A cross-sectional study evaluating hospitalization rates for chronic limb-threatening ischemia during the COVID-19 outbreak in Campania, Italy
The expansion of coronavirus disease 2019 (COVID-19) prompted measures of disease containment by the Italian government with a national lockdown on March 9, 2020. The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-thre...
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| Veröffentlicht in: | Vascular medicine (London, England) England), 2021-04, Vol.26 (2), p.174-179 |
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| creator | Stabile, Eugenio Piccolo, Raffaele Franzese, Michele Accarino, Giancarlo Bracale, Umberto Marcello Cappello, Enrico Cioffi, Giovanni Cioppa, Angelo Crinisio, Adolfo Flora, Loris Landino, Pietro Martelli, Eugenio Mancusi, Rosario Niola, Raffaella Petrosino, Fernando Razzano, Davide Ruotolo, Carlo Salemme, Luigi Sangiuolo, Paolo Santini, Gianpaolo Soreca, Emilio Vigliotti, Gennaro Villari, Bruno Amabile, Giampaolo Ammollo, Raffaele Pio Barbarisi, Danilo Corbisiero, Alfonsina M D’angelo, Antonio Cangiano, Gianluca De Gregorio, Claudia De Laurentis, Mario Laurenzano, Eugenio Ficarelli, Ilaria Luongo, Alessandro Molino, Claudio Sarti, Giuseppe Viola, Daniela Esposito, Giovanni |
| description | The expansion of coronavirus disease 2019 (COVID-19) prompted measures of disease containment by the Italian government with a national lockdown on March 9, 2020. The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-threatening ischemia (CLTI) before and during lockdown in the Campania region of Italy. The study population includes all patients with CLTI hospitalized in Campania over a 10-week period: 5 weeks before and 5 weeks during lockdown (n = 453). Patients were treated medically and/or underwent urgent revascularization and/or major amputation of the lower extremities. Mean age was 69.2 ± 10.6 years and 27.6% of the patients were women. During hospitalization, 21.9% of patients were treated medically, 78.1% underwent revascularization, and 17.4% required amputations. In the weeks during the lockdown, a reduced rate of hospitalization for CLTI was observed compared with the weeks before lockdown (25 vs 74/100,000 inhabitants/year; incidence rate ratio: 0.34, 95% CI 0.32–0.37). This effect persisted to the end of the study period. An increased amputation rate in the weeks during lockdown was observed (29.3% vs 13.4%; p < 0.001). This study reports a reduced rate of CLTI-related hospitalization and an increased in-hospital amputation rate during lockdown in Campania. Ensuring appropriate treatment for patients with CLTI should be prioritized, even during disease containment measures due to the COVID-19 pandemic or other similar conditions. |
| doi_str_mv | 10.1177/1358863X20977678 |
| format | Article |
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The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-threatening ischemia (CLTI) before and during lockdown in the Campania region of Italy. The study population includes all patients with CLTI hospitalized in Campania over a 10-week period: 5 weeks before and 5 weeks during lockdown (n = 453). Patients were treated medically and/or underwent urgent revascularization and/or major amputation of the lower extremities. Mean age was 69.2 ± 10.6 years and 27.6% of the patients were women. During hospitalization, 21.9% of patients were treated medically, 78.1% underwent revascularization, and 17.4% required amputations. In the weeks during the lockdown, a reduced rate of hospitalization for CLTI was observed compared with the weeks before lockdown (25 vs 74/100,000 inhabitants/year; incidence rate ratio: 0.34, 95% CI 0.32–0.37). This effect persisted to the end of the study period. An increased amputation rate in the weeks during lockdown was observed (29.3% vs 13.4%; p < 0.001). This study reports a reduced rate of CLTI-related hospitalization and an increased in-hospital amputation rate during lockdown in Campania. Ensuring appropriate treatment for patients with CLTI should be prioritized, even during disease containment measures due to the COVID-19 pandemic or other similar conditions.