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Reduction of Emergency Calls and Hospitalizations for Cardiac Causes: Effects of Covid-19 Pandemic and Lockdown in Tuscany Region.
D'Ascenzi, Flavio; Cameli, Matteo; Forni, Silvia; Gemmi, Fabrizio; Szasz, Claudia; Fabrizio, Valeria Di; Mechi, Maria Teresa; Nocci, Matteo; Mondillo, Sergio; Valente, Serafina.
  • D'Ascenzi F; Division of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
  • Cameli M; Division of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
  • Forni S; Regional Health Agency of Tuscany, Florence, Italy.
  • Gemmi F; Regional Health Agency of Tuscany, Florence, Italy.
  • Szasz C; Regional Health Agency of Tuscany, Florence, Italy.
  • Fabrizio VD; Regional Health Agency of Tuscany, Florence, Italy.
  • Mechi MT; Quality of Care and Clinical Networks, Regional Health Department of Tuscany, Florence, Italy.
  • Nocci M; Quality of Care and Clinical Networks, Regional Health Department of Tuscany, Florence, Italy.
  • Mondillo S; Division of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
  • Valente S; Division of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Front Cardiovasc Med ; 8: 625569, 2021.
Article in English | MEDLINE | ID: covidwho-1156115
ABSTRACT

Introduction:

Containment measures were established to flatten the curve of COVID-19 contagion in order to avoid a crash of the healthcare system. However, these measures influenced the rate of hospitalization of cardiac patients. In this study, we aimed to analyse the impact of COVID-19 and the effects of lockdown measures on hospital admissions and alerts of emergency medical system (EMS) for cardiac causes in the Tuscany region.

Methods:

An observational, retrospective analysis from Italian Tuscany region was conducted. We evaluated consecutive patients contacting EMS or admitted to the 39 Emergency Departments (EDs) in Tuscany for cardiac causes in the first trimester of 2020. Data were compared with the same period in 2018/19.

Results:

The alerts of EMS for cardiac causes significantly decrease in 2020 and the highest difference between 2018/19 and 2020 was found immediately after national lockdown (Δ = -47.4%, p < 0.001). The number of admissions for chest pain in the EDs also decreased, with a maximum difference of -67.6% (p < 0.001) vs. 2018/19. The number of hospital accesses for acute coronary syndromes, atrial fibrillation, and heart failure in the EDs significantly decreased in 2020 as compared to 2018/19 (maximum Δ = -58.9%, p < 0.001; maximum Δ = -63.0%, p < 0.001; maximum Δ = -72.7%, p < 0.001, respectively).

Conclusions:

A significant decrease in the contacts to EMS for cardiac causes and in cardiac diagnoses was observed during the first trimester of 2020. Fear of contagion has likely played a relevant role. The lesson learnt from first wave of COVID-19 pandemic suggests that appropriate public information strategies and re-education of people are essential.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Journal: Front Cardiovasc Med Year: 2021 Document Type: Article Affiliation country: Fcvm.2021.625569

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Journal: Front Cardiovasc Med Year: 2021 Document Type: Article Affiliation country: Fcvm.2021.625569