References
- McDonagh TA, Metra M, Adamo M, Baumbach A, Böhm M, Burri H, Čelutkiene J, Chioncel O, Cleland JGF, Coats AJS, Crespo-Leiro MG, Farmakis D, Gardner RS, Gilard M, Heymans S, Hoes AW, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Piepoli MF, Price S, Rosano GMC, Ruschitzka F, Skibelund AK. ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal. 2021 Sep 21;42(36):3599–3726. doi:10.1093/eurheartj/ehab368; PMID: 34447992
- Chioncel O, Mebazaa A, Harjola VP, Coats AJ, Piepoli MF, Crespo-Leiro MG, Laroche C, Seferovic PM, Anker SD, Ferrari R, Ruschitzka F, Lopez-Fernandez S, Miani D, Filippatos G, Maggioni AP. Clinical phenotypes and outcome of patients hospitalized for acute heart failure: the ESC Heart Failure Long-Term Registry. Eur J Heart Fail. 2017;19(10):1242–1254. doi:10.1002/ejhf.890; PMID: 28463462
- Chioncel O, Benson L, Crespo-Leiro MG, Anker SD, Coats AJS, Filippatos G, McDonagh T, Margineanu C, Mebazaa A, Metra M, Piepoli MF, Adamo M, Rosano GMC, Ruschitzka F, Savarese G, Seferovic P, Volterrani M, Ferrari R, Maggioni AP, Lund LH. Comprehensive characterization of non-cardiac comorbidities in acute heart failure: an analysis of ESC-HFA EUR Observational Research Programme Heart Failure Long-Term Registry. Eur J Prev Cardiol. 2023 Sep 1;30(13):1346–1358. doi:10.1093/eurjpc/zwad151; PMID: 37172316
- Savarese G, Becher PM, Lund LH, Seferovic P, Rosano GMC, Coats AJS. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res. 2023 Jan 18;118(17):3272–3287. doi:10.1093/cvr/cvac013; PMID: 35150240
- Roth GA, Dorsey H, Decleene N, Razo C, Stark B, Johnson C, Collaborators TGB of DS. The global burden of heart failure: a systematic analysis for the Global Burden of Disease Study 2021. Eur Heart J. 2023 Nov 9;44 (Supplement_2). doi: 10.1093/eurheartj/ehad655.876
- Rosano GMC, Seferovic P, Savarese G, Spoletini I, Lopatin Y, Gustafsson F, Bayes-Genis A, Jaarsma T, Abdelhamid M, Miqueo AG, Piepoli M, Tocchetti CG, Ristić AD, Jankowska E, Moura B, Hill L, Filippatos G, Metra M, Milicic D, Thum T, Chioncel O, Ben Gal T, Lund LH, Farmakis D, Mullens W, Adamopoulos S, Bohm M, Norhammar A, Bollmann A, Banerjee A, Maggioni AP, Voors A, Solal AC, Coats AJS. Impact analysis of heart failure across European countries: an ESC-HFA position paper. ESC Heart Fail. 2022 Oct 1;9(5):2767–2778. doi:10.1002/ehf2.14076; PMID: 35869679
- Emmons-Bell S, Johnson C, Roth G. Prevalence, incidence and survival of heart failure: a systematic review. Heart. 2022;108(17):1351–1360. doi: 10.1136/heartjnl-2021-320131; PMID: 35042750
- Seferović PM, Vardas P, Jankowska EA, Maggioni AP, Timmis A, Milinković I, Polovina M, Gale CP, Lund LH, Lopatin Y, Lainscak M, Savarese G, Huculeci R, Kazakiewicz D, Coats AJS. The Heart Failure Association Atlas: Heart Failure Epidemiology and Management Statistics 2019. Eur J Heart Fail. 2021 Jun 1;23(6):906–914. doi: 10.1002/ejhf.2143; PMID: 33634931
- Seferović PM, Polovina M, Savarese G, Milinković I, Stanisavljević D, Lund L, Chioncel O, Abdelhamid M, Lopatin Y, Störk S, Anguita Sanchez M, Piepoli M, Maggioni AP, Jankowska E, Bayes-Genis A, Cohen Solal A, Ristić A, Tokmakova M, Birhan Yilmaz M, Skouri H, Miličić D, Amir O, Rakisheva A, Filippatos G, Rosano G, Metra M, Coats AJ. Insights into the European heart failure epidemiology. Eur J Heart Fail. 2025;27:1950–1960. doi: 10.1002/ejhf.3710; PMID: 40444537
- Macarie C, Chioncel O. Studiul românesc de prevalenţă a insuficienţei cardiace în populaţia arondată medicilor de familie. Progrese in cardiologie. 2007;311:27.
