RT Journal Article
T1 Use of Cardiac Procedures in People with Diabetes during the COVID Pandemic in Spain: Effects on the In-Hospital Mortality
A1 López De Andrés, Ana Isabel
A1 Jiménez García, Rodrigo
A1 Carabantes Alarcón, David
A1 Hernández Barrera, Valentín
A1 Miguel Yanes, José María De
A1 Miguel Díez, Javier De
A1 Zamorano León, José Javier
A1 Barrio, Jose Luis Del
A1 Cuadrado Corrales, María Natividad
AB We aimed to assess the effect of the COVID-19 pandemic in Spain on people with diabetes undergoing cardiac procedures, such as coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), open surgical valve replacement (OSVR), and transcatheter valve implantation (TCVI). We compared the year 2019 with the year 2020. We conducted an observational study using data from the Spanish National Hospital Discharge Database from 1 January 2019 to 31 December 2020. In 2020, a total of 21,067 cardiac procedures were performed on people with diabetes compared with 24,675 in the previous year. The use of CABG, PCI, OSVR and TCVI decreased from 2019 to 2020 by 13.9%, 14.8%, 21.4% and 2.9%, respectively. In 2020, patients had a significantly higher mean Charlson Comorbidity Index than in 2019 for all the cardiac procedures analyzed. In-hospital mortality (IHM) was higher (p > 0.05) for all the procedures in the year 2020. Over the entire period, female sex was a significant risk factor for IHM among those who underwent CABG, PCI and OSVR (OR 1.94, 95%CI 1.41–2.66; OR 1.19, 95%CI 1.05–1.35; and OR 1.79, 95%CI 1.38–2.32, respectively). The sensitivity analysis including two more years, 2017 and 2018, confirmed that female patients and comorbidity were risk factors for IHM in patients with diabetes regardless of whether it was during the pandemic era or before. We conclude that the frequency of cardiac procedures among people with diabetes declined in 2020. IHM did not change significantly in the COVID-19 era.
PB MDPI
SN 1660-4601
YR 2023
FD 2023-01-02
LK https://hdl.handle.net/20.500.14352/72337
UL https://hdl.handle.net/20.500.14352/72337
LA eng
NO López De Andrés, A. I., Jiménez García, R., Carabantes Alarcón, D. et al. «Use of Cardiac Procedures in People with Diabetes during the COVID Pandemic in Spain: Effects on the In-Hospital Mortality». International Journal of Environmental Research and Public Health, vol. 20, n.o 1, enero de 2023, p. 844. DOI.org (Crossref), https://doi.org/10.3390/ijerph20010844.
NO Unión Europea
NO Instituto de Salud Carlos III
NO Comunidad de Madrid
NO Universidad Complutense de Madrid
NO Universidad Complutense de Madrid. Grupo de Investigación en Epidemiología de las  Enfermedades Crónicas de Alta Prevalencia en España (970970)
DS Docta Complutense
RD 13 abr 2025