Impact of COVID-19 Pandemic on the Volume, Cost, and Outcomes of Cardiac Electrophysiology Procedures in the United States.

Publication date: Feb 26, 2024

During the COVID-19 pandemic, professional societies recommended deferral of elective procedures for optimal resource utilization. We sought to assess changes in procedural trends and outcomes of electrophysiology (EP) procedures during the pandemic. National Inpatient Sample databases was used to identify all EP procedures performed in the US (2016-2020) using ICD-10 codes. We evaluated trends in utilization, cost/revenue, and outcomes from EP procedures performed. An estimated 1. 35 million EP procedures (82% devices and 18% catheter ablation) were performed (2016-2020) with significant yearly uptrend. During the pandemic, there was a substantial decline in EP procedures utilization from 5-year peak of 298 cases/million population in second quarter (Q2) of 2019 to a nadir of 220 cases in Q2 of 2020. In 2020, the pandemic was associated with the loss of 50,233 projected EP procedures (39,337 devices and 10,896 ablations) with subsequent revenue loss of 7. 06 billion dollars. This deficit was driven by revenue deficit from DC-PPM (2. 88 billion, 49. 3% of lost cases), ablation procedures (1. 84 billion, 21. 7% of lost cases), and ICD (1. 36 billion, 12. 0% of lost cases). To the contrary, there was 9. 4% increase in the utilization of leadless PPM. EP device implantation during the pandemic was associated with higher adverse in-hospital events (9. 4% vs. 8. 0%, p

Concepts Keywords
Cardiac ablation
Inpatient and arrhythmia
Pandemic COVID-19
electrophysiology
permanent pacemakers (PPM)

Semantics

Type Source Name
disease MESH COVID-19 Pandemic
disease VO volume
disease VO population
disease VO device
disease MESH arrhythmia

Original Article

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