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Impact of the COVID-19 Pandemic on Global TAVR Activity: The COVID-TAVI Study
X. Armario, J. Carron, AJ. Simpkin, M. Elhadi, C. Kennedy, M. Abdel-Wahab, S. Bleiziffer, T. Lefèvre, A. Wolf, T. Pilgrim, PA. Villablanca, DJ. Blackman, NM. Van Mieghem, C. Hengstenberg, MJ. Swaans, BD. Prendergast, T. Patterson, M. Barbanti,...
Language English Country United States
Document type Journal Article
- MeSH
- Aortic Valve diagnostic imaging surgery MeSH
- Aortic Valve Stenosis * diagnostic imaging surgery epidemiology MeSH
- COVID-19 * epidemiology MeSH
- Humans MeSH
- Pandemics MeSH
- Registries MeSH
- Risk Factors MeSH
- Transcatheter Aortic Valve Replacement * adverse effects methods MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
BACKGROUND: The COVID-19 pandemic adversely affected health care systems. Patients in need of transcatheter aortic valve replacement (TAVR) are especially susceptible to treatment delays. OBJECTIVES: This study sought to evaluate the impact of the COVID-19 pandemic on global TAVR activity. METHODS: This international registry reported monthly TAVR case volume in participating institutions prior to and during the COVID-19 pandemic (January 2018 to December 2021). Hospital-level information on public vs private, urban vs rural, and TAVR volume was collected, as was country-level information on socioeconomic status, COVID-19 incidence, and governmental public health responses. RESULTS: We included 130 centers from 61 countries, including 65,980 TAVR procedures. The first and second pandemic waves were associated with a significant reduction of 15% (P < 0.001) and 7% (P < 0.001) in monthly TAVR case volume, respectively, compared with the prepandemic period. The third pandemic wave was not associated with reduced TAVR activity. A greater reduction in TAVR activity was observed in Africa (-52%; P = 0.001), Central-South America (-33%; P < 0.001), and Asia (-29%; P < 0.001). Private hospitals (P = 0.005), urban areas (P = 0.011), low-volume centers (P = 0.002), countries with lower development (P < 0.001) and economic status (P < 0.001), higher COVID-19 incidence (P < 0.001), and more stringent public health restrictions (P < 0.001) experienced a greater reduction in TAVR activity. CONCLUSIONS: TAVR procedural volume declined substantially during the first and second waves of the COVID-19 pandemic, especially in Africa, Central-South America, and Asia. National socioeconomic status, COVID-19 incidence, and public health responses were associated with treatment delays. This information should inform public health policy in case of future global health crises.
Adana City Training and Research Hospital Adana Turkey
Al Qassimi Hospital Sharjah United Arab Emirates
Algemeen Stedelijk Ziekenhuis Aalst Aalst Belgium
American University of Beirut Medical Center Beirut Lebanon
Angiografía de Occidente Cali Colombia
Antwerp University Hospital Antwerp Belgium
Apollo Hospitals Chennai India
Asan Medical Center Seoul South Korea
Aswan Heart Center Aswan Egypt
Auckland City Hospital Auckland New Zealand
Azienda Ospedaliera Universitaria Integrata Verona Verona Italy
Azienda Ospedaliero Universitaria Pisana Pisa Italy
Basel University Hospital Basel Switzerland
Bern University Hospital Bern Switzerland
Cedars Sinai Medical Center Los Angeles California USA
Center Hospitalier Universitaire Bordeaux France
Centro Hospitalar de Vila Nova de Gaia Espinho Vila Nova de Gaia Portugal
Centrum Kardiovaskulární a Transplantační Chirurgie Brno Czechia
Cheng Hsin General Hospital Taipei Taiwan
Chest Diseases Hospital Kuwait City Kuwait
Cleveland Clinic Abu Dhabi Abu Dhabi United Arab Emirates
Clínica Alemana Santiago Chile
Clinical Sciences Lund University Skane University Hospital Lund Sweden
Clinique Pasteur Toulouse France
Cliniques Universitaires Saint Luc Brussels Belgium
Dedinje Cardiovascular Institute Belgrade Serbia
Department of Cardiology Galway University Hospital Galway Ireland
Department of Cardiology Universitair Ziekenhuis Brussel Vrije Universiteit Brussel Belgium
Department of Medicine Universitat Autònoma de Barcelona Barcelona Spain
Elisabeth Krankenhaus Essen Essen Germany
Emergency Institute for Cardiovascular Diseases Bucharest Romania
Erasmus University Medical Center Rotterdam the Netherlands
European Interbalkan Medical Center Thessaloniki Greece
Fondazione Policlinico Universitario Campus Bio Medico Rome Italy
Fortis Escorts Heart Institute New Delhi India
Fundación Favaloro Buenos Aires Argentina
General Hospital of Vienna Medical University Vienna Austria
Geneva University Hospital Geneva Switzerland
