Patient reviews (inpatient and outpatient activity), procedures performed, and staff variations for different intervals: baseline activity (green), preparation period (amber), and during the COVID-19 lockdown (red). Percentage reduction refers to the change in data from the baseline period to the period of lockdown
Interval dates | Prior to COVID-19 (baseline) | Preparation period | First month of COVID-19 lockdown | Second month of COVID-19 lockdown | ||
21 Jan–20 Feb 2020 | 21 Feb–20 Mar 2020 | 21 Mar–20 Apr 2020 | 21 Apr–20 May 2020 | |||
n | n | n | % reduction | n | % reduction | |
Ward activity | ||||||
Admissions to cardiology ward/CCU | 83 | 68 | 39 | 53 | 73 | 12 |
Chest pain admissions | 40 | 35 | 18 | 55 | 38 | 5 |
Myocardial infarction admissions | 30 | 30 | 18 | 40 | 20 | 33 |
Cardiology referrals | 53 | 46 | 20 | 62 | 44 | 17 |
OP clinic activity | ||||||
Face-to-face clinics | 474 | 319 | 30 | 93 | 50 | 89 |
Telephone/video clinics | 0 | 20 | 89 | 103 | ||
GP referrals | 386 | 258 | 76 | 80 | 202 | 47 |
PPM follow-up | 222 | 144 | 122 | 45 | 115 | 48 |
Heart failure service | ||||||
Face-to-face clinics | 50 | 43 | 0 | 100 | 0 | 100 |
Home visits | 85 | 52 | 0 | 100 | 0 | 100 |
Telephone clinics | 156 | 154 | 259 | 261 | ||
New referrals | 35 | 26 | 23 | 34 | 28 | 20 |
Cardiac rehabilitation | ||||||
Face-to-face clinics | 228 | 117 | 0 | 100 | 0 | 100 |
Home visits | 5 | 6 | 0 | 100 | 0 | 100 |
Telephone clinics | 63 | 91 | 230 | 190 | ||
New referrals | 51 | 45 | 28 | 45 | 25 | 51 |
Procedures | ||||||
PPM implants/generator replacements | 24 | 18 | 12 | 50 | 14 | 42 |
DC cardioversion | 10 | 09 | 0 | 100 | 0 | 100 |
CRT/ICD | 2 | 2 | 1 | 50 | 1 | 50 |
Elective coronary angiography | 23 | 17 | 13 | 43 | 9 | 61 |
Urgent coronary angiography | 20 | 21 | 20 | 0 | 18 | 10 |
Primary PCI | 7 | 8 | 7 | 0 | 2 | 71 |
EP procedures | 3 | 3 | 0 | 100 | 0 | 100 |
TAVI | 2 | 2 | 0 | 100 | 0 | 100 |
Cardiac surgery | 8 | 5 | 3 | 62 | 1 | 87 |
Cardiology staff | ||||||
Senior doctors | 4 | 4 | 2 | 50 | 2 | 50 |
Junior doctors | 4 | 4 | 1 | 75 | 2 | 50 |
Nursing staff | 9 | 9 | 5 | 44 | 6 | 33 |
CCU, coronary care unit; CRT, cardiac resynchronisation therapy; DC, direct current; EP, electrophysiology; GP, general practitioner; ICD, implantable cardioverter defibrillator; OP, outpatient; PCI, percutaneous coronary intervention; PPM, permanent pacemakers; TAVI, transcatheter aortic valve implantation.