Impact of public health emergency response to COVID-19 on management and outcome for stemi patients in beijing—a single-centre historic control study
Background: Coronavirus disease 2019 (COVID-19) pandemic poses great challenge on public health globally. Objective: To clarify the impact of COVID-19 pandemic on in-hospital management and outcomes for ST-segment elevation myocardial infarction (STEMI) patients in the non-epicenter. Methods and Res...
- Autores:
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2020
- Institución:
- Universidad de Bogotá Jorge Tadeo Lozano
- Repositorio:
- Expeditio: repositorio UTadeo
- Idioma:
- eng
- OAI Identifier:
- oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/12762
- Acceso en línea:
- https://doi.org/10.1016/j.cpcardiol.2020.100693
http://hdl.handle.net/20.500.12010/12762
- Palabra clave:
- COVID-19
STEMI
Management algorithm
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
- Rights
- License
- Acceso restringido
Summary: | Background: Coronavirus disease 2019 (COVID-19) pandemic poses great challenge on public health globally. Objective: To clarify the impact of COVID-19 pandemic on in-hospital management and outcomes for ST-segment elevation myocardial infarction (STEMI) patients in the non-epicenter. Methods and Results: We enrolled consecutive STEMI patients who visited Fuwai Hospital from January to March, 2020 (N=73) and also established a historical control including all consecutive STEMI patients in the same period of 2019 (N=95). The primary outcome was defined as a composite endpoint of all-cause death, heart failure, cardiac shock and cardiac arrest during hospitalization. Results: Emergency response for COVID-19 resulted in a significant 77.6% reduction in the number of primary percutaneous coronary intervention (PCI), and a trend towards higher rate of primary composite endpoint (15.1% vs. 11.6%, p=0.51). Conclusions: COVID-19 pandemic results in a significant reduction in emergent reperfusion therapy, and a trend towards higher in-hospital adverse events risk. |
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