The University of Southampton
University of Southampton Institutional Repository

Impact of the COVID-19 Pandemic on Percutaneous Coronary Intervention in England: Insights From the British Cardiovascular Intervention Society PCI Database Cohort

Impact of the COVID-19 Pandemic on Percutaneous Coronary Intervention in England: Insights From the British Cardiovascular Intervention Society PCI Database Cohort
Impact of the COVID-19 Pandemic on Percutaneous Coronary Intervention in England: Insights From the British Cardiovascular Intervention Society PCI Database Cohort
Background: The objective of the study was to evaluate changes in percutaneous coronary intervention (PCI) practice in England by analyzing procedural numbers, changes in the clinical presentation, and characteristics of patients and their clinical outcomes during the coronavirus disease 2019 (COVID-19) pandemic. Methods: We conducted a retrospective cohort study of all patients who underwent PCI in England between January 2017 and April 2020 in the British Cardiovascular Intervention Society database. Results: Forty-four hospitals reported PCI procedures for 126 491 patients. There were ≈700 procedures performed each week before the lockdown. After the March 23, 2020 lockdown (11th/12th week in 2020), there was a 49% fall in the number of PCI procedures after the 12th week in 2020. The decrease was greatest in PCI procedures performed for stable angina (66%), followed by non–ST-segment–elevation myocardial infarction (45%), and ST-segment–elevation myocardial infarction (33%). Patients after the lockdown were younger (64.5 versus 65.5 years, P<0.001) and less likely to have diabetes (20.4% versus 24.6%, P<0.001), hypertension (52.0% versus 56.8%, P=0.001), previous myocardial infarction (23.5% versus 26.7%, P=0.008), previous PCI (24.3% versus 28.3%, P=0.001), or previous coronary artery bypass graft (4.6% versus 7.2%, P<0.001) compared with before the lockdown. Conclusions: The lockdown in England has resulted in a significant decline in PCI procedures. Fewer patients underwent PCI for stable angina. This enabled greater capacity for urgent and emergency cases, and a reduced length of stay was seen for such patients. Significant changes in the characteristics of patients towards a lower risk phenotype were observed, particularly for non–ST-segment–elevation myocardial infarction, reflecting a more conservative approach to this cohort.
1941-7640
Kwok, Chun Shing
000170fb-8506-4c19-9481-e56d93049fef
Gale, Chris P.
96b5706c-fd86-4b41-9568-3d917ef2c805
Curzen, Nick
70f3ea49-51b1-418f-8e56-8210aef1abf4
De Belder, Mark A.
3d0eff51-f1d1-41a7-aac1-e193db082360
Ludman, Peter
28ef305d-e09e-40a7-84b4-6ccedfb37cc8
Lüscher, Thomas F.
9e165092-dc5e-45d7-b884-1e5cf65bea2a
Kontopantelis, Evangelos
0a21ca6f-4516-45f8-80fc-b10dd7db6780
Roebuck, Chris
f978a109-73c6-4e7e-b0af-17932a532c20
Denwood, Tom
ebadd107-476e-4390-8829-3c96c917bfe1
Burton, Tony
adc9769c-5d45-46ec-9b26-447f165308f0
Hains, Julian
bdee3374-4d35-40ae-9612-c85a1b153c19
Deanfield, John E.
9a0cecf2-41ef-4f7b-acd8-50e706b7ce54
Mamas, Mamas A.
5e691a39-5922-435c-9ce0-53a74a66a23f
Kwok, Chun Shing
000170fb-8506-4c19-9481-e56d93049fef
Gale, Chris P.
96b5706c-fd86-4b41-9568-3d917ef2c805
Curzen, Nick
70f3ea49-51b1-418f-8e56-8210aef1abf4
De Belder, Mark A.
3d0eff51-f1d1-41a7-aac1-e193db082360
Ludman, Peter
28ef305d-e09e-40a7-84b4-6ccedfb37cc8
Lüscher, Thomas F.
9e165092-dc5e-45d7-b884-1e5cf65bea2a
Kontopantelis, Evangelos
0a21ca6f-4516-45f8-80fc-b10dd7db6780
Roebuck, Chris
f978a109-73c6-4e7e-b0af-17932a532c20
Denwood, Tom
ebadd107-476e-4390-8829-3c96c917bfe1
Burton, Tony
adc9769c-5d45-46ec-9b26-447f165308f0
Hains, Julian
bdee3374-4d35-40ae-9612-c85a1b153c19
Deanfield, John E.
9a0cecf2-41ef-4f7b-acd8-50e706b7ce54
Mamas, Mamas A.
5e691a39-5922-435c-9ce0-53a74a66a23f

