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• W3217008183 abstract "Introduction: As COVID 19 swept across the nation, the pandemic imposed many challenges to the United States healthcare system. With limitations in access to care, common conditions including an exacerbation of congestive heart failure (CHF) accounted for a significant proportion of hospitalizations. What remains unclear is the impact that the pandemic had on outcomes including mortality of patients who tested negative for SARS-CoV-2 compared to the year prior. Hypothesis: During the COVID-19 pandemic, COVID 19 negative CHF exacerbations patients had increased mortality than patients from the prior non-pandemic period. Methods: This was a retrospective multi-center study including 37,340 patients admitted in 154 hospitals in the HCA network. The study primarily evaluated the mortality difference between patients hospitalized with congestive heart failure that tested negative for SARS-CoV-2 polymerase chain reaction (PCR) during the pandemic during the months of March through May 2020 (N=15282) and compared to patients hospitalized with congestive heart failure during the same months in 2019, pre-pandemic (N=22058). Results: There was an observed increase in mortality in patients admitted in 2020 when compared to 2019 (2.34% vs 1.98% respectively, p = 0.020). Multivariable logistic regression analysis showed mortality was 24% higher in CHF patients admitted in the studied months March through May 2020 when compared to CHF patients admitted in the same period in 2019 (OR = 1.24, CI [1.07-1.43], p = 0.003), when correcting for age, demographics, comorbidities, and prior beta blocker or diuretic use. Although there was no statistically significant difference in BNP between the two groups as a measure of disease severity, patients that presented to the ED in the studied months in 2020 had higher admission rates (OR = 0.90 CI [0.86-0.95] p<0.001). Conclusions: The study revealed that there was an increased mortality rate in hospitalized CHF exacerbation patients who tested negative for SARS-CoV-2 during the pandemic when compared to those the year prior. This illustrates some of the unforeseen consequences of the pandemic on patient healthcare. Further studies are needed to determine the effects of the pandemic in COVID-19 negative patients." @default.
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• W3217008183 date "2021-11-16" @default.
• W3217008183 modified "2023-09-25" @default.
• W3217008183 title "Abstract 11791: Hospitalized Congestive Heart Failure Patients Without SARS-CoV-2 Had Higher Mortality During the COVID-19 Pandemic vs Non-Pandemic Year" @default.
• W3217008183 doi "https://doi.org/10.1161/circ.144.suppl_1.11791" @default.
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