| Title: |
Impact of the COVID-19 pandemic on hospitalizations for acute coronary syndromes: a multinational study |
| Authors: |
Araiza-Garaygordobil, D; Montalto, C; Martinez-Amezcua, P; Cabello-Lopez, A; Gopar-Nieto, R; Alabrese, R; Almaghraby, A; Catoya-Villa, S; Chacon-Diaz, M; Kaufmann, C C; Corbi-Pascual, M; Deharo, P; El-Tahlawi, M; Elgohari-Abdelwahab, A; Guerra, F; Jarakovic, M; Martinez-Gomez, E; Moderato, L; Montero, S; Morejon-Barragan, P; Omar, A M; Jorge-Pérez, P; Przybyło, P; Selim, E; Sinan, U Y; Stratinaki, M; Tica, O; Trêpa, M; Uribarri, A; Uzokov, J; Wilk, K; Czerwińska-Jelonkiewicz, K; Sionis, A; Gierlotka, M; Leonardi, S; Krychtiuk, K A; Tavazzi, G |
| Source: |
QJM: An International Journal of Medicine ; volume 114, issue 9, page 642-647 ; ISSN 1460-2725 1460-2393 |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2021 |
| Description: |
Background COVID-19 has challenged the health system organization requiring a fast reorganization of diagnostic/therapeutic pathways for patients affected by time-dependent diseases such as acute coronary syndromes (ACS). Aim To describe ACS hospitalizations, management, and complication rate before and after the COVID-19 pandemic was declared. Design Ecological retrospective study. Methods: We analyzed aggregated epidemiological data of all patients > 18 years old admitted for ACS in twenty-nine hub cardiac centers from 17 Countries across 4 continents, from December 1st, 2019 to April 15th, 2020. Data from December 2018 to April 2019 were used as historical period. Results A significant overall trend for reduction in the weekly number of ACS hospitalizations was observed (20.2%; 95% confidence interval CI [1.6, 35.4] P = 0.04). The incidence rate reached a 54% reduction during the second week of April (incidence rate ratio: 0.46, 95% CI [0.36, 0.58]) and was also significant when compared to the same months in 2019 (March and April, respectively IRR: 0.56, 95%CI [0.48, 0.67]; IRR: 0.43, 95%CI [0.32, 0.58] p < 0.001). A significant increase in door-to-balloon, door-to-needle, and total ischemic time (p |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/qjmed/hcab013 |
| DOI: |
10.1093/qjmed/hcab013/36209928/hcab013.pdf |
| Availability: |
https://doi.org/10.1093/qjmed/hcab013; http://academic.oup.com/qjmed/advance-article-pdf/doi/10.1093/qjmed/hcab013/36209928/hcab013.pdf; https://academic.oup.com/qjmed/article-pdf/114/9/642/41146615/hcab013.pdf |
| Rights: |
https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
| Accession Number: |
edsbas.7CCB3B4C |
| Database: |
BASE |