CL_I_P: Clinical Medicine I. Posters
Ákos Bérczi, M.D.,1,2 Pál Novák Kaposi, M.D., Ph.D.,3 Hunor Sarkadi, M.D.,1 Csongor Péter, M.D.,1,2 Viktor Bérczi, M.D., D.MSc.,3 Edit Dósa, M.D., Ph.D.1,2
1Heart and Vascular Center, Semmelweis University, Budapest, Hungary
2Hungarian Vascular Radiology Research Group
3Medical Imaging Center, Semmelweis University, Budapest, Hungary
Aim: To assess the impact of the COVID-19 outbreak on trends in hospital admissions and the number of diagnostic and therapeutic procedures in the largest tertiary vascular center in Hungary.
Patients and Methods: A retrospective analysis was carried out. The first wave of the COVID-19 pandemic occurred approximately from March 15 until June 1 in Hungary. We have compared the same period of 2019 to 2020. Electronic medical records were reviewed for the clinical status of the patients and treatment-related information.
Results: The total number of diagnostic angiographies and therapeutic interventions in 2020 (N=233) decreased significantly (P=0.046) compared to 2019 (N=373). The ratio of Fontaine stage I–II cases to Fontaine stage III–IV cases for both diagnostic angiographies and therapeutic interventions was significantly lower (OR, 2.11; 95% CI, 1.26–3.59; P=0.007 and OR, 3.22; 95% CI, 1.67–6.52; P<0.001) in 2020 (0.36 and 0.27) than in 2019 (0.77 and 0.89). There was also a negative but not significant change in the number of supra-aortic (including internal carotid artery stenting) (P=0.128) and other vascular therapeutic interventions (superior vena caval stenting, hemodialysis access percutaneous transluminal angioplasty [PTA], visceral artery/vein PTA/stenting, embolization) (P=0.452) in 2020 (N=16 and N=21) compared to 2019 (N=39 and N=37).
Conclusion: The first wave of the COVID-19 pandemic had a negative effect on the total number of endovascular procedures in the largest tertiary vascular center in Hungary.
Semmelweis University, Károly Rácz Doctoral School of Clinical Medicine