Impact of COVID-19 pandemic on emergency medical system and management strategies in patients with acute coronary syndrome
© 2023. The Author(s)..
The global coronavirus disease-2019 (COVID-19) pandemic is associated with reduced rate of percutaneous coronary intervention (PCI). However, there were a few data showing how emergency medical system (EMS) and management strategies for acute coronary syndrome (ACS) changed during the pandemic. We sought to clarify changes on characteristics, treatments, and in-hospital mortality of patients with ACS transported via EMS between pre- and post-pandemic. We examined consecutive 656 patients with ACS admitted to Sapporo City ACS Network Hospitals between June 2018 and November 2021. The patients were divided into pre- and post-pandemic groups. The number of ACS hospitalizations declined significantly during the pandemic (proportional reduction 66%, coefficient -0.34, 95% CI -0.50 to -0.18, p < 0.001). The median time from an EMS call to hospital was significantly longer in post-pandemic group than in pre-pandemic group (32 [26-39] vs. 29 [25-36] min, p = 0.008). There were no significant differences in the proportion of patients with ACS receiving PCI, and in-hospital mortality between the groups. The COVID-19 pandemic had a significant impact on EMS and management in patients with ACS. Although a significant decline was observed in ACS hospitalizations, the proportion of patients with ACS receiving emergency PCI remained during the pandemic.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
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| Enthalten in: |
Scientific reports - 13(2023), 1 vom: 29. März, Seite 5120 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Saiin, Kohei [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 31.03.2023 Date Revised 19.04.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1038/s41598-023-32223-1 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM354959662 |
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| 520 | |a The global coronavirus disease-2019 (COVID-19) pandemic is associated with reduced rate of percutaneous coronary intervention (PCI). However, there were a few data showing how emergency medical system (EMS) and management strategies for acute coronary syndrome (ACS) changed during the pandemic. We sought to clarify changes on characteristics, treatments, and in-hospital mortality of patients with ACS transported via EMS between pre- and post-pandemic. We examined consecutive 656 patients with ACS admitted to Sapporo City ACS Network Hospitals between June 2018 and November 2021. The patients were divided into pre- and post-pandemic groups. The number of ACS hospitalizations declined significantly during the pandemic (proportional reduction 66%, coefficient -0.34, 95% CI -0.50 to -0.18, p < 0.001). The median time from an EMS call to hospital was significantly longer in post-pandemic group than in pre-pandemic group (32 [26-39] vs. 29 [25-36] min, p = 0.008). There were no significant differences in the proportion of patients with ACS receiving PCI, and in-hospital mortality between the groups. The COVID-19 pandemic had a significant impact on EMS and management in patients with ACS. Although a significant decline was observed in ACS hospitalizations, the proportion of patients with ACS receiving emergency PCI remained during the pandemic | ||
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| 700 | 1 | |a Takenaka, Sakae |e verfasserin |4 aut | |
| 700 | 1 | |a Nagai, Toshiyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Takahashi, Akinori |e verfasserin |4 aut | |
| 700 | 1 | |a Mizuguchi, Yoshifumi |e verfasserin |4 aut | |
| 700 | 1 | |a Konishi, Takao |e verfasserin |4 aut | |
| 700 | 1 | |a Anzai, Toshihisa |e verfasserin |4 aut | |
| 700 | 1 | |a Hotta, Daisuke |e verfasserin |4 aut | |
| 700 | 1 | |a Kamigaki, Mitsunori |e verfasserin |4 aut | |
| 700 | 1 | |a Yamazaki, Seiji |e verfasserin |4 aut | |
| 700 | 1 | |a Fujita, Tsutomu |e verfasserin |4 aut | |
| 700 | 1 | |a Yamashita, Takehiro |e verfasserin |4 aut | |
| 700 | 1 | |a Kawahatsu, Kandoh |e verfasserin |4 aut | |
| 700 | 1 | |a Suzuki, Takashi |e verfasserin |4 aut | |
| 700 | 1 | |a Nozaki, Yoichi |e verfasserin |4 aut | |
| 700 | 1 | |a Sakurada, Taku |e verfasserin |4 aut | |
| 700 | 1 | |a Takenaka, Takashi |e verfasserin |4 aut | |
| 700 | 1 | |a Igarashi, Yasumi |e verfasserin |4 aut | |
| 700 | 1 | |a Makino, Takao |e verfasserin |4 aut | |
| 700 | 0 | |a Sapporo city Acute Coronary Syndrome Network |e verfasserin |4 aut | |
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