</description><identifier>ISSN: 1358-863X</identifier><identifier>EISSN: 1477-0377</identifier><identifier>DOI: 10.1177/1358863X20977678</identifier><identifier>PMID: 33332228</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Amputation ; Chronic Disease ; Containment ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - virology ; Cross-Sectional Studies ; Evaluation ; Extremities ; Extremities - physiopathology ; Female ; Hospitalization ; Hospitalization - statistics & numerical data ; Humans ; Ischemia ; Ischemia - epidemiology ; Ischemia - physiopathology ; Ischemia - virology ; Italy - epidemiology ; Male ; Middle Aged ; Original ; Pandemics ; Patients ; Peripheral Arterial Disease - complications ; Peripheral Arterial Disease - virology ; Population studies ; Retrospective Studies ; Risk Factors ; SARS-CoV-2 - pathogenicity ; Viral diseases</subject><ispartof>Vascular medicine (London, England), 2021-04, Vol.26 (2), p.174-179</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020 2020 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-ec42d573c13281f19e015c3df762fee50c5270b916d6154ce0e3f0bf65af3c873</citedby><cites>FETCH-LOGICAL-c462t-ec42d573c13281f19e015c3df762fee50c5270b916d6154ce0e3f0bf65af3c873</cites><orcidid>0000-0001-9763-6010 ; 0000-0001-5764-0082</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1358863X20977678$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1358863X20977678$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33332228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stabile, Eugenio</creatorcontrib><creatorcontrib>Piccolo, Raffaele</creatorcontrib><creatorcontrib>Franzese, Michele</creatorcontrib><creatorcontrib>Accarino, Giancarlo</creatorcontrib><creatorcontrib>Bracale, Umberto Marcello</creatorcontrib><creatorcontrib>Cappello, Enrico</creatorcontrib><creatorcontrib>Cioffi, Giovanni</creatorcontrib><creatorcontrib>Cioppa, Angelo</creatorcontrib><creatorcontrib>Crinisio, Adolfo</creatorcontrib><creatorcontrib>Flora, Loris</creatorcontrib><creatorcontrib>Landino, Pietro</creatorcontrib><creatorcontrib>Martelli, Eugenio</creatorcontrib><creatorcontrib>Mancusi, Rosario</creatorcontrib><creatorcontrib>Niola, Raffaella</creatorcontrib><creatorcontrib>Petrosino, Fernando</creatorcontrib><creatorcontrib>Razzano, Davide</creatorcontrib><creatorcontrib>Ruotolo, Carlo</creatorcontrib><creatorcontrib>Salemme, Luigi</creatorcontrib><creatorcontrib>Sangiuolo, Paolo</creatorcontrib><creatorcontrib>Santini, Gianpaolo</creatorcontrib><creatorcontrib>Soreca, Emilio</creatorcontrib><creatorcontrib>Vigliotti, Gennaro</creatorcontrib><creatorcontrib>Villari, Bruno</creatorcontrib><creatorcontrib>Amabile, Giampaolo</creatorcontrib><creatorcontrib>Ammollo, Raffaele Pio</creatorcontrib><creatorcontrib>Barbarisi, Danilo</creatorcontrib><creatorcontrib>Corbisiero, Alfonsina M</creatorcontrib><creatorcontrib>D’angelo, Antonio</creatorcontrib><creatorcontrib>Cangiano, Gianluca</creatorcontrib><creatorcontrib>De Gregorio, Claudia</creatorcontrib><creatorcontrib>De Laurentis, Mario</creatorcontrib><creatorcontrib>Laurenzano, Eugenio</creatorcontrib><creatorcontrib>Ficarelli, Ilaria</creatorcontrib><creatorcontrib>Luongo, Alessandro</creatorcontrib><creatorcontrib>Molino, Claudio</creatorcontrib><creatorcontrib>Sarti, Giuseppe</creatorcontrib><creatorcontrib>Viola, Daniela</creatorcontrib><creatorcontrib>Esposito, Giovanni</creatorcontrib><title>A cross-sectional study evaluating hospitalization rates for chronic limb-threatening ischemia during the COVID-19 outbreak in Campania, Italy</title><title>Vascular medicine (London, England)</title><addtitle>Vasc Med</addtitle><description>The expansion of coronavirus disease 2019 (COVID-19) prompted measures of disease containment by the Italian government with a national lockdown on March 9, 2020. The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-threatening ischemia (CLTI) before and during lockdown in the Campania region of Italy. The study population includes all patients with CLTI hospitalized in Campania over a 10-week period: 5 weeks before and 5 weeks during lockdown (n = 453). Patients were treated medically and/or underwent urgent revascularization and/or major amputation of the lower extremities. Mean age was 69.2 ± 10.6 years and 