Haukeland University Hospital Bergen Norway
Heart and Vascular Center Semmelweis University Budapest Hungary
Heart Center Bonn Bonn Germany
Heart Center Leipzig Leipzig Germany
Heart Center Lucerne Lucerne Switzerland
Heart Hospital Hamad Medical Corporation Doha Qatar
Henry Ford Hospital Detroit Michigan USA
Hippokration Hospital Athens Greece
Hospital Clínic de Barcelona Barcelona Spain
Hospital Clínico Regional Guillermo Grant Benavente Concepción Chile
Hospital Clínico San Carlos Madrid Spain
Hospital de Clínicas Dr Manuel Quintela Montevideo Uruguay
Hospital de la Santa Creu i Sant Pau Barcelona Spain
Hospital de Santa Cruz CHLO Nova Medical School CEDOC Lisbon Portugal
Hospital de Santa Maria Lisboa Portugal
Hospital de Santa Marta Lisboa Portugal
Hospital do Coração Anis Rassi Goiânia Brazil
Hospital México San José Costa Rica
Hospital San Borja Arriaran Santiago Chile
Hospital Sirio Libanes São Paulo Brazil
Hospital Universitario Álvaro Cunqueiro Vigo Spain
Hospital Universitario de Salamanca Salamanca Spain
Hospital Universitario Marqués de Valdecilla Santander Spain
Institut Cardiovasculaire Paris Sud Massy France
Instituto de Cardiología Intervencionista Cardiovida SRL Santa Cruz Bolivia
Instituto Nacional Cardiovascular Lima Peru
Instituto Nacional de Cardiología Ignacio Chávez Mexico City Mexico
Instituto Nacional de Cardiología Mexico City Mexico
Instituto Nacional de Cirugía Cardíaca Montevideo Uruguay
John Hopkins Hospital Baltimore Maryland USA
Keio University School of Medicine Tokyo Japan
King Abdulaziz Cardiac Center Riyadh Saudi Arabia
King Chulalongkorn Memorial Hospital Bangkok Thailand
King Fahd Armed Forces Hospital Jeddah Saudi Arabia
Leeds General Infirmary Leeds United Kingdom
Lenox Hill Northwell Health New York New York USA
Ljubljana University Medical Center Ljubljana Slovenia
Mater Dei Hospital Msida Malta
Mater Misericordiae University Hospital Dublin Ireland
Mater Private Hospital Dublin Ireland
McGill University Health Center Montréal Quebec Canada
Medical University of Gdansk Gdansk Poland
Medical University of Graz Graz Austria
Medical University of Silesia Katowice Poland
Mohammed Bin Khalifa Cardiac Center Royal Medical Services Awali Bahrain
Montefiore Medical Center Bronx New York USA
Nagoya Heart Center Nagoya Japan
National Institute of Cardiovascular Diseases Bratislava Slovakia
National Taiwan University Hospital Taipei Taiwan
National University Heart Center Singapore Singapore
North Shore Private Hospital Sydney Australia
Onassis Cardiac Surgery Center Athens Greece
Pauls Stradins University Hospital Riga Latvia
Policlinico Umberto 1 University Rome Italy
Poznan University School of Medical Sciences Poznan Poland
Prince of Wales Hospital Hong Kong Hong Kong
Prince Sultan Cardiac Center Riyadh Saudi Arabia
Queen Elizabeth Hospital Hong Kong Hong Kong
Rabin Medical Center Petah Tikva Israel
Rigshospitalet Copenhagen Denmark
Royal Infirmary of Edinburgh Edinburgh United Kingdom
Royal Sussex County Hospital Brighton United Kingdom
Royal Victoria Hospital Belfast United Kingdom
Sanatorio Americano Montevideo Uruguay
Sanatorio Finochietto Buenos Aires Argentina
Santa Lúcia Hospital Brasília Brazil
School of Mathematical and Statistical Sciences University of Galway Galway Ireland
School of Medicine University of Galway Galway Ireland
Seoul National University Hospital Seoul South Korea
St Antonius Hospital Nieuwegein Netherlands
St James's Hospital Dublin Ireland
St Paul's Hospital Vancouver British Columbia Canada
St Thomas' Hospital London United Kingdom
St Vincent's Hospital Sydney Australia
Sunninghill Hospital Johannesburg South Africa
Tartu University Hospital Tartu Estonia
The Prince Charles Hospital Brisbane Australia
Tokai University School of Medicine Isehara Japan
Toyohashi Heart Center Toyohashi Japan
Turku University Hospital Turku Finland
Università degli Studi di Enna Kore Enna Italy
University Hospital London Health Sciences Center London Ontario Canada
University Hospital of Iceland Faculty of Medicine University of Iceland Reykjavík Iceland
University Medical Center Groningen Groningen the Netherlands
University Medicine Rostock Rostock Germany
University of Florida College of Medicine Jacksonville Jacksonville Florida USA
References provided by Crossref.org
