Impact of COVID-19 pandemic lockdown on myocardial infarction care
Autor: | Sebastian E. Baumeister, Jakob Linseisen, Christian Thilo, Timo Schmitz, Ute Amann, Inge Kirchberger, Christa Meisinger |
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Rok vydání: | 2021 |
Předmět: |
Male
medicine.medical_specialty Time Factors Coronavirus disease 2019 (COVID-19) Epidemiology Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Population Physical Distancing Myocardial Infarction Infarction 030204 cardiovascular system & hematology Augsburg Population-based registry 03 medical and health sciences 0302 clinical medicine Sex Factors Bavaria Covid-19 Door-to-device-time Germany Lockdown Population-based Registry Pandemic Medicine Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction ddc:610 Prospective Studies Registries education Pandemics Aged education.field_of_study business.industry SARS-CoV-2 Public health Age Factors COVID-19 Middle Aged medicine.disease Emergency medicine Quarantine Female business |
Zdroj: | European Journal of Epidemiology Eur. J. Epidemiol. 36, 619–627 (2021) |
ISSN: | 1573-7284 |
Popis: | The aim of this study was to evaluate the impact of the COVID-19 pandemic lockdown on acute myocardial infarction (AMI) care, and to identify underlying stressors in the German model region for complete AMI registration. The analysis was based on data from the population-based KORA Myocardial Infarction Registry located in the region of Augsburg, Germany. All cases of AMI (n = 210) admitted to one of four hospitals in the city of Augsburg or the county of Augsburg from February 10th, 2020, to May 19, 2020, were included. Patients were divided into three groups, namely pre-lockdown, strict lockdown, and attenuated lockdown period. An additional survey was conducted asking the patients for stress and fears in the 4 weeks prior to their AMI. The AMI rate declined by 44% in the strict lockdown period; in the attenuated lockdown period the rate was 17% lower compared to the pre-lockdown period. The downward trend in AMI rates during lockdown was seen in STEMI and NSTEMI patients, and independent of sex and age. The door-to-device time decreased by 70–80% in the lockdown-periods. In the time prior to the infarction, patients felt stressed mainly due to fear of infection with Sars-CoV-2 and less because of the restrictions and consequences of the lockdown. A strict lockdown due to the Covid-19 pandemic had a marked impact on AMI care even in a non-hot-spot region with relatively few cases of COVID-19. Fear of infection with the virus is presumably the main reason for the drop in hospitalizations due to AMI. |
Databáze: | OpenAIRE |
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