametta</name><affiliation><nlm:affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Galluzzo, Alessandro" sort="Galluzzo, Alessandro" uniqKey="Galluzzo A" first="Alessandro" last="Galluzzo">Alessandro Galluzzo</name><affiliation><nlm:affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Agnes, Gianluca" sort="Agnes, Gianluca" uniqKey="Agnes G" first="Gianluca" last="Agnes">Gianluca Agnes</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Infusino, Fabio" sort="Infusino, Fabio" uniqKey="Infusino F" first="Fabio" last="Infusino">Fabio Infusino</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Pucci, Mariateresa" sort="Pucci, Mariateresa" uniqKey="Pucci M" first="Mariateresa" last="Pucci">Mariateresa Pucci</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Madre Giuseppina Vannini Hospital, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Lavalle, Carlo" sort="Lavalle, Carlo" uniqKey="Lavalle C" first="Carlo" last="Lavalle">Carlo Lavalle</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Cacciotti, Luca" sort="Cacciotti, Luca" uniqKey="Cacciotti L" first="Luca" last="Cacciotti">Luca Cacciotti</name><affiliation><nlm:affiliation>Madre Giuseppina Vannini Hospital, Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mather, Paul J" sort="Mather, Paul J" uniqKey="Mather P" first="Paul J" last="Mather">Paul J. Mather</name><affiliation><nlm:affiliation>Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia, PA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Grosso Marra, Walter" sort="Grosso Marra, Walter" uniqKey="Grosso Marra W" first="Walter" last="Grosso Marra">Walter Grosso Marra</name><affiliation><nlm:affiliation>Ivrea Hospital, Ivrea, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Ugo, Fabrizio" sort="Ugo, Fabrizio" uniqKey="Ugo F" first="Fabrizio" last="Ugo">Fabrizio Ugo</name><affiliation><nlm:affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Forleo, Giovanni" sort="Forleo, Giovanni" uniqKey="Forleo G" first="Giovanni" last="Forleo">Giovanni Forleo</name><affiliation><nlm:affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Viecca, Maurizio" sort="Viecca, Maurizio" uniqKey="Viecca M" first="Maurizio" last="Viecca">Maurizio Viecca</name><affiliation><nlm:affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Morici, Nuccia" sort="Morici, Nuccia" uniqKey="Morici N" first="Nuccia" last="Morici">Nuccia Morici</name><affiliation><nlm:affiliation>Intensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Patti, Giuseppe" sort="Patti, Giuseppe" uniqKey="Patti G" first="Giuseppe" last="Patti">Giuseppe Patti</name><affiliation><nlm:affiliation>AOU Maggiore della Carità, Novara, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="De Ferrari, Gaetano M" sort="De Ferrari, Gaetano M" uniqKey="De Ferrari G" first="Gaetano M" last="De Ferrari">Gaetano M. De Ferrari</name><affiliation><nlm:affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Palazzuoli, Alberto" sort="Palazzuoli, Alberto" uniqKey="Palazzuoli A" first="Alberto" last="Palazzuoli">Alberto Palazzuoli</name><affiliation><nlm:affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mancone, Massimo" sort="Mancone, Massimo" uniqKey="Mancone M" first="Massimo" last="Mancone">Massimo Mancone</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Fedele, Francesco" sort="Fedele, Francesco" uniqKey="Fedele F" first="Francesco" last="Fedele">Francesco Fedele</name><affiliation><nlm:affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">ESC heart failure</title><idno type="eISSN">2055-5822</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>The recent coronavirus disease 19 (COVID-19) pandemic outbreak forced the adoption of restraint measures, which modified the hospital admission patterns for several diseases. The aim of the study is to investigate the rate of hospital admissions for heart failure (HF) during the early days of the COVID-19 outbreak in Italy, compared with a corresponding period during the previous year and an earlier period during the same year.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS AND RESULTS</b></p><p>We performed a retrospective analysis on HF admissions number at eight hospitals in Italy throughout the study period (21 February to 31 March 2020), compared with an inter-year period (21 February to 31 March 2019) and an intra-year period (1 January to 20 February 2020). The primary outcome was the overall rate of hospital admissions for HF. A total of 505 HF patients were included in this survey: 112 during the case period, 201 during intra-year period, and 192 during inter-year period. The mean admission rate during the case period was 2.80 admissions per day, significantly lower compared with intra-year period (3.94 admissions per day; incidence rate ratio, 0.71; 95% confidence interval [CI], 0.56-0.89; P = 0.0037), or with inter-year (4.92 admissions per day; incidence rate ratio, 0.57; 95% confidence interval, 0.45-0.72; P < 0.001). Patients admitted during study period were less frequently admitted in New York Heart Association (NYHA) Class II compared with inter-year period (P = 0.019). At covariance analysis NYHA class was significantly lower in patients admitted during inter-year control period, compared with patients admitted during case period (P = 0.014).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Admissions for HF were significantly reduced during the lockdown due to the COVID-19 pandemic in Italy.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33094929</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2055-5822</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Oct</Month><Day>23</Day></PubDate></JournalIssue><Title>ESC heart failure</Title><ISOAbbreviation>ESC Heart Fail</ISOAbbreviation></Journal><ArticleTitle>Reduction in heart failure hospitalization rate during coronavirus disease 19 pandemic outbreak.