Russo Vincenzo, Rapacciuolo Antonio, Pafundi Pia Clara, de Divitiis Marcello, Volpicelli Mario, Ruocco Antonio, Rago Anna, Uran Carlo, Nappi Felice, Attena Emilio, Chianese Raffaele, Esposito Francesca, Del Giorno Giuseppe, D'Andrea Antonello, Ducceschi Valentino, Russo Giovanni, Ammendola Ernesto, Carbone Angelo, Covino Gregorio, Manzo Gianluca, Montella Gianna Maria, D'Onofrio Antonio, Nigro Gerardo
Division of Cardiology, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli", Via L. Bianchi, 80131, Naples, Italy.
Division of Cardiology, Department of Advanced Biomedical Sciences, University of Naples Federico II, Via S. Pansini, 80131, Naples, Italy.
Eur Heart J Digit Health. 2021 Jan 11;2(1):171-174. doi: 10.1093/ehjdh/ztaa018. eCollection 2021 Mar.
Following coronavirus disease (COVID-19) outbreak, the Italian government adopted strict rules of lockdown and social distancing. The aim of our study was to assess the admission rate for cardiac implantable electronic devices (CIEDs) replacement procedures in Campania, the 3rd-most-populous region of Italy, during COVID-19 lockdown.
Data were sourced from 16 referral hospitals in Campania from 10 March to 4 May 2020 (lockdown period) and during the same period in 2019. We retrospectively evaluated consecutive patients hospitalized for CIEDs replacement procedures during the two observational periods. The number and type of CIEDs replacement procedures among patients followed by remote monitoring (RM), the admission rate, and the type of hospital admission between the two observational periods were compared. In total, 270 consecutive patients were hospitalized for CIEDs replacement procedures over the two observation periods. Overall CIEDs replacement procedures showed a reduction rate of 41.2% during COVID-19 lockdown. Patients were equally distributed for sex (), and both age [median 76 years (IQR: 68-83) vs. 79 years (IQR: 68-83); 0.497]. Cardiac implantable electronic devices replacement procedures in patients followed by RM significantly increased (IR: +211%; 0.001), mainly driven by the remarkable increase rate trend of both PM (IR: +475%; 0.001) and implantable cardiac defibrillator replacement procedures (IR: +67%, 0.01), during COVID-19 lockdown compared with 2019 timeframe.
We showed a significant increase trend rate of replacement procedures among CIEDs patients followed by RM, suggesting the hypothesis of its increased use to closely monitoring and to optimize the hospital admission time during COVID-19 lockdown.
在冠状病毒病（COVID-19）爆发后，意大利政府采取了严格的封锁和社交距离规定。我们研究的目的是评估在COVID-19封锁期间，意大利人口第三多的坎帕尼亚地区心脏植入式电子设备（CIED）更换手术的入院率。
数据来源于坎帕尼亚地区的16家转诊医院，时间为2020年3月10日至5月4日（封锁期）以及2019年同期。我们回顾性评估了两个观察期内因CIED更换手术住院的连续患者。比较了两个观察期内接受远程监测（RM）的患者中CIED更换手术的数量和类型、入院率以及入院类型。在两个观察期内，共有270例连续患者因CIED更换手术住院。总体CIED更换手术在COVID-19封锁期间显示出41.2%的下降率。患者性别分布均衡（），年龄也相近[中位数76岁（四分位间距：68 - 83）对79岁（四分位间距：68 - 83）；P = 0.497]。与2019年同期相比，接受RM的患者进行心脏植入式电子设备更换手术显著增加（发病率比值：+211%；P = 0.001），主要是由于起搏器（发病率比值：+475%；P = 0.001）和植入式心脏除颤器更换手术（发病率比值：+67%，P = 0.01）的显著上升趋势。
我们发现接受RM的CIED患者更换手术的发生率有显著上升趋势，这表明在COVID-19封锁期间增加使用RM以密切监测和优化入院时间的假设。
