Hospitalisation During Lockdown – Patients' Bed's-Eye View

Background: Global COVID pandemic and lockdowns have affected the patterns of hospital presentations for non-COVID related illnesses. Apprehension and perceived risk of hospitalisation has been postulated to be a significant deterrent to presentation. This study aims to explore pandemic and lockdown related concerns with regards to hospital admission from a patient’s perspective. Method: A cross sectional study was undertaken in the form of inpatient questionnaire for patients admitted to coronary care unit and the cardiology ward during level 4 lockdown. Questionnaire included six questions designed to gather patient perception of the impact of lockdown on their hospital presentation. Results: Out of 91 patients who completed the questionnaire, 41 (45%) were >70 years old. Twenty (22%) patients answered that lockdown delayed or affected their decision to present to hospital. Within this cohort, there was a statistical difference between those aged 70 years and younger and over 70 years old (16/50 [32%] versus 4/41 [10%], p=0.011). Conclusion: Apprehension and concerns regarding the risk of COVID was prevalent in a significant proportion of patients and affected/delayed their decision to present to hospital. This may partly explain lower rates of presentation during the pandemic.

Consensus guidelines for interventional cardiology services delivery during covid-19 pandemic in Australia and new Zealand.

The global coronavirus disease (COVID-19) pandemic poses an unprecedented stress on healthcare systems internationally. These Health system-wide demands call for efficient utilisation of resources at this time in a fair, consistent, ethical and efficient manner would improve our ability to treat patients. Excellent co-operation between hospital units (especially intensive care unit [ICU], emergency department [ED] and cardiology) is critical in ensuring optimal patient outcomes. The purpose of this document is to provide practical guidelines for the effective use of interventional cardiology services in Australia and New Zealand. The document will be updated regularly as new evidence and knowledge is gained with time. Goals Considerations.