Bibliographic Details
| Title: |
Impact of COVID-19 pandemic on rates of congenital heart disease procedures among children: prospective cohort analyses of 26 270 procedures in 17 860 children using CVD-COVID-UK consortium record linkage data |
| Authors: |
Andrew Thompson, Rui Providência, Matthew Sperrin, Swapna Mandal, Ashley Akbari, Pia Hardelid, Ruth Gilbert, Christopher Tomlinson, John Macleod, Francesco Zaccardi, Kamlesh Khunti, Naveed Sattar, Antony Palmer, Munir Pirmohamed, Rocco Friebel, Mira Hidajat, Colin Berry, Richard Williams, Johnny Downs, Neil Pearce, Anthony Khawaja, Cathie Sudlow, Adnan Tufail, Samira Bell, Huan Wang, Vahe Nafilyan, Ann John, Lois Kim, Anvesha Singh, Kazem Rahimi, Gianni D Angelini, Frank Kee, Tim Wilkinson, Shirley Sze, Nick Hall, Hector Chinoy, Elizabeth A Ellins, Gianni Angelini, Massimo Caputo, Serban Stoica, Alan Carson, Dorothea Nitsch, Sarah Steeg, David Osborn, Joseph Firth, Christina Pagel, Sonya V Babu-Narayan, Ana-Catarina Pinho-Gomes, Holly Pavey, Harry Hemingway, Mark Thomas, Mamas Mamas, Julia Hippisley-Cox, Kim Kavanagh, Ronan Lyons, Ernest Wong, Philip Stone, Hayley Evans, Donna Wakefield, Katherine Sleeman, Julian Halcox, Dexter Canoy, Mohamed Mohamed, Amar Shah, Ioanna Tzoulaki, Gareth Davies, Athina Spiliopoulou, Anna Hansell, Suzanne Mason, John Danesh, Elijah Behr, Eva Morris, Riyaz Patel, Glen Martin, Evan Kontopantelis, Pedro Machado, Katherine Brown, Tasanee Braithwaite, Maya Buch, Paz Tayal, Ify Mordi, Jianhua Wu, Simon Williams, Bernard Keavney, Ajay Shah, Krishnaraj Rathod, Alastair Proudfoot, Fu Siong Ng, Manuel Gomes, Arunashis Sau, Jonathan Sterne, Michelle Williams, John Cleland, Theresa McDonagh, Jocelyn Friday, Ramesh Nadarajah, Steffen Petersen, Rupert Payne, Angela Wood, Mark Green, David Jenkins, Akshay Shah, Jayati Das-Munshi, Alexandru Dregan, Debbie A Lawlor, Angela Henderson, Elsie Horne, Mehrdad Mizani, David Hughes, Robert Aldridge, Katharine Looker, Reecha Sofat, Norman Briffa, Sonya Crowe, Katie Harron, Amanda Marchant, Elena Nikiphorou, Vasa Curcin, Deborah Kinnear, Craig Melville, Neil Davies, Marion Bennie, Joseph Kamtchum Tatuene, David Cromwell, Daniel Bromage, Michael Allen, Kerry Pearn, Terry Quinn, John Dennis, Lorna Fraser, Sandosh Padmanabhan, Sinéad Langan, Stephen McKeever, Irene Higginson, Anna Bone, Tom Palmer, Camille Carroll, Christian Schnier, Linxin Li, Rachel Denholm, Sarah Cook, Julia Townson, Dan Jones, John Nolan, Frederick Ho, Felix Greaves, Sara Khalid, Gayan Perera, Baljean Dhillon, Antonio Cannatà, Antonio Gasparrini, Laia Bécares, Clare Gillies, Samuel Kim, Abraham Olvera-Barrios, Roy Schwartz, Jennifer Quint, Wen Shi, Nazrul Islam, Craig Smith, Spiros Denaxas, Cathie L M Sudlow, Lynn Morrice, Qi Huang, Sharmin Shabnam, Parag Gajendragadkar, Gareth Williams, Fiona Pearce, Hannah Whittaker, John Ford, Iain Marshall, Benedict Michael, Alastair Denniston, Florian Falter, Rouven Priedon, William Whiteley, Geneviève Cezard, Jane Lyons, Fatemeh Torabi, Laura North, Helen Colhoun, Majel McGranahan, Stephen Kaptoge, Martin Rutter, Laura Pasea, Eoin McKinney, Alexei Yavlinsky, Alasdair Warwick, Max Lyon, Rebecca Reynolds, Amanj Kurdi, Seb Bacon, Jessica Barrett, Joseph Newman, Muhammad Rashid, Annemarie Docherty, Joanna Davies, Deepti Gurdasani, Natasha Chilman, Sarah Onida, Carole Morris, Samantha Ip, Venexia Walker, Alvina Lai, Alex