The Impact of the COVID-19 Pandemic on ST Elevation Myocardial Infarction Care Indicators at a Public Hospital in Brazil
Int. j. cardiovasc. sci. (Impr.)
; 36: e20220009, 2023. tab, graf
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| ID: biblio-1448461
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ABSTRACT
Abstract Background International publications have shown that the COVID-19 pandemic has negatively impacted the indicators of care for ST-segment elevation acute myocardial infarction (STEMI), with a potential increase in morbidity and mortality. Objectives To compare mortality, time from symptom onset to primary angioplasty (total delay [TD]), time from symptom onset to initial medical contact (patient delay [PD]), and time from initial medical contact to guidewire insertion in the hemodynamics laboratory (system delay [SD]) among patients admitted for STEMI at the Hemodynamics Service of Santa Casa de Passos, Minas Gerais, Brazil before and after the declaration of the COVID-19 pandemic by the World Health Organization, assessing the impact of the COVID-19 pandemic on STEMI care indicators. Methods This is a before-and-after study involving patients hospitalized with STEMI undergoing primary angioplasty. Data were collected retrospectively through medical record review. Clinical and demographic profiles and outcomes between the pre-pandemic and pandemic groups were compared using the chi-square test for categorical variables or Student's t-test for continuous variables. A significance level of p < 0.05 was adopted. Results There were no differences in TD (pre-pandemic 300 min [± 159 min], 95% CI 277.1 to 322.6; pandemic 300 min [± 148 min], 95% CI 274.3 to 326.6, p = 0.97). However, there was an increase in SD (pre-pandemic 145 min [± 97 min], 95% CI 122.7 to 167.9; pandemic 178 min [± 96 min], 95% CI 157.4 to 197.9, p = 0.037). There was no increase in PD (pre-pandemic 145 min ± 133 min; pandemic 130 min ± 117 min, p = 0.44), and no differences in mortality were observed (pre-pandemic 9.7%; pandemic 12%, p = 0.49). Conclusion The COVID-19 pandemic increased SD in the management of STEMI in the region of Passos, Minas Gerais. There were no differences in PD, TD, and in-hospital mortality.
Texte intégral:
1
Indice:
LILACS
Pays comme sujet:
America do sul
/
Brasil
langue:
En
Texte intégral:
Int. j. cardiovasc. sci. (Impr.)
Thème du journal:
CARDIOLOGIA
Année:
2023
Type:
Article