{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:20:16Z","timestamp":1778602816816,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:00:00Z","timestamp":1705363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>COVID\u201019 drastically impacted the landscape of the United States\u2019 medical system. Limited data is available on the nationwide implantation trends in Cardiac Resynchronization Therapy Defibrillator (CRT\u2010D) devices before and during the pandemic. We aimed to explore the impact of the COVID\u201019 pandemic on CRT\u2010D insertion rates and adverse outcomes related to delays in care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>We conducted a retrospective cross\u2010sectional analysis using the National Inpatient Sample database between 2017 and 2020. Variables were identified using their ICD\u201010 codes. Inclusion criteria: age\u2009\u2265\u200918\u2009years, presenting for a nonelective admission, primary diagnosis of hypertensive heart disease, hypertensive heart, chronic kidney disease, or heart failure, and underwent insertion of a CRT\u2010D. Between 2017 and 2020, CRT\u2010D devices were inserted during 23,635 admissions. On average, 6198 devices were implanted yearly from 2017 to 2019, with only 5040 devices being implanted in 2020. Additionally, reduced implantation rates were noted for every cohort of hospital size, location, and teaching status during this year. The year 2020 also had the highest average death rate at 1.39%, but this difference was statistically insignificant (adjusted Wald test <jats:italic>p<\/jats:italic>\u2009=\u2009.767), and COVID\u201019 was not associated with an increased risk of inpatient mortality (OR 0.22, 95% CI 0.03\u20131.82, <jats:italic>p<\/jats:italic>\u2009=\u2009.162).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The COVID\u201019 pandemic has affected all facets of the healthcare system, especially surgical volume rates. CRT\u2010D procedures significantly decreased in 2020. This is the first retrospective study highlighting the trend of reduced rates of CRT\u2010D implantation as a response to the COVID\u201019 pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12994","type":"journal-article","created":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T12:00:30Z","timestamp":1705406430000},"page":"237-246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Negative effects of <scp>COVID<\/scp>\u201019 on the implantation rate of cardiac resynchronization therapy with defibrillator device"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0006-7304","authenticated-orcid":false,"given":"Anmol","family":"Johal","sequence":"first","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center  Neptune City New Jersey 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