- Chioncel O, Tatu-Chiţoiu G, Christodorescu R, Coman I, Deleanu D, Vinereanu D, Macarie C, Crespo M, Laroche C, Fereirra T, Maggioni A, Filippatos G. Characteristics of patients with heart failure from Romania enrolled in-ESC-HF Long-Term ( ESC-HF-LT ) Registry. Romanian Journal of Cardiology; 2015;25(4):413–420.
- Chioncel O, Vinereanu D, Datcu M, Ionescu DD, Capalneanu R, Brukner I, Dorobantu M, Ambrosy A, MacArie C, Gheorghiade M. The Romanian Acute Heart Failure Syndromes (RO-AHFS) registry. Am Heart J. 2011;162(1). doi: 10.1016/j.ahj.2011.03.033; PMID: 21742101
- Vladescu C, Scintee SG, Olsavszky V, Hernandez-Quevedo C, Sagan A. Romania: Health System Review. Health Syst Transit. 2016 Aug;18(4):1–170. PMID: 27603897
- DRG — Centrul de Cercetare si Evaluare a Serviciilor de Sanatate. Bucharest: Institutul National de Management al Serviciilor de Sanatate. Available at https://www.drg.ro/index.php?p=drg&s=romania
- Institutul National de Statistica. Romania in cifre. Bucharest; 2002. Available at https://insse.ro/cms/sites/default/files/field/publicatii/romania_in_ cifre_2022.pdf
- Palazzuoli A, Metra M, Collins SP, Adamo M, Ambrosy AP, Antohi LE, Ben Gal T, Farmakis D, Gustafsson F, Hill L, Lopatin Y, Tramonte F, Lyon A, Masip J, Miro O, Moura B, Mullens W, Radu RI, Abdelhamid M, Anker S, Chioncel O. Heart failure during the COVID-19 pandemic: clinical, diagnostic, management, and organizational dilemmas. ESC Heart Fail. 2022 Dec 1;9(6):3713–3736. doi: 10.1002/ehf2.14118; PMID: 36111511
- Dörr M, Riemer U, Christ M, Bauersachs J, Bosch R, Laufs U, Neumann A, Scherer M, Störk S, Wachter R. Hospitalizations for heart failure: still major differences between East and West Germany 30 years after reunification. ESC Heart Fail. 2021 Aug 1;8(4):2546–2555. doi: 10.1002/ehf2.13407; PMID: 33949148
- Keller K, Hobohm L, Ostad MA, Göbel S, Lankeit M, Konstantinides S, Münzel T, Wenzel P. Temporal trends and predictors of in hospital death in patients hospitalised for heart failure in Germany. Eur J Prev Cardiol. 2021 Sep 1;28(9):990–997. doi: 10.1177/2047487320936020; PMID: 34402877
- Andersson C, Gerds T, Fosbøl E, Phelps M, Andersen J, Lamberts M, Holt A, Butt JH, Madelaire C, Gislason G, Torp-Pedersen C, Køber L, Schou M. Incidence of new-onset and worsening heart failure before and after the COVID-19 epidemic lockdown in Denmark: a nationwide cohort study. Circ Heart Fail. 2020 Jun 1;13(6):E007274. doi: 10.1161/CIRCHEARTFAILURE.120.007274; PMID: 32482087
- Gabet A, Juillière Y, Lamarche-Vadel A, Vernay M, Olié V. National trends in rate of patients hospitalized for heart failure and heart failure mortality in France, 2000–2012. Eur J Heart Fail. 2015 Jun 1;17(6):583–590. doi: 10.1002/ejhf.284; PMID: 25950872
- Omersa D, Erzen I, Lainscak M, Farkas J. Regional differences in heart failure hospitalizations, mortality, and readmissions in Slovenia 2004–2012. ESC Heart Fail. 2019 Oct 1;6(5):965–974. doi: 10.1002/ehf2.12488; PMID: 31264804
- Rosolova H, Cech J, Simon J, Spinar J, Jandova R, Widimský Sen J, Holubec L, Topolcan O. Short to long term mortality of patients hospitalised with heart failure in the Czech Republic—a report from the EuroHeart Failure Survey. Eur J Heart Fail. 2005 Aug;7(5):780–783. doi: 10.1016/j. ejheart.2005.03.009; PMID: 16051521