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- $a BACKGROUND: The COVID-19 pandemic adversely affected health care systems. Patients in need of transcatheter aortic valve replacement (TAVR) are especially susceptible to treatment delays. OBJECTIVES: This study sought to evaluate the impact of the COVID-19 pandemic on global TAVR activity. METHODS: This international registry reported monthly TAVR case volume in participating institutions prior to and during the COVID-19 pandemic (January 2018 to December 2021). Hospital-level information on public vs private, urban vs rural, and TAVR volume was collected, as was country-level information on socioeconomic status, COVID-19 incidence, and governmental public health responses. RESULTS: We included 130 centers from 61 countries, including 65,980 TAVR procedures. The first and second pandemic waves were associated with a significant reduction of 15% (P < 0.001) and 7% (P < 0.001) in monthly TAVR case volume, respectively, compared with the prepandemic period. The third pandemic wave was not associated with reduced TAVR activity. A greater reduction in TAVR activity was observed in Africa (-52%; P = 0.001), Central-South America (-33%; P < 0.001), and Asia (-29%; P < 0.001). Private hospitals (P = 0.005), urban areas (P = 0.011), low-volume centers (P = 0.002), countries with lower development (P < 0.001) and economic status (P < 0.001), higher COVID-19 incidence (P < 0.001), and more stringent public health restrictions (P < 0.001) experienced a greater reduction in TAVR activity. CONCLUSIONS: TAVR procedural volume declined substantially during the first and second waves of the COVID-19 pandemic, especially in Africa, Central-South America, and Asia. National socioeconomic status, COVID-19 incidence, and public health responses were associated with treatment delays. This information should inform public health policy in case of future global health crises.
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
- $a Guo, Yingqiang $u West China Hospital, Sichuan University, Chengdu, China
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- 700 1_
- $a Al-Moghairi, Abdulrahman M $u Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
- 700 1_
- $a Parasca, Catalina Andreea $u Emergency Institute for Cardiovascular Diseases, Bucharest, Romania
- 700 1_
- $a Kliger, Chad $u Lenox Hill/Northwell Health, New York, New York, USA
- 700 1_
- $a Roy, David $u St. Vincent's Hospital, Sydney, Australia
- 700 1_
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- 700 1_
- $a White, Jonathon $u Auckland City Hospital, Auckland, New Zealand
- 700 1_
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- 700 1_
- $a Carrilho-Ferreira, Pedro $u Hospital de Santa Maria, Lisboa, Portugal
- 700 1_
- $a Toggweiler, Stefan $u Heart Center Lucerne, Lucerne, Switzerland
- 700 1_
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- 700 1_
- $a Ohno, Yohei $u Tokai University School of Medicine, Isehara, Japan
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- $a Rodrigues, Inês $u Hospital de Santa Marta, Lisboa, Portugal
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- $a Parma, Radosław $u Medical University of Silesia, Katowice, Poland
- 700 1_
- $a Ojeda, Soledad $u Hospital Universitario Reina Sofía, Universidad de Córdoba, Instituto Maimónides de Investigación Biomédica de Córdoba, Córdoba, Spain
- 700 1_
- $a Toutouzas, Kostas $u Hippokration Hospital, Athens, Greece
- 700 1_
- $a Regueiro, Ander $u Hospital Clínic de Barcelona, Barcelona, Spain
- 700 1_
- $a Grygier, Marek $u Poznan University School of Medical Sciences, Poznan, Poland
- 700 1_
- $a AlMerri, Khaled $u Chest Diseases Hospital, Kuwait City, Kuwait
- 700 1_
- $a Cruz-González, Ignacio $u Hospital Universitario de Salamanca, Salamanca, Spain
- 700 1_
- $a Fridrich, Viliam $u National Institute of Cardiovascular Diseases, Bratislava, Slovakia
- 700 1_
- $a de la Torre Hernández, José M $u Hospital Universitario Marqués de Valdecilla, Santander, Spain
- 700 1_
- $a Noble, Stephane $u Geneva University Hospital, Geneva, Switzerland
- 700 1_
- $a Kala, Petr $u Centrum Kardiovaskulární a Transplantační Chirurgie, Brno, Czechia
- 700 1_
- $a Asmarats, Lluis $u Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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- $a Erglis, Martins $u Pauls Stradins University Hospital, Riga, Latvia
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- $a Casserly, Ivan $u Mater Misericordiae University Hospital, Dublin, Ireland; Mater Private Hospital, Dublin, Ireland
- 700 1_
- $a Iskandarani, Dounia $u American University of Beirut Medical Center, Beirut, Lebanon
- 700 1_
- $a Bhindi, Ravinay $u North Shore Private Hospital, Sydney, Australia
- 700 1_
- $a Kefer, Joelle $u Cliniques Universitaires Saint-Luc, Brussels, Belgium
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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