Skip to main content
. 2020 Dec;17(12):1576–1582. doi: 10.1513/AnnalsATS.202005-521OC

Table 4.

Impact of the coronavirus outbreak on routine clinic operations of centers in states with a high reported incidence of COVID-19 relative to a low reported incidence

  Low COVID-19 Incidence
High COVID-19 Incidence
 
Before After Before After  
Clinic visits          
 Typical number of weekly outpatient visits, median (IQR) 35 (25–50) 25 (6–40) 30 (20–40) 9 (5–20)  
 Centers with routine formal telephone visits, n (%) 1 (4) 18 (72) 3 (9) 30 (91)  
 Centers with routine video-enabled visits, n (%) 2 (8) 22 (88) 3 (9) 32 (97)  
Testing, n (%) n = 23 responding
n = 32 responding
 
 Centers obtaining fewer echocardiograms Ref 20 (87) Ref 30 (94)  
  Of these, centers with 60–99% reduction   10 (50)   20 (67)  
  Of these, centers with total cessation   2 (10)   3 (10)  
 Centers obtaining fewer RHCs Ref 21 (91) Ref 28 (88)  
  Of these, centers with 60–99% reduction   11 (52)   23 (82)  
  Of these, centers with total cessation   3 (14)   1 (4)  
 Centers obtaining fewer CTPAs Ref 13 (57) Ref 22 (69)  
  Of these, centers with 60–99% reduction   4 (31)   14 (64)  
  Of these, centers with total cessation   2 (15)   3 (14)  
 Centers obtaining fewer V˙/Q˙ scans Ref 22 (96) Ref 28 (88)  
  Of these, centers with 60–99% reduction   8 (36)   15 (54)  
  Of these, centers with total cessation   6 (27)   6 (21)  
 Centers who have switch to Q scans only Ref 12 (52) Ref 9 (28)  
Treatment, n (%) n = 23 responding
n = 33 responding
 
 Centers limiting new oral therapy prescriptions Ref 5 (22) Ref 5 (15)  
  Of these, centers with 60–99% reduction
1 (20)   1 (20)  
  Of these, centers with total cessation
0 (0)   0 (0)  
 Centers limiting new i.v./s.c. prescriptions Ref 6 (26) Ref 11 (33)  
  Of these, centers with 60–99% reduction
1 (17)   4 (36)  
  Of these, centers with total cessation
2 (33)   1 (9)  
 Centers with fewer transplant referrals Ref 4 (17) Ref 11 (33)  
  Of these, centers with 60–99% reduction
1 (25)   1 (9)  
  Of these, centers with total cessation 1 (25)   2 (18)  

Definition of abbreviations: COVID-19 = coronavirus disease; CTPA = computed tomographic pulmonary angiogram; IQR = interquartile range; i.v. = intravenous; Q = perfusion; Ref = referent; RHC = right heart catheterization; s.c. = subcutaneous; V˙/Q˙ = ventilation–perfusion.