Hospitalizations and in-hospital outcomes in patients with ST-elevation myocardial infarction during the coronavirus disease 2019 pandemic: The Albanian experience

Autor: Leonard Simoni, Ilir Alimehmeti, Mirald Gina, Astrit Ceka, Ermir Tafaj, Alban Dibra, Artan Goda
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Anatolian Journal of Cardiology, Vol 26, Iss 2, Pp 118-126 (2022)
Druh dokumentu: article
ISSN: 2149-2271
DOI: 10.5152/AnatolJCardiol.2021.486
Popis: Objective: Global studies report a significant decline in ST-elevation myocardial infarction (STEMI) related hospitalization rates during the coronavirus disease 2019 (COVID-19) pandemic outbreak. However, there have been several divergent reports on hospital outcomes. In this study, we aim to investigate the impact of the COVID 19 outbreak on hospitalizations because of STEMI and in-hospital outcomes in Albania. Methods: This was a retrograde study, collecting data for hospitalizations because of STEMI from March 9, (first COVID 19 case in our country) to April 30, 2020, (period of total lockdown) compared with the same period in 2019 at our center. The incidence rate ratio (IRR) was used to compare admissions because of STEMI and procedures and the risk ratio (RR) to compare mortality and other complication rates. Results: Admissions for STEMI declined during the COVID-19 period from a total of 217 in 2019 to 156 in 2020 (−28.1%) representing IRR 0.719 (p=0.033). PCIs also reduced from 168 procedures in 2019 to 113 in 2020 (−33%), representing an IRR of 0.67, p=0.021. The time from symptom onset to arrival at our intensive care unit was significantly higher in 2020 compared to 2019 (925.6+-1097 vs. 438.7+-385 minutes, p
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