27.6% of the patients were women. During hospitalization, 21.9% of patients were treated medically, 78.1% underwent revascularization, and 17.4% required amputations. In the weeks during the lockdown, a reduced rate of hospitalization for CLTI was observed compared with the weeks before lockdown (25 vs 74/100,000 inhabitants/year; incidence rate ratio: 0.34, 95% CI 0.32–0.37). This effect persisted to the end of the study period. An increased amputation rate in the weeks during lockdown was observed (29.3% vs 13.4%; p < 0.001). This study reports a reduced rate of CLTI-related hospitalization and an increased in-hospital amputation rate during lockdown in Campania. Ensuring appropriate treatment for patients with CLTI should be prioritized, even during disease containment measures due to the COVID-19 pandemic or other similar conditions.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Chronic Disease</subject><subject>Containment</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - virology</subject><subject>Cross-Sectional Studies</subject><subject>Evaluation</subject><subject>Extremities</subject><subject>Extremities - physiopathology</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Ischemia - epidemiology</subject><subject>Ischemia - physiopathology</subject><subject>Ischemia - virology</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Peripheral Arterial Disease - 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epidemiology</topic><topic>COVID-19 - virology</topic><topic>Cross-Sectional Studies</topic><topic>Evaluation</topic><topic>Extremities</topic><topic>Extremities - physiopathology</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Ischemia - epidemiology</topic><topic>Ischemia - physiopathology</topic><topic>Ischemia - virology</topic><topic>Italy - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Peripheral Arterial Disease - complications</topic><topic>Peripheral Arterial Disease - virology</topic><topic>Population studies</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>SARS-CoV-2 - pathogenicity</topic><topic>Viral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stabile, Eugenio</creatorcontrib><creatorcontrib>Piccolo, Raffaele</creatorcontrib><creatorcontrib>Franzese, Michele</creatorcontrib><creatorcontrib>Accarino, Giancarlo</creatorcontrib><creatorcontrib>Bracale, Umberto Marcello</creatorcontrib><creatorcontrib>Cappello, Enrico</creatorcontrib><creatorcontrib>Cioffi, Giovanni</creatorcontrib><creatorcontrib>Cioppa, Angelo</creatorcontrib><creatorcontrib>Crinisio, Adolfo</creatorcontrib><creatorcontrib>Flora, Loris</creatorcontrib><creatorcontrib>Landino, Pietro</creatorcontrib><creatorcontrib>Martelli, Eugenio</creatorcontrib><creatorcontrib>Mancusi, Rosario</creatorcontrib><creatorcontrib>Niola, Raffaella</creatorcontrib><creatorcontrib>Petrosino, Fernando</creatorcontrib><creatorcontrib>Razzano, Davide</creatorcontrib><creatorcontrib>Ruotolo, Carlo</creatorcontrib><creatorcontrib>Salemme, Luigi</creatorcontrib><creatorcontrib>Sangiuolo, Paolo</creatorcontrib><creatorcontrib>Santini, Gianpaolo</creatorcontrib><creatorcontrib>Soreca, Emilio</creatorcontrib><creatorcontrib>Vigliotti, Gennaro</creatorcontrib><creatorcontrib>Villari, Bruno</creatorcontrib><creatorcontrib>Amabile, Giampaolo</creatorcontrib><creatorcontrib>Ammollo, Raffaele Pio</creatorcontrib><creatorcontrib>Barbarisi, Danilo</creatorcontrib><creatorcontrib>Corbisiero, Alfonsina M</creatorcontrib><creatorcontrib>D’angelo, Antonio</creatorcontrib><creatorcontrib>Cangiano, Gianluca</creatorcontrib><creatorcontrib>De Gregorio, Claudia</creatorcontrib><creatorcontrib>De Laurentis, Mario</creatorcontrib><creatorcontrib>Laurenzano, Eugenio</creatorcontrib><creatorcontrib>Ficarelli, Ilaria</creatorcontrib><creatorcontrib>Luongo, Alessandro</creatorcontrib><creatorcontrib>Molino, Claudio</creatorcontrib><creatorcontrib>Sarti, Giuseppe</creatorcontrib><creatorcontrib>Viola, Daniela</creatorcontrib><creatorcontrib>Esposito, Giovanni</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Vascular medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stabile, Eugenio</au><au>Piccolo, Raffaele</au><au>Franzese, Michele</au><au>Accarino, Giancarlo</au><au>Bracale, Umberto