- Störk S, Handrock R, Jacob J, Walker J, Calado F, Lahoz R, Hupfer S, Klebs S. Epidemiology of heart failure in Germany: a retrospective database study. Clin Res Cardiol. 2017 Nov 1;106(11):913–922. doi: 10.1007/s00392-017-1137-7; PMID: 28748265
- Aizpuru F, Millán E, Garmendia I, Mateos M, Librero J. Hospitalizations for heart failure: epidemiology and health system burden based on data gathered in routine practice. Medicina Clínica Práctica. 2020 Jul 1;3(4-5). doi.org/10.1016/j.mcpsp.2020.100140
- Lindmark K, Boman K, Olofsson M, Törnblom M, Levine A, Castelo-Branco A, Schlienger R, Wirta SB, Stålhammar J, Wikström G. Epidemiology of heart failure and trends in diagnostic work-up: a retrospective, populationbased cohort study in Sweden. Clin Epidemiol. 2019;11:231–244. doi: 10.2147/CLEP.S170873; PMID: 30962724
- Sulo G, Igland J, Øverland S, Egeland GM, Roth GA, Vollset SE, Tell GS. Heart failure in Norway, 2000-2014: analysing incident, total and readmission rates using data from the Cardiovascular Disease in Norway (CVDNOR) Project. Eur J Heart Fail. 2020 Feb 1 [cited 2025 Dec 25];22(2):241–248. doi: 10.1002/ejhf.1609; PMID: 31646725
- Méndez-Bailón M, Jiménez-García R, Hernández-Barrera V, Comín-Colet J, Esteban-Hernández J, de Miguel-Díez J, de Miguel-Yanes JM, Muñoz-Rivas N, Lorenzo-Villalba N, López-de-Andrés A. Significant and constant increase in hospitalization due to heart failure in Spain over 15 year period. Eur J Intern Med/2019 Jun 1;64:48–56. doi: 10.1016/j.ejim.2019.02.019; PMID: 30827807
- Niedziela JT, Parma Z, Pawlowski T, Rozentryt P, Gasior M, Wojakowski W. Secular trends in first-time hospitalization for heart failure with following one-year readmission and mortality rates in the 3.8 million adult population of Silesia, Poland between 2010 and 2016. The SILCARD database. Int J Cardiol. 2018 Nov 15;271:146–151. doi: 10.1016/j.ijcard.2018.05.015; PMID: 30223348
- Tomcsányi J. Mortality among heart failure patient population in Hungary in 2017. Orv Hetil. 2020 Jun 1;161(24):1012–1014. doi: 10.1556/650.2020.31748; PMID: 32469842
- Goncalvesová E, Danková M. What we know about epidemiology of heart failure in Slovakia and globally. Vnitr Lek. 2018;64(9):839–846. PMID: 30441996
- Sierpiński R, Sokolska JM, Suchocki T, Koń B, Urbański F, Kruk M, Sokolski M, Ponikowski P, Jankowska EA. 10 year trends in hospitalization rates due to heart failure and related in-hospital mortality in Poland (2010-2019). ESC Heart Fail. 2020 Dec 1; 7(6):3365–3373. doi: 10.1002/ehf2.13060; PMID: 33089965
- Cui X, Zhou J, Pivodic A, Dahlström U, Ge J, Fu M. Temporal trends in cause-specific readmissions and their risk factors in heart failure patients in Sweden. Int J Cardiol. 2020 May 1;306:116–122. doi: 10.1016/j.ijcard.2020.02.048; PMID: 32145935
- Corrao G, Ghirardi A, Ibrahim B, Merlino L, Maggioni A Pietro. Short-and long-term mortality and hospital readmissions among patients with new hospitalization for heart failure: a population-based investigation from Italy. Int J Cardiol. 2015 Feb 15;181:81–87. doi: 10.1016/j.ijcard.2014.12.004; PMID: 25497525
