Impact of COVID-19 outbreak on hospital admissions and outcome of acute coronary syndromes in a single high-volume centre in southeastern Europe.
Neth Heart J
; 29(4): 230-236, 2021 Apr.
Article
em En
| MEDLINE
| ID: mdl-33704668
BACKGROUND: As coronavirus disease 2019 (COVID-19) has reached pandemic status, authors from the most severely affected countries have reported reduced rates of hospital admissions for patients with acute coronary syndrome (ACS). AIM: The aim of the present study was to investigate the influence of the COVID-19 outbreak on hospital admissions and outcomes in ACS patients in a single high-volume centre in southeastern Europe. METHODS: This retrospective observational study aimed to investigate the number of hospital admissions for ACS, clinical findings at admission, length of hospitalisation, major complications and in-hospital mortality during the COVID-19 outbreak and to compare the data with the same parameters during an equivalent time frame in 2019. For the ST-elevated myocardial infarction (STEMI) subgroup of patients, changes in ischaemic times were analysed as well. RESULTS: There was a significant reduction of 44.3% in the number of patients admitted for ACS during the COVID-19 outbreak when compared with the same period in 2019 (151 vs 271; 95% confidence interval 38.4-50.2, pâ¯<â¯0.01) with a higher mortality rate (13.2% vs 7.2%, pâ¯= 0.03). In 2020, patients with non-ST-elevated myocardial infarction presented more often with acute heart failure (3.3% vs 0.7%, pâ¯= 0.04). During the COVID-19 outbreak, we observed increases in the total ischaemic time (303⯱ 163.4 vs 200.8⯱ 156.8â¯min, pâ¯<â¯0.05) and door-to-balloon time (69.2⯱ 58.4 vs 50.5⯱ 31.3â¯min, pâ¯<â¯0.01) in STEMI patients. CONCLUSIONS: These findings should increase the awareness of morbidity and mortality related to missed or delayed treatment of ACS among the public and the healthcare services.
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MEDLINE
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2021
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Article