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1002/ehf2.13043</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">The recent coronavirus disease 19 (COVID-19) pandemic outbreak forced the adoption of restraint measures, which modified the hospital admission patterns for several diseases. The aim of the study is to investigate the rate of hospital admissions for heart failure (HF) during the early days of the COVID-19 outbreak in Italy, compared with a corresponding period during the previous year and an earlier period during the same year.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">We performed a retrospective analysis on HF admissions number at eight hospitals in Italy throughout the study period (21 February to 31 March 2020), compared with an inter-year period (21 February to 31 March 2019) and an intra-year period (1 January to 20 February 2020). The primary outcome was the overall rate of hospital admissions for HF. A total of 505 HF patients were included in this survey: 112 during the case period, 201 during intra-year period, and 192 during inter-year period. The mean admission rate during the case period was 2.80 admissions per day, significantly lower compared with intra-year period (3.94 admissions per day; incidence rate ratio, 0.71; 95% confidence interval [CI], 0.56-0.89; P = 0.0037), or with inter-year (4.92 admissions per day; incidence rate ratio, 0.57; 95% confidence interval, 0.45-0.72; P < 0.001). Patients admitted during study period were less frequently admitted in New York Heart Association (NYHA) Class II compared with inter-year period (P = 0.019). At covariance analysis NYHA class was significantly lower in patients admitted during inter-year control period, compared with patients admitted during case period (P = 0.014).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Admissions for HF were significantly reduced during the lockdown due to the COVID-19 pandemic in Italy.</AbstractText><CopyrightInformation>© 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Severino</LastName><ForeName>Paolo</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>D'Amato</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saglietto</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>D'Ascenzo</LastName><ForeName>Fabrizio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marini</LastName><ForeName>Claudia</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Intensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schiavone</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghionzoli</LastName><ForeName>Nicolò</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pirrotta</LastName><ForeName>Filippo</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Troiano</LastName><ForeName>Francesca</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Ivrea Hospital, Ivrea, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cannillo</LastName><ForeName>Margherita</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Ivrea Hospital, Ivrea, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mennuni</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>AOU Maggiore della Carità, Novara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rognoni</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>AOU Maggiore della Carità, Novara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rametta</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Galluzzo</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Agnes</LastName><ForeName>Gianluca</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Infusino</LastName><ForeName>Fabio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pucci</LastName><ForeName>Mariateresa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Madre Giuseppina Vannini Hospital, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lavalle</LastName><ForeName>Carlo</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cacciotti</LastName><ForeName>Luca</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Madre Giuseppina Vannini Hospital, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mather</LastName><ForeName>Paul J</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grosso Marra</LastName><ForeName>Walter</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Ivrea Hospital, Ivrea, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ugo</LastName><ForeName>Fabrizio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Sant'Andrea di Vercelli Hospital, Vercelli, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Forleo</LastName><ForeName>Giovanni</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Viecca</LastName><ForeName>Maurizio</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Luigi Sacco Hospital, Polo Universitario, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morici</LastName><ForeName>Nuccia</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Intensive Cardiac Care Unit and De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Patti</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>AOU Maggiore della Carità, Novara, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Ferrari</LastName><ForeName>Gaetano M</ForeName><Initials>GM</Initials><AffiliationInfo><Affiliation>Division of Cardiology, AOU Città della Salute e della Scienza di Torino, Section of Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Palazzuoli</LastName><ForeName>Alberto</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Cardiovascular Diseases Unit, Le Scotte Hospital, University of Siena, Siena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mancone</LastName><ForeName>Massimo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fedele</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, Rome, 00161, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal 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