- Lorenzovici L, Bârzan-Székely A, Farkas-Ráduly S, Pană BC, Csanádi M, Chiriac ND, Kaló Z. Burden of Chronic Heart Failure in Romania. Healthcare (Basel). 2022 Jan 1;10(1). doi: 10.3390/healthcare10010107; PMID: 35052271
- Metra M, Adamo M, Tomasoni D, Mebazaa A, Bayes-Genis A, Abdelhamid M, Adamopoulos S, Anker SD, Bauersachs J, Belenkov Y, Böhm M, Gal T Ben, Butler J, Cohen-Solal A, Filippatos G, Gustafsson F, Hill L, Jaarsma T, Jankowska EA, Lainscak M, Lopatin Y, Lund LH, McDonagh T, Milicic D, Moura B, Mullens W, Piepoli M, Polovina M, Ponikowski P, Rakisheva A, Ristic A, Savarese G, Seferovic P, Sharma R, Thum T, Tocchetti CG, Van Linthout S, Vitale C, Von Haehling S, Volterrani M, Coats AJS, Chioncel O, Rosano G. Pre-discharge and early post-discharge management of patients hospitalized for acute heart failure: a scientific statement by the Heart Failure Association of the ESC. Eur J Heart Fail. 2023 Jul 1;25(7):1115–1131. doi: 10.1002/ejhf.2888; PMID: 37448210
- Piepoli MF, Adamo M, Barison A, Bestetti RB, Biegus J, Böhm M, Butler J, Carapetis J, Ceconi C, Chioncel O, Coats A, Crespo-Leiro MG, De Simone G, Drexel H, Emdin M, Farmakis D, Halle M, Heymans S, Jaarsma T, Jankowska E, Lainscak M, Lam CSP, Løchen ML, Lopatin Y, Maggioni A, Matrone B, Metra M, Noonan K, Pina I, Prescott E, Rosano G, Seferovic PM, Sliwa K, Stewart S, Uijl A, Vaartjes I, Vermeulen R, Verschuren WM, Volterrani M, Von Haehling S, Hoes A. Preventing heart failure: a position paper of the Heart Failure Association in collaboration with the European Association of Preventive Cardiology. Eur J Prev Cardiol. 2022 Jan 1;29(1):275–300. doi: 10.1093/eurjpc/zwab147; PMID: 35083485
- Mullens W, Damman K, Harjola VP, Mebazaa A, Brunner-La Rocca HP, Martens P, Testani JM, Tang WHW, Orso F, Rossignol P, Metra M, Filippatos G, Seferovic PM, Ruschitzka F, Coats AJ. The use of diuretics in heart failure with congestion — a position statement from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2019 Feb 1;21(2):137–155. doi: 10.1002/ejhf.1369; PMID: 30600580
- Chioncel O, Mebazaa A, Farmakis D, Abdelhamid M, Lund LH, Harjola VP, Anker S, Filippatos G, Ben-Gal T, Damman K, Skouri H, Antohi L, Collins SP, Adamo M, Miro O, Hill L, Parissis J, Moura B, Mueller C, Jankowska E, Lopatin Y, Dunlap M, Volterrani M, Fudim M, Flammer AJ, Mullens W, Pang PS, Tica O, Ponikowski P, Ristic A, Butler J, Savarese G, Cicoira M, Thum T, Bayes Genis A, Polyzogopoulou E, Seferovic P, Yilmaz MB, Rosano G, Coats AJS, Metra M. Pathophysiology and clinical use of agents with vasodilator properties in acute heart failure. A scientific statement of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC). Eur J Heart Fail. 2025 Jun 1;27(6):1067–1088. doi: 10.1002/ejhf.3673; PMID: 40320261
- Riccardi M, Pagnesi M, Chioncel O, Mebazaa A, Cotter G, Gustafsson F, Tomasoni D, Latronico N, Adamo M, Metra M. Medical therapy of cardiogenic shock: Contemporary use of inotropes and vasopressors. Eur J Heart Fail. 2024 Feb 1;26(2):411–431. doi: 10.1002/ejhf.3162; PMID: 38391010