Handy, Alun Davies, Arun Pherwani, Ashkan Dashtban, Caroline Dale, Caroline Rogers, Claire Lawson, Dan O’Connell, Daniel Harris, David Brind, Deborah Lawler, Deborah Lowe, Eloise Withnell, Ewan Birney, Fabian Falck, George Nicholson, Gwenetta Curry, Haoting Zhang, Harry Wilde, Hoda Abbasizanjani, Honghan Wu, Jennifer Beveridge, Johan Thygesen, Kate Cheema, Ken Li, Livia Pierotti, Lucy Wright, Mark Barber, Mary Joan Macleod, Michalis Katsoulis, Mike Inouye, Moritz Gerstung, Myer Glickman, Paula Lorgelly, Qiuju Li, Raph Goldacre, Rohan Takhar, Ruwanthi Kolamunnage-Dona, Safa Salim, Seamus Kent, Sonya Babu-Narayan, Spencer Keene, Thomas Lawrence, Tianxiao Wang, Eleanor Walsh, Antonella Delmestri, Jill Pell, David Powell, Tomas Fitzgerald, Kelly Fleetwood, Ross Forsyth, Richard Fitzgerald, Yi Mu, Amy Ronaldson, Kerrie Stevenson, Shane Johnson, Richard Chin, Luisa Zuccolo, Elias Allara, Caroline Jackson, Yvonne Nartey, Kate Brown, Hannah Harrison, Peter Bath, Tom Yates, Iain Squire, Jon Shelton, Carin Van Doorn, Maria Sudell, Matthew Bown, Tom Pape, Tim Chico, Robert Fletcher, Mevhibe Hocaoglu, Owen Pickrell, Steven Zhao, Laura Sherlock, Andrew Constantine, Andrew Mason, Cameron Razieh, Steven Kerr, James Sheppard, David Selby, Emeka Chukwusa, Rachel Cripps, Paul Madley-Dowd, Patrick Bidulka, Zeljko Kraljevic, Nuria Sanchez, Martha Elwenspoek, Tanja Mueller, Yohhei Hamada, Daniel King, Han-I Wang, Tim Dong, Shubhra Sinha, Jeremy Chan, George Tilston, Verónica Cabreira, Simon Ellershaw, Simon Frain, Ruth Norris, Huw Strafford, Marie-Louise Zeissler, Nushrat Khan, Daniel Morales, Yoryos Lyratzopoulos, Jennifer Rossdale, Filip Sosenko, Sarah Wang, Johannes Heyl, Julia Ive, Petter Brodin, Matthew O’Connell, Becky White, Dominic Oliver, Stephanie Lax, Shishir Rao, Mohammad Mamouei, Ninian Lang, Libor Pastika, Benjamin Zuckerman, Samaira Khan, Xiaomin Zhong, Thomas Porter, Kurt Taylor, Charlotte Parbery-Clark, Simone Croft, Jadene Lewis, Yogini Chudasama, Lars Murdock, Pardis Biglarbeigi, Melissa Webb, Nida Ahmed, Tapiwa Tungamirai, Baboucarr Njie, Renin Toms, Rochelle Knight, Marwa AL Arab, Alexia Sampri, Ruth Watkinson, Laila Tata, Lisa Pennells, Catriona Harrison, Thomas Bolton, Ana Torralbo, Fionna Chalmers, Anna Stevenson, Andrew Lambarth, Naomi Launders, Emanuele Di Angelantonio, Ferran Espuny-Pujol, Arun Karthikeyan Suseeladevi, Rony Arafin, Zainab Karim, Martina Slapkova, Rosie Hinchliffe, Lily Benton, Alexis Webb, Annette Jackson, James Farre, Jemma Austin, Zach Welshman, Costas Kallis, Juliette Unwin, Alistair Marsland, Sara Holloway, Adejoke Oluyase Abdel Douiri, Charles Wolfe Ben Bray, Harry Watson, Javiera Leniz Martelli, Linglong Qian, Richard Killick, Arturo de la Cruz, Julian Matthewman, Thiago Silva, Zhengnan Zhu, Alex Grundmann, Adam Hollings, Angeliki Antonarou, Daniel Schofield, Elizabeth Kelly, Humaira Hussein Richardson, Jake Kasan, Nickie Wareing, Russell Healey, Shoaib Ali Ajaib, Vandana Ayyar-Gupta, Xinkai Wang, Marcos del Pozo Banos, Ami Banerjee, Andrej Ivanovic, Ashley Dickson, Chu Siyu, Emma Whitfield, Eva Keller, Evaleen Malgapo, lavien Hardy, Floriaan Schmidt, Freya Allery, Jinge Wu, Louise Choo, Luca Grieco, Matt Sydes, Tuankasfee Hama, Waty Lilaonitkul, Dann Mitchell Ben Gibbison, Ewan Walker, Yueying Li, Carmen Petitjean, Chimweta Chilala, Chriselda Oliver, Elena Raffetti, Eric Harshfield, Isabel Walter, Katie