Impact of COVID-19 on emergency department management of stroke and STEMI. A narrative review.
Am J Emerg Med
; 57: 91-97, 2022 07.
Article
in English
| MEDLINE | ID: covidwho-1814024
ABSTRACT
The novel coronavirus of 2019 (COVID-19) has resulted in a global pandemic; COVID-19 has resulted in significant challenges in the delivery of healthcare, including emergency management of multiple diagnoses, such as stroke and ST-segment myocardial infarction (STEMI). The aim of this study was to identify the impacts of the COVID-19 pandemic on emergency department care of stroke and STEMI patients. In this study a review of the available literature was performed using pre-defined search terms, inclusion criteria, and exclusion criteria. Our analysis, using a narrative review format, indicates that there was not a significant change in time required for key interventions for stroke and STEMI emergent management, including imaging (door-to-CT), tPA administration (door-to-needle), angiographic reperfusion (door-to-puncture), and percutaneous coronary intervention (door-to-balloon). Potential future areas of investigation include how emergency department (ED) stroke and STEMI care has adapted in response to different COVID-19 variants and stages of the pandemic, as well as identifying strategies used by EDs that were successful in providing effective emergency care in the face of the pandemic.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Stroke
/
Percutaneous Coronary Intervention
/
ST Elevation Myocardial Infarction
/
COVID-19
/
Myocardial Infarction
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Reviews
Topics:
Variants
Limits:
Humans
Language:
English
Journal:
Am J Emerg Med
Year:
2022
Document Type:
Article
Affiliation country:
J.ajem.2022.04.033
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