Impact of COVID-19 pandemic on emergency medical system and management strategies in patients with acute coronary syndrome

Autor: Kohei Saiin, Sakae Takenaka, Toshiyuki Nagai, Akinori Takahashi, Yoshifumi Mizuguchi, Takao Konishi, Toshihisa Anzai, Daisuke Hotta, Mitsunori Kamigaki, Seiji Yamazaki, Tsutomu Fujita, Takehiro Yamashita, Kandoh Kawahatsu, Takashi Suzuki, Yoichi Nozaki, Taku Sakurada, Takashi Takenaka, Yasumi Igarashi, Takao Makino, The Sapporo city Acute Coronary Syndrome Network
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Scientific Reports, Vol 13, Iss 1, Pp 1-10 (2023)
Druh dokumentu: article
ISSN: 2045-2322
DOI: 10.1038/s41598-023-32223-1
Popis: Abstract 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
Databáze: Directory of Open Access Journals
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