| Title: |
COVID-19 Risk with Electrophysiology Procedures During the Pandemic |
| Authors: |
Mitra, Raman; Pagan, Eric; Chang, David; Gabriels, James; Mansoor, Amtul; Kim, Beom Soo; Skipitaris, Nicholas; Goldner, Bruce; Kowalski, Marcin; Epstein, Laurence; Akhrass, Philippe; Beldner, Stuart; Chinitz, Jason; Ismail, Haisam; Jadonath, Ram; John, Roy; Maccaro, Paul; Mountantonakis, Stavros; Saleh, Moussa; Shah, Rina; Willner, Jonathan |
| Publisher Information: |
Authorea, Inc. |
| Publication Year: |
2020 |
| Collection: |
The Winnower (via CrossRef) |
| Description: |
Background: Coronavirus disease (COVID-19) has overwhelmed healthcare systems worldwide often at the cost of patients with serious non-COVID-19 conditions. Outcomes and risks of contracting COVID-19 in patients hospitalized during the pandemic are unknown. Objective: To report our experience in safely performing electrophysiology procedures during the COVID-19 pandemic. Methods: We examined non-COVID-19 patients who underwent electrophysiology procedures during the peak of the pandemic between March 16, 2020 and May 11, 2020 at seven Northwell Health hospitals. We developed a priority algorithm to stratify inpatients and outpatients requiring electrophysiology procedures and instituted a protocol to minimize hospital length of stay (LOS). All patients underwent post discharge 30-day tele-health follow-up and chart review up to 150 days. Results: A total of 217 patients underwent electrophysiology procedures, of which 86 (39%) patients were outpatients. A total of 108 (49.8%) patients had a LOS less than 24 hours, including 74 device implantations and generator changes, 24 cardioversions, five ablations, and one electrophysiology study. There were eleven (5.1%) procedure or arrhythmia related re-admissions and two (0.9%) minor procedural complications. Overall average hospital LOS was 83.4±165.1 hours and a median of 24.0 hours. For outpatient procedures, average hospital LOS was 9.4±13.4 hours and a median of 4.3 hours. Overall follow-up time was 83.9 ±42 days and a median of 84 days. During follow-up, two (0.9%) patients tested positive for COVID-19 and recovered uneventfully. No deaths occurred. Conclusion: During the peak of the COVID-19 pandemic, patients safely underwent essential electrophysiological procedures without increased incidence of acquiring COVID-19. |
| Document Type: |
other/unknown material |
| Language: |
unknown |
| DOI: |
10.22541/au.160563832.21435147/v1 |
| Availability: |
https://doi.org/10.22541/au.160563832.21435147/v1 |
| Accession Number: |
edsbas.F098458C |
| Database: |
BASE |