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Pulmonary embolism during the COVID‐19 pandemic: Decline in diagnostic procedures and incidence at a university hospital

Stephan Nopp, Karin Janata‐Schwatczek, Helmut Prosch, Ihor Shulym, Oliver Königsbrügge, Ingrid Pabinger, Cihan Ay

2020Research and Practice in Thrombosis and Haemostasis39 citationsDOIOpen Access PDF

Abstract

BACKGROUND: The COVID-19 pandemic has focused medical attention on treating affected patients and protecting others from infection. However, concerns have been raised regarding the pandemic´s impact and associated containment measures (eg curfew, lockdown) on non-coronavirus disease 2019 (COVID-19)-related acute medical diseases. OBJECTIVES: To investigate changes in the incidence of pulmonary embolism (PE) during the COVID-19 pandemic compared to the period before the pandemic and reference periods in previous years. METHODS: In this single-center study, we explored all diagnostic imaging tests performed for suspected PE between weeks 1 and 17 of the years 2018, 2019, and 2020. Incidence of PE (ie, primary outcome) was analyzed. Secondary outcomes included number of imaging tests for suspected PE. RESULTS: = .002). CONCLUSION: Our study demonstrates that the COVID-19 pandemic has an impact on non-COVID-19-related acute diseases as shown by the decline in incidence of PE and imaging procedures for diagnostic workup. Further studies from other hospitals are needed to confirm our findings.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)PandemicIncidence (geometry)MedicinePulmonary embolism2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Intensive care medicinePneumoniaEmergency medicineVirologyInternal medicineOutbreakDiseaseInfectious disease (medical specialty)PhysicsOpticsVenous Thromboembolism Diagnosis and ManagementCOVID-19 Clinical Research StudiesCOVID-19 and healthcare impacts