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Table 3 Hospitalizations due to ruptured and non-ruptured abdominal aortic aneurysm during the SARS-CoV2- pandemic in 2020 and 2021 compared to a corresponding pre-pandemic period

From: German nation-wide in-patient treatment of abdominal aortic aneurysm—trends between 2005 and 2019 and impact of the SARS-CoV-2 pandemic

 

Pre-pandemic

Pandemic

Absolute change, n (%)

Rel. change

All hospitalizations

 Pre-first wave (Jan-Feb 2020)

2,949

2,771

-178

-6.0%

 First wave (March–May 2020)

4,048

3,014

-1,034

-25.5%

 Summer plateau 2020 (June-Sep 2020)

5,833

5,728

-105

-1.8%

 Second wave (Oct 2020- Feb 2021)

5,992

4,652

-1,340

-22.4%

 Third wave (March–May 2021)

4,666

4,012

-654

-14.0%

 Summer plateau 2021 (June-July 2021)

2,682

2,263

-419

-15.6%

 Fourth wave (August-Dec 2021)

5,754

5,011

-743

-12.9%

Ruptured – all

 Pre-first wave (Jan-Feb 2020)

342 (11.6%)

379 (13.7%)

 + 37 (+ 2.1%)

17.9%

 First wave (March–May 2020)

520 (12.8%)

476 (15.8%)

-44 (+ 2.9%)

22.9%

 Summer plateau 2020 (June-Sep 2020)

797 (13.7%)

785 (13.7%)

-12 (0.0%)

0.3%

 Second wave (Oct 2020- Feb 2021)

884 (14.8%)

734 (15.8%)

-150 (+ 1.0%)

6.9%

 Third wave (March–May 2021)

606 (13.0%)

570 (14.2%)

-36 (+ 1.2%)

9.4%

 Summer plateau 2021 (June-July 2021)

350 (13.0%)

352 (15.6%)

 + 2 (+ 2.5%)

19.2%

 Fourth wave (August-Dec 2021)

866 (15.1%)

779 (15.5%)

-87 (+ 0.5%)

3.3%

Non-ruptured—all

 Pre-first wave (Jan-Feb 2020)

2,607 (88.4%)

2,392 (86.3%)

-215 (-2.1%)

-2.4%

 First wave (March–May 2020)

3,528 (87.2%)

2,538 (84.2%)

-990 (-2.9%)

-3.4%

 Summer plateau 2020 (June-Sep 2020)

5,036 (86.3%)

4,943 (86.3%)

-93 (0.0%)

0.0%

 Second wave (Oct 2020- Feb 2021)

5,108 (85.2%)

3,918 (84.2%)

-1,190 (-1.0%)

-1.2%

 Third wave (March–May 2021)

4,060 (87.0%)

3,442 (85.9%)

-618 (-1.2%)

-1.4%

 Summer plateau 2021 (June-July 2021)

2,332 (87.0%)

1,911 (84.4%)

-421 (-2.5%)

-2.9%

 Fourth wave (August-Dec 2021)

4,888 (84.9%)

4,232 (84.5%)

-656 (-0.5%)

-0.6%

Non-ruptured – OR

 Pre-first wave (Jan-Feb 2020)

419 (16.1%)

413 (17.3%)

-6 (+ 1.2%)

7.4%

 First wave (March–May 2020)

567 (16.1%)

395 (15.6%)

-172 (-0.5%)

-3.2%

 Summer plateau 2020 (June-Sep 2020)

759 (15.1%)

804 (16.3%)

 + 45 (+ 1.2%)

7.9%

 Second wave (Oct 2020- Feb 2021)

844 (16.5%)

675 (17.2%)

-169 (+ 0.7%)

4.3%

 Third wave (March–May 2021)

641 (15.8%)

537 (15.6%)

-104 (-0.2%)

-1.2%

 Summer plateau 2021 (June-July 2021)

362 (15.5%)

318 (16.6%)

-44 + 1.1%)

7.2%

 Fourth wave (August-Dec 2021)

754 (15.4%)

658 (15.5%)

-96 (+ 0.1%)

0.8%

Non-ruptured—EVAR

 Pre-first wave (Jan-Feb 2020)

1,323 (50.7%)

1,193 (49.9%)

-130 (-0.9%)

-1.7%

 First wave (March–May 2020)

1,769 (50.1%)

1,361 (53.6%)

-408 (+ 3.5%)

6.9%

 Summer plateau 2020 (June-Sep 2020)

2,553 (50.7%)

2,472 (50.0%)

-81 (-0.7%)

-1.4%

 Second wave (Oct 2020- Feb 2021)

2,518 (49.3%)

1,998 (51.0%)

-520 (+ 1.7%)

3.4%

 Third wave (March–May 2021)

2,038 (50.2%)

1,772 (51.5%)

-266 (+ 1.3%)

2.6%

 Summer plateau 2021 (June-July 2021)

1,191 (51.1%)

903 (47.3%)

-288 (-3.8%)

-7.5%

 Fourth wave (August-Dec 2021)

n.a

n.a

n.a

n.a

  1. The pre-pandemic period is defined as the corresponding time frame in 2019 / beginning of 2020 before the SARS-CoV2-pandemic started in 03/2020
  2. OR Open repair, EVAR Endovascular aortic repair