Análisis de la atención al infarto con elevación del segmento ST en España. Resultados del Registro de Código Infarto de la ACI-SEC

Rodríguez-Leor, Oriol; Cid-Álvarez, Ana Belén; Prado, Armando Pérez de; Rosselló, Xavier; Ojeda, Soledad; Serrador, Ana; López-Palop, Ramón; Martín‐Moreiras, Javier; Rumoroso, José Ramón; Cequier, Ángel; Ibáñez, Borja; Cruz-González, Ignacio; Romaguera, Rafael; Raposeiras, Sergio; Moreno, Raúl

doi:10.1016/j.recesp.2021.10.017

Cited by 15 publications

(3 citation statements)

References 21 publications

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“…These findings may have contributed to greater mortality both in hospital (three-fold higher vs. preCOVID) and after discharge (four times more, especially cardiovascular mortality). These data are consistent with those of the Interventional Cardiology Association of the Spanish Society of Cardiology [ 4 ]. We recorded fewer catheterizations during lockdown (40% fewer), especially with respect to NSTEMI.…”

Section: Discussionsupporting

confidence: 92%

“…However, given that some studies have reported a decrease in care for several diseases during this period, the increase reported could be skewed. Specifically, admissions for Acute Coronary Syndrome (ACS) fell considerably during lockdown [ 3 , 4 ]. Many aspects remain to be clarified with respect to the profile of patients admitted with IHD during lockdown compared with previous years and after lockdown.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

García¹,

Guevara²,

García³

et al. 2022

Cardiol Cardiovasc Med

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Background: In early 2020, the SARS-CoV-2 pandemic caused an unprecedented overload for the health service. A decrease in admissions for Acute Coronary Syndrome (ACS) was reported during lockdown, although many aspects remain to be clarified. The main objective of this study was to evaluate the impact of the pandemic and of lockdown itself in this area. Methods: We performed a retrospective observational study based on data from patients who visited the emergency department of a tertiary hospital with chest pain during 2018-2020, as well as those who were admitted for ACS. Personal details, date of admission, additional test results (laboratory and echocardiography), and therapy were recorded. Patients were divided into 3 groups: preCOVID (n=1,301), lockdown (n=45), and postlockdown (n=343). Results: Fewer visits to the emergency department for chest pain and admissions for ACS were recorded during lockdown (48.6% and 51.1% respectively, p<0.05). Patients who were admitted during lockdown were characterized by poorer control of cardiovascular risk factors, visited later (more evolving infarctions: 2.7% vs. 14.3%, p<0.05), experienced more echocardiographic complications during admission, and had more than 3-fold mortality rates (both in-hospital and postdischarge). Conclusion: The COVID-19 pandemic and lockdown itself had a negative effect on ischemic heart disease beyond SARS-CoV-2 infection.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

García¹,

Guevara²,

García³

et al. 2022

Cardiol Cardiovasc Med

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“…Another study of the impact of the COVID-19 epidemic on the follow-up and control of chronic diseases conducted in Spain found a significant reduction in quantitative healthcare quality indicators during the same period in Catalonia (4). Urgent medical care was found to be affected in some countries as well, as studies conducted in the United States, Italy, Spain and Hong Kong reported decreases of the number of hospitalizations related to urgent cardiologic and neurologic conditions with concurrent increases in respective mortality and complication rates (5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Pandemic Influence on Diabetes Management in Croatia

Cerovečki¹,

Švajda²

2021

Front. Clin. Diabetes Healthc.

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AimThe study aims to investigate the effects of the COVID-19 pandemic on diabetes management and diabetes patients’ healthcare utilization patterns in Croatia.MethodsUsing data contained in the Croatian diabetes registry (CroDiab), Central Health Information System of the Republic of Croatia (CEZIH), and the Croatian hospitalization database (BSO), indicators including the total number of registered diabetes patients, number of newly diagnosed diabetes cases, number of diabetes-related primary care visits and hospitalizations, and key diabetes control indicators were analyzed. Yearly values from 2017 until 2020 were compared.ResultsThe age-adjusted prevalence rate increased significantly from 2017 until 2019 (2017: 6,858/100,000; 2018: 7,053/100,000; 2019: 7,160/100,000). In 2020 the age-adjusted prevalence rate was 7,088/100,000, but the decrease was insignificant compared to 2019. The age-adjusted rate of new cases decreased from 2017 until 2019 (2017: 910/100,000; 2018: 876/100,000; 2019: 845/100,000), with a significant decrease in 2020 (692/100,000) compared to 2019. The number of diabetes panels increased from 2017 (117,676) to 2018 (131,815), with a slight decrease in 2019 (127,742) and a sharp decrease in 2020 (104,159). A similar trend was observed regarding the numbers of diabetes patients with panels, visits to primary healthcare providers for diabetes-related problems and diabetes patients who visited their primary healthcare provider. A slightly different trend was observed regarding diabetes-related hospitalizations. In 2017 there were 91,192 diabetes-related hospitalizations; the number decreased to 83,219 in 2018, increased again to 102,087 in 2019 and decreased to 85,006 in 2020. The number of hospitalized diabetes patients displayed a similar tendency.ConclusionThe COVID-19 pandemic has had a negative effect on the utilisation of healthcare by diabetes patients, which may have long-term consequences for their general health.

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Re: A comprehensive analysis of all-cause and cause-specific excess deaths in 30 countries during 2020. Alicandro et al. Eur J Epidemiol 2023

Cordero,

Gallego,

Sirera

et al. 2023

Eur J Epidemiol

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Análisis de la atención al infarto con elevación del segmento ST en España. Resultados del Registro de Código Infarto de la ACI-SEC

Cited by 15 publications

References 21 publications

Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

Impact of Coronavirus-19 Pandemic and Lockdown on Admissions for Ischemic Heart Disease

COVID-19 Pandemic Influence on Diabetes Management in Croatia

Re: A comprehensive analysis of all-cause and cause-specific excess deaths in 30 countries during 2020. Alicandro et al. Eur J Epidemiol 2023

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