Change in Hospitalizations and 30-Day Mortality of Patients With Acute Myocardial Infarction During the First COVID-19 Lockdown - A Pure Social Isolation Effect?

被引:6
|
作者
Lavie, Gil [1 ,3 ]
Battat, Erez [1 ]
Saliba, Walid [1 ,3 ]
Flugelman, Moshe Y. [2 ,3 ]
机构
[1] Clalit Heath Serv, Div Planning & Strategy, Tel Aviv, Israel
[2] Lady Davis Carmel Med Ctr, Dept Cardiovasc Med, 7 Michal St, IL-34632 Haifa, Israel
[3] Technion Israel Inst Technol, Ruth & Bruce Rappaport Fac Med, Haifa, Israel
关键词
COVID-19; pandemic; Lockdown; Acute coronary syndromes; DISEASE; DEATH;
D O I
10.1016/j.carrev.2021.08.025
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The COVID-19 pandemic has had diverse effects on population health and psychology in relation to non-COVID-19 diseases, as well as on COVID-19 infection. Fewer patients with acute myocardial infarction (AMI) sought medical attention during the first lockdown of the pandemic. Methods and results: We conducted a retrospective cohort study of Clalit Health Services patients treated in multiple hospitals for AMI. We examined the numbers and characteristics of the patients and 30-day mortality during three 5-week phases of the first wave of the COVID-19 pandemic in Israel: pre-lockdown (N = 702), lockdown (N = 584), and lockdown-lift (N = 669). We compared data for the same period in 2018 and 2019. We stratified the data by ST-elevation myocardial infarction (STEMI) and non-STEMI. AMI hospitalizations during the lock down were 17% lower than in the pre-lockdown period (rate ratio-0.83, 95% CI 0.74-0.93), and 22% and 31% lower than in the corresponding periods in 2018 and 2019, respectively. The reduction was mainly attributed to non-STEMI hospitalizations (26% lower than the pre-lockdown period in 2020). Hospitalizations due to both STEMI and non-STEMI were moderately reduced during the post-lockdown period compared to the corresponding periods in 2018 and 2019. Thirty-day mortality rate was similar for all the periods assessed. Conclusions: The number of hospitalized patients with AMI during the first COVID-19 lockdown and postlockdown periods was significantly reduced, without significant changes in 30-day mortality rates. (C) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码:38 / 42
页数:5
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