- Harjola VP, Parissis J, Bauersachs J, Brunner-La Rocca HP, Bueno H, Čelutkienė J, Chioncel O, Coats AJS, Collins SP, de Boer RA, Filippatos G, Gayat E, Hill L, Laine M, Lassus J, Lommi J, Masip J, Mebazaa A, Metra M, Miró Ò, Mortara A, Mueller C, Mullens W, Peacock WF, Pentikäinen M, Piepoli MF, Polyzogopoulou E, Rudiger A, Ruschitzka F, Seferovic P, Sionis A, Teerlink JR, Thum T, Varpula M, Weinstein JM, Yilmaz MB. Acute coronary syndromes and acute heart failure: a diagnostic dilemma and high-risk combination. A statement from the Acute Heart Failure Committee of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2020 Aug 1;22(8):1298–1314. doi: 10.1002/ejhf.1831; PMID: 32347648
- Omerovic E, Citro R, Bossone E, Redfors B, Backs J, Bruns B, Ciccarelli M, Couch LS, Dawson D, Grassi G, Iacoviello M, Parodi G, Schneider B, Templin C, Ghadri JR, Thum T, Chioncel O, Tocchetti CG, van der Velden J, Heymans S, Lyon AR. Pathophysiology of Takotsubo syndrome — a joint scientific statement from the Heart Failure Association Takotsubo Syndrome Study Group and Myocardial Function Working Group of the European Society of Cardiology — Part 2: vascular pathophysiology, gender, and sex hormones, genetics, chronic cardiovascular problems and clinical implications. Eur J Heart Fail. 2022 Feb 1;24(2):274–286. doi: 10.1002/ejhf.2368; PMID: 34655287
- Chioncel O, Adamo M, Nikolaou M, Parissis J, Mebazaa A, Yilmaz MB, Hassager C, Moura B, Bauersachs J, Harjola VP, Antohi EL, Ben-Gal T, Collins SP, Iliescu VA, Abdelhamid M, Čelutkienė J, Adamopoulos S, Lund LH, Cicoira M, Masip J, Skouri H, Gustafsson F, Rakisheva A, Ahrens I, Mortara A, Janowska EA, Almaghraby A, Damman K, Miro O, Huber K, Ristic A, Hill L, Mullens W, Chieffo A, Bartunek J, Paolisso P, Bayes-Genis A, Anker SD, Price S, Filippatos G, Ruschitzka F, Seferovic P, Vidal-Perez R, Vahanian A, Metra M, McDonagh TA, Barbato E, Coats AJS, Rosano GMC. Acute heart failure and valvular heart disease: a scientific statement of the Heart Failure Association, the Association for Acute CardioVascular Care and the European Association of Percutaneous Cardiovascular Interventions of the European Society of Cardiology. Eur J Heart Fail. 2023 Jul 1;25(7):1025–1048. doi: 10.1002/ejhf.2918; PMID: 37312239
- Gorenek B, Wijnmaalen AP, Goette A, Mert GO, Porter B, Gustafsson F, Dan GA, Ector J, Stuehlinger M, Spartalis M, Gosau N, Amir O, Chioncel O. Ventricular arrhythmias in acute heart failure: a clinical consensus statement of the Association for Acute CardioVascular Care, the European Heart Rhythm Association, and the Heart Failure Association of the European Society of Cardiology. Europace. 2024 Oct 1;26(10). doi: 10.1093/europace/euae235; PMID: 39270731
- Sliwa K, van der Meer P, Petrie MC, Frogoudaki A, Johnson MR, Hilfiker-Kleiner D, Hamdan R, Jackson AM, Ibrahim B, Mbakwem A, Tschöpe C, Regitz-Zagrosek V, Omerovic E, Roos-Hesselink J, Gatzoulis M, Tutarel O, Price S, Heymans S, Coats AJS, Müller C, Chioncel O, Thum T, de Boer RA, Jankowska E, Ponikowski P, Lyon AR, Rosano G, Seferovic PM, Bauersachs J. Risk stratification and management of women with cardiomyopathy/heart failure planning pregnancy or presenting during/after pregnancy: a position statement from the Heart Failure Association of the European Society of Cardiology Study Group on Peripartum Cardiomyopathy. Eur J Heart Fail. 2021 Apr 1;23(4):527–540.; PMID: 33609068
