Acute STEMI During the COVID-19 Pandemic at a Regional Hospital: Incidence, Clinical Characteristics, and Outcomes
Journal of Clinical Outcomes Management
; 29(5):65-71, 2022.
Article
in English
| EMBASE | ID: covidwho-2067255
ABSTRACT
Objectives:
The aim of this study was to describe the characteristics and in-hospital outcomes of patients with acute ST-segment elevation myocardial infarction (STEMI) during the early COVID-19 pandemic at Piedmont Athens Regional (PAR), a 330-bed tertiary referral center in Northeast Georgia. Method(s) A retrospective study was conducted at PAR to evaluate patients with acute STEMI admitted over an 8-week period during the initial COVID-19 outbreak. This study group was compared to patients admitted during the corresponding period in 2019. The primary endpoint of this study was defined as a composite of sustained ventricular arrhythmia, congestive heart failure (CHF) with pulmonary congestion, and/or in-hospital mortality. Result(s) This study cohort was composed of 64 patients with acute STEMI;30 patients (46.9%) were hospitalized during the COVID-19 pandemic. Patients with STEMI in both the COVID-19 and control groups had similar comorbidities, Killip classification score, and clinical presentations. The median (interquartile range) time from symptom onset to reperfusion (total ischemic time) increased from 99.5 minutes (84.8-132) in 2019 to 149 minutes (96.3-231.8;P= .032) in 2020. Hospitalization during the COVID-19 period was associated with an increased risk for combined in-hospital outcome (odds ratio, 3.96;P= .046). Conclusion(s) Patients with STEMI admitted during the first wave of the COVID-19 outbreak experienced longer total ischemic time and increased risk for combined in-hospital outcomes compared to patients admitted during the corresponding period in 2019. Copyright © 2022 Turner White Communications Inc.. All rights reserved.
acute coronary syndrome; hospitalization; myocardial infarction; outcomes; adult; article; clinical evaluation; clinical feature; cohort analysis; comorbidity; congestive heart failure; controlled study; coronavirus disease 2019; female; heart infarction; heart ventricle arrhythmia; human; in-hospital mortality; incidence; ischemia time; lung congestion; major clinical study; male; outcome assessment; pandemic; reperfusion; retrospective study; ST segment elevation myocardial infarction; tertiary care center
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Journal of Clinical Outcomes Management
Year:
2022
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS