| Title: |
The corona-virus disease 2019 pandemic compromised routine care for hypertension: a survey conducted among excellence centers of the European Society of Hypertension |
| Authors: |
Weber, Thomas; Januszewicz, Andrzej; Agabiti Rosei, Enrico; Tsioufis, Konstantinos; Okorie, Michael; Stergiou, George S.; Volpe, Massimo; Kreutz, Reinhold; Abraham, Gyorgy; Azizi, Michel; Barna, Istvan; Kunz Sebba Barroso, Weimar; Brguljan, Jana; Chapman, Neil; De Backer, Tine; Dorobantu, Maria; Eckert, Siegfried; Gaciong, Zbigniew; Giannattasio, Cristina; Glover, Mark; Gottsater, Anders; Grassos, Charalampos; Jarai, Zoltan; Jaen Aguila, Fernando; Kahan, Thomas; Lopez-Sublet, Marilucy; Lovic, Dragan; Lurbe, Empar; Makris, Thomas K; Mallamaci, Francesca; Manolis, Athanasios J; Marketou, Maria; Mazza, Alberto; Diego Mediavilla, Juan; Lorenza Muiesan, Maria; Silaid Muxfeldt, Elizabeth; Nasr, Edgar; Papadakis, Ioannis; Parounak, Zelveian; Obregon, Sebastian; Oliveras, Anna; Pontremoli, Roberto; Raev, Dimitar; Rajkumar, Chakravarthi; Redon, Josep; Roberto Robles, Nicola�s; Christian Rump, Lars; Sarzani, Riccardo; Sierra, Cristina; Sirenko, Yuriy; Stojanov, Vesna; Tikkanen, Ilkka; Vaclavik, Jan; Veglio, Franco; Viigimaa, Margus; Webb, David; Zebekakis, Pantelis; Zweiker, Robert |
| Publisher Information: |
Lippincott, Williams & Wilkins |
| Publication Year: |
2020 |
| Collection: |
University of Nottingham: Repository@Nottingham |
| Subject Terms: |
Internal Medicine; Physiology; Cardiology and Cardiovascular Medicine |
| Description: |
Background: The Covid-19 pandemic caused a shutdown of healthcare systems in many countries. We explored the impact on hypertension care in the Excellence Center (EC) network of the European Society of Hypertension. Methods: We conducted a 17-question electronic survey among ECs. Results: Overall, 52 ECs from 20 European and three non-European countries participated, providing hypertension service for a median of 1500 hypertensive patients per center per year. Eighty-five percent of the ECs reported a shutdown lasting for 9 weeks (range 0- 16). The number of patients treated per week decreased by 90%: From a median of 50 (range 10-400) before the pandemic to a median of 5.0 (range 0-150) during the pandemic (P < 0.0001). 60% of patients (range 0- 100%) declared limited access to medical consultations. The majority of ECs (57%) could not provide 24-h ambulatory BP monitoring, whereas a median of 63% (range 0-100%) of the patients were regularly performing home BP monitoring. In the majority (75%) of the ECs, hypertension service returned to normal after the first wave of the pandemic. In 66% of the ECs, the physicians received many questions regarding the use of renin-angiotensin system (RAS) blockers. Stopping RAS-blocker therapy (in a few patients) either by patients or physicians was reported in 27 and 36.5% of the ECs. Conclusion: Patient care in hypertension ECs was compromised during the Covid-19-related shutdown. These data highlight the necessity to develop new strategies for hypertension care including virtual clinics to maintain services during challenging times. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
https://nottingham-repository.worktribe.com/output/5147416; Journal of Hypertension; Volume 39; Issue 1; Pagination 190-195 |
| DOI: |
10.1097/HJH.0000000000002703 |
| Availability: |
https://doi.org/10.1097/HJH.0000000000002703; https://nottingham-repository.worktribe.com/file/5147416/1/corona-virus%20disease%202019%20pandemic; https://nottingham-repository.worktribe.com/output/5147416 |
| Rights: |
openAccess |
| Accession Number: |
edsbas.A59E7EC1 |
| Database: |
BASE |