Unknown

Dataset Information

0

COVID-19-mediated patient delay caused increased total ischaemic time in ST-segment elevation myocardial infarction.


ABSTRACT:

Background

The current study aimed to evaluate changes in treatment delay and outcome for ST-segment elevation myocardial infarction (STEMI) in the Netherlands during the first coronavirus disease 2019 (COVID-19) outbreak, thereby comparing regions with a high and low COVID-19 hospitalisation rate.

Methods

Clinical characteristics, STEMI timing variables, 30-day all-cause mortality and cardiovascular complications of all consecutive patients admitted for STEMI from 1 January to 30 June in 2020 and 2019 to six hospitals performing a high volume of percutaneous coronary interventions were collected retrospectively using data from the Netherlands Heart Registry, hospital records and ambulance report forms. Patient delay, pre-hospital delay and door-to-balloon time before and after the outbreak of COVID-19 were compared to the equivalent periods in 2019.

Results

A total of 2169 patients were included. During the outbreak median total treatment delay significantly increased (2 h 51 min vs 2 h 32 min; p = 0.043) due to an increased patient delay (1 h 20 min vs 1 h; p = 0.030) with more late presentations > 24 h (1.1% vs 0.3%) in 2020. This increase was particularly evident during the peak phase of COVID-19 in regions with a high COVID-19 hospitalisation rate. During the peak phase door-to-balloon time was shorter (38 min vs 43 min; p = 0.042) than in 2019. All-cause 30-day mortality was comparable in both time frames (7.8% vs 7.3%; p = 0.797).

Conclusions

During the outbreak of COVID-19 patient delay caused an increase in total ischaemic time for STEMI, with a more pronounced delay in high-endemic regions, stressing the importance of good patient education during comparable crisis situations.

SUBMITTER: Sturkenboom HN 

PROVIDER: S-EPMC8767528 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

altmetric image

Publications

COVID-19-mediated patient delay caused increased total ischaemic time in ST-segment elevation myocardial infarction.

Sturkenboom H N HN   van Hattem V A E VAE   Nieuwland W W   Paris F M A FMA   Magro M M   Anthonio R L RL   Algin A A   Lipsic E E   Bruwiere E E   Van den Branden B J L BJL   Polad J J   Tonino P P   Tio R A RA  

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation 20220119 2


<h4>Background</h4>The current study aimed to evaluate changes in treatment delay and outcome for ST-segment elevation myocardial infarction (STEMI) in the Netherlands during the first coronavirus disease 2019 (COVID-19) outbreak, thereby comparing regions with a high and low COVID-19 hospitalisation rate.<h4>Methods</h4>Clinical characteristics, STEMI timing variables, 30-day all-cause mortality and cardiovascular complications of all consecutive patients admitted for STEMI from 1 January to 30  ...[more]

Similar Datasets

| S-EPMC8103948 | biostudies-literature
| S-EPMC5898983 | biostudies-literature
| S-EPMC10954851 | biostudies-literature
| S-EPMC10980438 | biostudies-literature
| S-EPMC11830255 | biostudies-literature
| S-EPMC8454141 | biostudies-literature
| S-EPMC5814984 | biostudies-literature
| S-EPMC11210834 | biostudies-literature
| S-EPMC7955417 | biostudies-literature
| S-EPMC5922709 | biostudies-other