Impact of COVID-19 outbreak on regional STEMI care in Germany.

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
Karl Heinrich ScholzThomas Meyer

Abstract

To assess the impact of the lockdown due to coronavirus disease 2019 (COVID-19) on key quality indicators for the treatment of ST-segment elevation myocardial infarction (STEMI) patients. Data were obtained from 41 hospitals participating in the prospective Feedback Intervention and Treatment Times in ST-Elevation Myocardial Infarction (FITT-STEMI) study, including 15,800 patients treated for acute STEMI from January 2017 to the end of March 2020. There was a 12.6% decrease in the total number of STEMI patients treated at the peak of the pandemic in March 2020 as compared to the mean number treated in the March months of the preceding years. This was accompanied by a significant difference among the modes of admission to hospitals (p = 0.017) with a particular decline in intra-hospital infarctions and transfer patients from other hospitals, while the proportion of patients transported by emergency medical service (EMS) remained stable. In EMS-transported patients, predefined quality indicators, such as percentages of pre-hospital ECGs (both 97%, 95% CI = - 2.2-2.7, p = 0.846), direct transports from the scene to the catheterization laboratory bypassing the emergency department (68% vs. 66%, 95% CI = - 4.9-7.9, p = 0.641), and c...Continue Reading

Associated Clinical Trials

References

Nov 28, 2018·European Heart Journal. Acute Cardiovascular Care·Karl Heinrich ScholzSebastian Kg Maier
Mar 18, 2020·Circulation. Cardiovascular Quality and Outcomes·Chor-Cheung Frankie TamChung-Wah Siu
Mar 24, 2020·Journal of the American College of Cardiology·Elissa DrigginSahil A Parikh
Mar 29, 2020·JAMA Cardiology·Robert O BonowClyde W Yancy
Apr 14, 2020·Journal of the American College of Cardiology·Santiago GarciaTimothy D Henry
Apr 20, 2020·Journal of the American College of Cardiology·Jason N KatzSean van Diepen
Apr 30, 2020·The New England Journal of Medicine·Enrico BaldiUNKNOWN Lombardia CARe Researchers
May 6, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Chor-Cheung Frankie TamChung-Wah Siu
May 20, 2020·The New England Journal of Medicine·Matthew D SolomonAlan S Go
May 29, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Michael BöhmAndreas M Zeiher
Jun 2, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Stephan SettelmeierFrank Breuckmann
Jun 9, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Konstantinos TsioufisDimitrios Tousoulis
Jun 14, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Bogdan EnacheAtul Pathak
Jun 17, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Dominik RathMeinrad Paul Gawaz
Jul 30, 2020·European Heart Journal. Acute Cardiovascular Care·Karl Heinrich ScholzThomas Meyer
Aug 10, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Konstantinos TsioufisDimitrios Tousoulis
Feb 21, 2021·European Heart Journal. Acute Cardiovascular Care·Karl Heinrich ScholzThomas Meyer

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Citations

Feb 13, 2021·The American Journal of Emergency Medicine·Stephanie JarvisDavid Bar-Or
Jun 12, 2021·Deutsches Ärzteblatt International·Michael BaumhardtManuel Rattka
Jul 15, 2021·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Hajo ZeebIris Pigeot
Sep 4, 2021·Indian Heart Journal·Geevar ZachariahUNKNOWN CSI-AMI Study group

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Methods Mentioned

BETA
coronary artery bypass

Clinical Trials Mentioned

NCT00794001

Software Mentioned

SAS

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