1. Trends in admissions for COVID-19 in the United States between April 2020 and December 2021 and cardiovascular events.
- Author
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Ramphul, Kamleshun, Singh Dhaliwal, Jasninder, Sombans, Shaheen, Passi, Jatin, Aggarwal, Shruti, Kumar, Nomesh, Sakthivel, Hemamalini, Ahmed, Raheel, and Verma, Renuka
- Subjects
COVID-19 ,death ,deep vein thrombosis ,epidemiology ,ischemic stroke ,myocarditis ,takotsubo ,trends ,united states - Abstract
INTRODUCTION: Coronavirus disease 2019 (COVID-19) can lead to cardiovascular complications. We aimed to understand the trends in admission for COVID-19 and the incidence of various cardiovascular events. MATERIAL AND METHODS: The 2020 and 2021 National Inpatient Sample (NIS) was studied for cases of COVID-19 between April 2020 and December 2021 in the United States. Linear-by-linear association helped us understand the trends of various events. RESULTS: The number of cases of COVID-19 was highest in January 2021 (261,469 patients). The incidence of acute pulmonary embolism rose from 2.08% in April 2020 to 4.82% in November 2021, while deep vein thrombosis cases rose from 1.74% in April 2020 to 2.63% in December 2021. The incidence of cardiac arrest varied, with a maximum of 3.00% in August 2021. Similarly, acute ischemic stroke cases experienced their highest incidence in January 2021 (0.91%). The incidence of myocarditis was highest in April and May 2020 (0.42% each). Peak takotsubo cases were seen between October and December 2021. The highest overall all-cause mortality among COVID-19 cases was seen in April 2020 (16.74%). CONCLUSIONS: Throughout the 21 months of our analysis, various trends in COVID-19 cases and incidence of cardiac events were noticed. This could relate to the different variants of COVID-19, their direct and indirect impact on coagulation pathways and the myocardial tissues, and the protective roles of the vaccines.
- Published
- 2024