- Seferović PM, Polovina M, Rosano G, Bozkurt B, Metra M, Heymans S, Mullens W, Bauersachs J, Sliwa K, de Boer RA, Farmakis D, Thum T, Olivotto I, Rapezzi C, Linhart A, Corrado D, Tschöpe C, Milinković I, Bayes Genis A, Filippatos G, Keren A, Ašanin M, Krljanac G, Maksimović R, Skouri H, Ben Gal T, Moura B, Volterrani M, Abdelhamid M, Lopatin Y, Chioncel O, Coats AJS. State-of-the-art document on optimal contemporary management of cardiomyopathies. Eur J Heart Fail. 2023 Nov 1;25(11):1899–1922. doi: 10.1002/ejhf.2133; PMID: 37470300
- Gualandro DM, Masip J, Halvorsen S, Price S, Rosselló X, Chioncel O, Peacock WF, Miró Ò, Oliveira MT, Mebazaa A, Platz E, Amir O, Schaubroeck H, Grand J, Sionis A, Tavazzi G, Pöss J, Verbrugge FH, Gambaro A, Tica O, Arrigo M, Mueller C. Acute heart failure in non-cardiac surgery. Eur Heart J. 2025 Oct 21;46(40):4042–4059. doi: 10.1093/eurheartj/ehaf559; PMID: 40838822
- Cotter G, Deniau B, Davison B, Edwards C, Adamo M, Arrigo M, Barros M, Biegus J, Celutkiene J, Čerlinskaitė-Bajorė K, Chioncel O, Cohen-Solal A, Damasceno A, Diaz R, Filippatos G, Gayat E, Kimmoun A, Lam CSP, Metra M, Novosadova M, Pang PS, Pagnesi M, Ponikowski P, Saidu H, Sliwa K, Takagi K, Ter Maaten JM, Tomasoni D, Voors A, Mebazaa A. Optimization of evidence-based heart failure medications after an acute heart failure admission: a secondary analysis of the STRONG-HF randomized clinical trial. JAMA Cardiol. 2024 Feb 14;9(2):114–124. doi: 10.1001/jamacardio.2023.4553; PMID: 38150260
- Bueno H, Go?i C, Salguero-Bodes R, Palacios B, Vicent L, Moreno G, Rosillo N, Varela L, Capel M, Delgado J, Arribas F, Del Oro M, Ortega C, Bernal JL. Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost. Front Cardiovasc Med. 2022 Mar 17;9:818525. doi: 10.3389/fcvm.2022.818525
- Kwok CS, Seferovic PM, Van Spall HG, Helliwell T, Clarson L, Lawson C, Kontopantelis E, Patwala A, Duckett S, Fung E, Mallen CD, Mamas MA. Early Unplanned Readmissions After Admission to Hospital With Heart Failure. Am J Cardiol. 2019 Sep 1;124(5):736-745. doi: 10.1016/j.amjcard.2019.05.053
- Strategia Nationala de Combatere a Bolilor Cardiovasculare si Cerebrovasculare 2025–2030. Ministerul Sanatatii. 14 July 2025 [Accessed Jan 7 2026]. Available at https://legislatie.just.ro/Public/DetaliiDocumentAf¡s/299945
- Chioncel O, Savarese G, Laroche C, Amir O, Tokmakova M, Cannata A, Do Doan L, Kafafy TANA, Krejci J, Moura B, Lund L, Adamo M, Guillouche W, Volterani M, Iung B, Metra M. Global Registries and Surveys Programme-Heart Failure (GRASP-HF): rationale, study design and research implications. Eur J Heart Fail. 2025 Nov;27(11):2061-2073. doi: 10.1002/ejhf.70065 ;PMID: 41126578
- Vladescu C, Ciutan M, Rafila A. In-hospital admissions and deaths in the context of the COVID-19 pandemic, in Romania. Germs [Internet]. European Academy of HIV/AIDS and Infectious Diseases. 2022;12(2):169. doi: 10.18683/germs.2022.1320; PMID: 36504608