Vincenzo Russo1, Pia Clara Pafundi2, Antonio Rapacciuolo3, Antonello D'Andrea4, Marcello de Devitiis5, Mario Volpicelli6, Antonio Ruocco7, Gerardo Nigro1, Antonio D'Onofrio8. 1. Division of Cardiology, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli" , Naples, Italy. 2. Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli" , Naples, Italy. 3. Division of Cardiology, Department of Advanced Biomedical Sciences, University of Naples Federico II , Naples, Italy. 4. Division of Cardiology, Umberto I Hospital, Nocera Inferiore , Salerno, Italy. 5. Division of Cardiology, Pellegrini Hospital, Health Authority Naples 1 , Naples, Italy. 6. Division of Cardiology, San Giovanni Bosco Hospital, Health Authority Naples 1 , Naples, Italy. 7. Interventional Cardiology and Cardiological Care Unit, Cardarelli Hospital , Naples, Italy. 8. Division of Cardiology, Monaldi Hospital , Naples, Italy.
Abstract
Introduction: Following the coronavirus disease (COVID-19) outbreak, the Italian government adopted strict rules of lockdown and social distancing. The aim of our study was to assess admission rate for syncope leading to cardiac rhythm management (CRM) procedures in Campania, the third-most-populous region of Italy, during COVID-19 lockdown. Methods: Data were sourced from 14 referral hospitals in Campania from 10th March to 4 May 2020 (lockdown period) and during the same period in 2019. Among consecutive patients hospitalized for CRM procedures during the two observational periods, we retrospectively evaluated those admitted for arrhythmogenic syncope. Admission rate and the type of hospital admission between the two observational periods were compared. Results: Among 951 consecutive patients hospitalized for CRM procedures, 204 were admitted for arrhythmogenic syncope leading to CRM procedures. A significant increase in admission was shown in 2020 compared to 2019 (26.4% vs. 18.3%; P = 0.003). Moreover, regarding the type of admission to hospitals, attendance at the emergency department (ED) significantly increased (83.5% vs. 56.1%; P < 0.001); conversely, a significant decrease in urgent unplanned hospitalizations (6.2% vs. 35.5%; P < 0.001) was observed during COVID-19 lockdown. Conclusions: The hospitalization for arrhythmogenic syncope leading to CRM procedures increased during COVID-19 lockdown.
Introduction: Following the coronavirus disease (COVID-19) outbreak, the Italian government adopted strict rules of lockdown and social distancing. The aim of our study was to assess admission rate for syncope leading to cardiac rhythm management (CRM) procedures in Campania, the third-most-populous region of Italy, during COVID-19 lockdown. Methods: Data were sourced from 14 referral hospitals in Campania from 10th March to 4 May 2020 (lockdown period) and during the same period in 2019. Among consecutive patients hospitalized for CRM procedures during the two observational periods, we retrospectively evaluated those admitted for arrhythmogenic syncope. Admission rate and the type of hospital admission between the two observational periods were compared. Results: Among 951 consecutive patients hospitalized for CRM procedures, 204 were admitted for arrhythmogenic syncope leading to CRM procedures. A significant increase in admission was shown in 2020 compared to 2019 (26.4% vs. 18.3%; P = 0.003). Moreover, regarding the type of admission to hospitals, attendance at the emergency department (ED) significantly increased (83.5% vs. 56.1%; P < 0.001); conversely, a significant decrease in urgent unplanned hospitalizations (6.2% vs. 35.5%; P < 0.001) was observed during COVID-19 lockdown. Conclusions: The hospitalization for arrhythmogenic syncope leading to CRM procedures increased during COVID-19 lockdown.
Authors: Vincent Issac Lau; Sumeet Dhanoa; Harleen Cheema; Kimberley Lewis; Patrick Geeraert; David Lu; Benjamin Merrick; Aaron Vander Leek; Meghan Sebastianski; Brittany Kula; Dipayan Chaudhuri; Arnav Agarwal; Daniel J Niven; Kirsten M Fiest; Henry T Stelfox; Danny J Zuege; Oleksa G Rewa; Sean M Bagshaw Journal: PLoS One Date: 2022-06-24 Impact factor: 3.752
Authors: Ivan Gentile; Martina Iorio; Emanuela Zappulo; Riccardo Scotto; Alberto Enrico Maraolo; Antonio Riccardo Buonomo; Biagio Pinchera; Giuseppina Muto; Carmela Iervolino; Riccardo Villari; Nicola Schiano Moriello; Maria Michela Scirocco; Maria Triassi; Mariano Paternoster; Vincenzo Russo; Giulio Viceconte Journal: Int J Environ Res Public Health Date: 2022-08-18 Impact factor: 4.614