Kwok, Chun Shing, Gale, Chris P., Curzen, Nick, De Belder, Mark A., Ludman, Peter, Lüscher, Thomas F., Kontopantelis, Evangelos, Roebuck, Chris, Denwood, Tom, Burton, Tony, Hains, Julian, Deanfield, John E. and Mamas, Mamas A. (2020) Impact of the COVID-19 Pandemic on Percutaneous Coronary Intervention in England: Insights From the British Cardiovascular Intervention Society PCI Database Cohort. Circulation: Cardiovascular Interventions, 13 (11). (doi:10.1161/CIRCINTERVENTIONS.120.009654).

Record type: Article

Abstract

Background: The objective of the study was to evaluate changes in percutaneous coronary intervention (PCI) practice in England by analyzing procedural numbers, changes in the clinical presentation, and characteristics of patients and their clinical outcomes during the coronavirus disease 2019 (COVID-19) pandemic. Methods: We conducted a retrospective cohort study of all patients who underwent PCI in England between January 2017 and April 2020 in the British Cardiovascular Intervention Society database. Results: Forty-four hospitals reported PCI procedures for 126 491 patients. There were ≈700 procedures performed each week before the lockdown. After the March 23, 2020 lockdown (11th/12th week in 2020), there was a 49% fall in the number of PCI procedures after the 12th week in 2020. The decrease was greatest in PCI procedures performed for stable angina (66%), followed by non–ST-segment–elevation myocardial infarction (45%), and ST-segment–elevation myocardial infarction (33%). Patients after the lockdown were younger (64.5 versus 65.5 years, P<0.001) and less likely to have diabetes (20.4% versus 24.6%, P<0.001), hypertension (52.0% versus 56.8%, P=0.001), previous myocardial infarction (23.5% versus 26.7%, P=0.008), previous PCI (24.3% versus 28.3%, P=0.001), or previous coronary artery bypass graft (4.6% versus 7.2%, P<0.001) compared with before the lockdown. Conclusions: The lockdown in England has resulted in a significant decline in PCI procedures. Fewer patients underwent PCI for stable angina. This enabled greater capacity for urgent and emergency cases, and a reduced length of stay was seen for such patients. Significant changes in the characteristics of patients towards a lower risk phenotype were observed, particularly for non–ST-segment–elevation myocardial infarction, reflecting a more conservative approach to this cohort.

This record has no associated files available for download.

More information

Accepted/In Press date: 24 July 2020
Published date: 1 November 2020

Identifiers

Local EPrints ID: 453365
URI: http://eprints.soton.ac.uk/id/eprint/453365
ISSN: 1941-7640
PURE UUID: 7ccd4324-498c-44bb-ad40-1a478fad74fa
ORCID for Nick Curzen: ORCID iD orcid.org/0000-0001-9651-7829

Catalogue record

Date deposited: 13 Jan 2022 18:16
Last modified: 28 Apr 2022 01:55

Export record

Altmetrics

Contributors

Author: Chun Shing Kwok
Author: Chris P. Gale
Author: Nick Curzen ORCID iD
Author: Mark A. De Belder
Author: Peter Ludman
Author: Thomas F. Lüscher
Author: Evangelos Kontopantelis
Author: Chris Roebuck
Author: Tom Denwood
Author: Tony Burton
Author: Julian Hains
Author: John E. Deanfield
Author: Mamas A. Mamas

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×