Raúl Moreno1, José-Luis Díez2, José-Antonio Diarte3, Pablo Salinas4, José María de la Torre Hernández5, Juan F Andres-Cordón6, Ramiro Trillo7, Juan Alonso Briales8, Ignacio Amat-Santos9, Rafael Romaguera10, José-Francisco Díaz11, Beatriz Vaquerizo12, Soledad Ojeda13, Ignacio Cruz-González14, Daniel Morena-Salas15, Armando Pérez de Prado16, Fernando Sarnago17, Pilar Portero18, Alejandro Gutierrez-Barrios19, Fernando Alfonso20, Eduard Bosch21, Eduardo Pinar22, José-Ramón Ruiz-Arroyo23, Valeriano Ruiz-Quevedo24, Jesús Jiménez-Mazuecos25, Fernando Lozano26, José-Ramón Rumoroso27, Enrique Novo28, Francisco J Irazusta29, Bruno García Del Blanco30, José Moreu31, Sara M Ballesteros-Pradas32, Araceli Frutos33, Manuel Villa34, Eduardo Alegría-Barrero35,36, Rosa Lázaro37, Emilio Paredes38. 1. University Hospital La Paz, idiPAZ, Paseo La Castellana 261, 28046, Madrid, Spain. raulmorenog@hotmail.com. 2. Hospital La Fe, Valencia, Spain. 3. Hospital Miguel Servet, Zaragoza, Spain. 4. Hospital Clínico San Carlos, Madrid, Spain. 5. Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain. 6. Hospital German Trias I Pujol, Badalona, Spain. 7. Hospital Clínico Universitario, Santiago de Compostela, Spain. 8. Hospital Virgen de La Victoria, Málaga, Spain. 9. Hospital Clínico Universitario, Valladolid, Spain. 10. Hospital de Bellvitge, Barcelona, Spain. 11. Hospital Juan Ramón Jiménez, Huelva, Spain. 12. Hospital del Mar, Barcelona, Spain. 13. Hospital Reina Sofía, Córdoba, Spain. 14. Hospital Universitario de Salamanca, IBSAL, CIBER CV, Salamanca, Spain. 15. Hospital de Cabueñes, Gijón, Spain. 16. Complejo Hospitalario, León, Spain. 17. Hospital Doce de Octubre, Madrid, Spain. 18. Hospital San Pedro de La Rioja, Logroño, Spain. 19. Hospital Puerta del Mar, Cádiz, Spain. 20. Hospital de La Princesa, Madrid, Spain. 21. Corporació Sanitaria Parc Tauli, Sabadell, Spain. 22. Hospital Virgen de L´Arrixaca, Murcia, Spain. 23. Hospital Lozano Blesa, Zaragoza, Spain. 24. Hospital Clínico de Navarra, Pamplona, Spain. 25. Hospital Universitario, Albacete, Spain. 26. Hospital General Universitario, Ciudad Real, Spain. 27. Hospital de Galdakao, Bilbao, Spain. 28. Hospital Universitario, Guadalajara, Spain. 29. Policlínica de Guipúzcoa, San Sebastian, Spain. 30. Hospital Vall D´Hebron, Barcelona, Spain. 31. Hospital Virgen de La Salud, Toledo, Spain. 32. Hospital de Valme, Sevilla, Spain. 33. Hospital San Juan, Alicante, Spain. 34. Hospital Virgen del Rocío, Sevilla, Spain. 35. Hospital Universitario de Torrejón, Universidad Francisco Vitoria, Torrejón de Ardoz, Spain. 36. Hospital Ruber Internacional, Madrid, Spain. 37. Hospital de Torrecárdenas, Almería, Spain. 38. pInvestiga, Moaña, Pontevedra, Spain.
Abstract
BACKGROUND: During COVID-19 pandemic, elective invasive cardiac procedures (ICP) have been frequently cancelled or postponed. Consequences may be more evident in patients with diabetes. OBJECTIVES: The objective was to identify the peculiarities of patients with DM among those in whom ICP were cancelled or postponed due to the COVID-19 pandemic, as well as to identify subgroups in which the influence of DM has higher impact on the clinical outcome. METHODS: We included 2,158 patients in whom an elective ICP was cancelled or postponed during COVID-19 pandemic in 37 hospitals in Spain. Among them, 700 (32.4%) were diabetics. Patients with and without diabetes were compared. RESULTS: Patients with diabetes were older and had a higher prevalence of other cardiovascular risk factors, previous cardiovascular history and co-morbidities. Diabetics had a higher mortality (3.0% vs. 1.0%; p = 0.001) and cardiovascular mortality (1.9% vs. 0.4%; p = 0.001). Differences were especially important in patients with valvular heart disease (mortality 6.9% vs 1.7% [p < 0.001] and cardiovascular mortality 4.9% vs 0.9% [p = 0.002] in patients with and without diabetes, respectively). In the multivariable analysis, diabetes remained as an independent risk factor both for overall and cardiovascular mortality. No significant interaction was found with other clinical variables. CONCLUSION: Among patients in whom an elective invasive cardiac procedure is cancelled or postponed during COVID-19 pandemic, mortality and cardiovascular mortality is higher in patients with diabetes, irrespectively on other clinical conditions. These procedures should not be cancelled in patients with diabetes.
BACKGROUND: During COVID-19 pandemic, elective invasive cardiac procedures (ICP) have been frequently cancelled or postponed. Consequences may be more evident in patients with diabetes. OBJECTIVES: The objective was to identify the peculiarities of patients with DM among those in whom ICP were cancelled or postponed due to the COVID-19 pandemic, as well as to identify subgroups in which the influence of DM has higher impact on the clinical outcome. METHODS: We included 2,158 patients in whom an elective ICP was cancelled or postponed during COVID-19 pandemic in 37 hospitals in Spain. Among them, 700 (32.4%) were diabetics. Patients with and without diabetes were compared. RESULTS:Patients with diabetes were older and had a higher prevalence of other cardiovascular risk factors, previous cardiovascular history and co-morbidities. Diabetics had a higher mortality (3.0% vs. 1.0%; p = 0.001) and cardiovascular mortality (1.9% vs. 0.4%; p = 0.001). Differences were especially important in patients with valvular heart disease (mortality 6.9% vs 1.7% [p < 0.001] and cardiovascular mortality 4.9% vs 0.9% [p = 0.002] in patients with and without diabetes, respectively). In the multivariable analysis, diabetes remained as an independent risk factor both for overall and cardiovascular mortality. No significant interaction was found with other clinical variables. CONCLUSION: Among patients in whom an elective invasive cardiac procedure is cancelled or postponed during COVID-19 pandemic, mortality and cardiovascular mortality is higher in patients with diabetes, irrespectively on other clinical conditions. These procedures should not be cancelled in patients with diabetes.
Entities:
Keywords:
COVID-19; Diabetes; Interventional cardiology; Mortality; Waiting list
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