Marcello</au><au>Cappello, Enrico</au><au>Cioffi, Giovanni</au><au>Cioppa, Angelo</au><au>Crinisio, Adolfo</au><au>Flora, Loris</au><au>Landino, Pietro</au><au>Martelli, Eugenio</au><au>Mancusi, Rosario</au><au>Niola, Raffaella</au><au>Petrosino, Fernando</au><au>Razzano, Davide</au><au>Ruotolo, Carlo</au><au>Salemme, Luigi</au><au>Sangiuolo, Paolo</au><au>Santini, Gianpaolo</au><au>Soreca, Emilio</au><au>Vigliotti, Gennaro</au><au>Villari, Bruno</au><au>Amabile, Giampaolo</au><au>Ammollo, Raffaele Pio</au><au>Barbarisi, Danilo</au><au>Corbisiero, Alfonsina M</au><au>D’angelo, Antonio</au><au>Cangiano, Gianluca</au><au>De Gregorio, Claudia</au><au>De Laurentis, Mario</au><au>Laurenzano, Eugenio</au><au>Ficarelli, Ilaria</au><au>Luongo, Alessandro</au><au>Molino, Claudio</au><au>Sarti, Giuseppe</au><au>Viola, Daniela</au><au>Esposito, Giovanni</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A cross-sectional study evaluating hospitalization rates for chronic limb-threatening ischemia during the COVID-19 outbreak in Campania, Italy</atitle><jtitle>Vascular medicine (London, England)</jtitle><addtitle>Vasc Med</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>26</volume><issue>2</issue><spage>174</spage><epage>179</epage><pages>174-179</pages><issn>1358-863X</issn><eissn>1477-0377</eissn><abstract>The expansion of coronavirus disease 2019 (COVID-19) prompted measures of disease containment by the Italian government with a national lockdown on March 9, 2020. The purpose of this study is to evaluate the rate of hospitalization and mode of in-hospital treatment of patients with chronic limb-threatening ischemia (CLTI) before and during lockdown in the Campania region of Italy. The study population includes all patients with CLTI hospitalized in Campania over a 10-week period: 5 weeks before and 5 weeks during lockdown (n = 453). Patients were treated medically and/or underwent urgent revascularization and/or major amputation of the lower extremities. Mean age was 69.2 ± 10.6 years and 27.6% of the patients were women. During hospitalization, 21.9% of patients were treated medically, 78.1% underwent revascularization, and 17.4% required amputations. In the weeks during the lockdown, a reduced rate of hospitalization for CLTI was observed compared with the weeks before lockdown (25 vs 74/100,000 inhabitants/year; incidence rate ratio: 0.34, 95% CI 0.32–0.37). This effect persisted to the end of the study period. An increased amputation rate in the weeks during lockdown was observed (29.3% vs 13.4%; p < 0.001). This study reports a reduced rate of CLTI-related hospitalization and an increased in-hospital amputation rate during lockdown in Campania. Ensuring appropriate treatment for patients with CLTI should be prioritized, even during disease containment measures due to the COVID-19 pandemic or other similar conditions.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>33332228</pmid><doi>10.1177/1358863X20977678</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9763-6010</orcidid><orcidid>https://orcid.org/0000-0001-5764-0082</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1358-863X |
| ispartof | Vascular medicine (London, England), 2021-04, Vol.26 (2), p.174-179 |
| issn | 1358-863X 1477-0377 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8033437 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SAGE Complete; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Amputation Chronic Disease Containment Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - virology Cross-Sectional Studies Evaluation Extremities Extremities - physiopathology Female Hospitalization Hospitalization - statistics & numerical data Humans Ischemia Ischemia - epidemiology Ischemia - physiopathology Ischemia - virology Italy - epidemiology Male Middle Aged Original Pandemics Patients Peripheral Arterial Disease - complications Peripheral Arterial Disease - virology Population studies Retrospective Studies Risk Factors SARS-CoV-2 - pathogenicity Viral diseases |
| title | A cross-sectional study evaluating hospitalization rates for chronic limb-threatening ischemia during the COVID-19 outbreak in Campania, Italy |
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