Saunders, Mayank Dalakoti, Megan Ritson, Millie Zhou, Rutendo Mapeta, Stelios Boulitsakis Logothetis, Xilin Jiang, Xiyun Jiang, Yanfan Li, Alice Hosking, Carlos Sanchez Soriano, Claire Tochel, Joe Mellor, Luke Blackbourn, Miguel Bernabeu Llinares, Niamh McLennan, William Berthon, Clea du Toit, Dennis Tran, Salil Deo, Francesca Zaccagnino, Eva Henning, Lana Bojanic, Zenas Yiu, Precious Onyeachu, Ralph Akyea, Aashna Uppal, Ben Lacey Ben Goldacre, Dani Prieto-Alhambra, Marta Pineda Moncusi, Paula Dhiman,ingze Gu, Salma Chaudhry, Seyed Alireza Hasheminasab, Zeinab Bidel Taleshmekaeil, Leuven Nathalie Conrad, Jen-Yu Amy Chang, Christina van der Feltz-Cornelis |
| Source: |
Open Heart, Vol 12, Iss 1 (2025) |
| Publisher Information: |
BMJ Publishing Group, 2025. |
| Publication Year: |
2025 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Background The COVID-19 pandemic necessitated major reallocation of healthcare services. Our aim was to assess the impact on paediatric congenital heart disease (CHD) procedures during different pandemic periods compared with the prepandemic period, to inform appropriate responses to future major health services disruptions.Methods and results We analysed 26 270 procedures from 17 860 children between 1 January 2018 and 31 March 2022 in England, linking them to primary/secondary care data. The study period included prepandemic and pandemic phases, with the latter including three restriction periods and corresponding relaxation periods. We compared procedure characteristics and outcomes between each pandemic period and the prepandemic period. There was a reduction in all procedures across all pandemic periods, with the largest reductions during the first, most severe restriction period (23 March 2020 to 23 June 2020), and the relaxation period following second restrictions (3 December 2020 to 4 January 2021) coinciding with winter pressures. During the first restrictions, median procedures per week dropped by 51 compared with the prepandemic period (80 vs 131 per week, p=4.98×10−08). Elective procedures drove these reductions, falling from 96 to 44 per week (p=1.89×10−06), while urgent (28 vs 27 per week, p=0.649) and life-saving/emergency procedures (7 vs 6 per week, p=0.198) remained unchanged. Cardiac surgery rates increased, and catheter-based procedure rates reduced during the pandemic. Procedures for children under 1 year were prioritised, especially during the first four pandemic periods. No evidence was found for differences in postprocedure complications (age-adjusted OR 1.1 (95% CI 0.9, 1.4)) or postprocedure mortality (age and case mix adjusted OR 0.9 (95% CI 0.6, 1.3)).Conclusions Prioritisation of urgent, emergency and life-saving procedures during the pandemic, particularly in infants, did not impact paediatric CHD postprocedure complications or mortality. This information is valuable for future major health services disruptions, though longer-term follow-up of the effects of delaying elective surgery is needed. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2053-3624 |
| Relation: |
https://openheart.bmj.com/content/12/1/e003054.full; https://doaj.org/toc/2053-3624 |
| DOI: |
10.1136/openhrt-2024-003054 |
| Access URL: |
https://doaj.org/article/2d1ab7dc5c834829947ebe5496857ff9 |
| Accession Number: |
edsdoj.2d1ab7dc5c834829947ebe5496857ff9 |
| Database: |
Directory of Open Access Journals |
