Coronavirus disease 2019 (COVID-19) among hospitalized patients in Poland: a study based on a national hospital registry

Kanecki, Krzysztof; Nitsch–Osuch, Aneta; Goryński, Paweł; Wojtyniak, Bogdan; Juszczyk, Grzegorz; Bogdan, Magdalena; Kosińska, Irena; Tyszko, Piotr

doi:10.20452/pamw.15946

Cited by 12 publications

(13 citation statements)

References 26 publications

(37 reference statements)

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“…Both patient-related and systemic factors might be responsible for this phenomenon. Pandemicspecific protocols for preparing personal protective equipment and obligatory COVID-19 testing consume additional time and extend the time for reperfusion [1][2][3][4]10,12]. Most previous studies have suggested longer total ischemia time and time from first medical contact do angiography in patients admitted during COVID-19 pandemic [1,25,29].…”

Section: Discussionmentioning

confidence: 99%

“…The COVID-19 pandemic negatively affected access to healthcare system and timeline of treatment [1][2][3][4]. The distribution of medical attention and resources with inevitable delays in treatment related to mandatory infection control might have a detrimental impact on outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…However, the fear of contamination might prevent access to the emergency system. Furthermore, pandemic-specific protocols require additional time to prepare medical staff and the catheterization laboratory before the procedure [1][2][3][4]. Thus, patients with STEMI might be exposed to longer delays for angiography with revascularization and increased risk of death [4,[8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, pandemic-specific protocols require additional time to prepare medical staff and the catheterization laboratory before the procedure [1][2][3][4]. Thus, patients with STEMI might be exposed to longer delays for angiography with revascularization and increased risk of death [4,[8][9][10][11][12]. Furthermore, some data suggest additional treatment delay for PCIs performed during off-hours [13,14].…”

Section: Introductionmentioning

confidence: 99%

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Treatment Delay and Clinical Outcomes in Patients with ST-Segment Elevation Myocardial Infarction during the COVID-19 Pandemic

Tokarek

Dziewierz

Malinowski

et al. 2021

JCM

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Pandemic-specific protocols require additional time to prepare medical staff and catheterization laboratories. Thus, we sought to investigate treatment delay and clinical outcomes in COVID-19 positive and negative patients with ST-segment elevation myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI) during on- and off-hours. All consecutive patients with STEMI treated with PCI between 1 March and 31 December 2020 were enrolled in the analysis. A propensity score match was used to compare COVID-19 positive and negative patients for on- and off-hours. The study group was comprised of 877 paired patients treated during regular hours (every day 7:00 a.m. to 16:59 p.m.) and 418 matched pairs with PCI performed during off-hours (every day 17:00 p.m. to 06:59 a.m.) (ORPKI Polish National Registry). No difference in periprocedural mortality was observed between the two groups (on-hours: COVID-19 negative vs. COVID-19 positive: 17 (1.9%) vs. 11 (1.3%); p = 0.3; off-hours: COVID-19 negative vs. COVID-19 positive: 4 (1.0%) vs. 7 (1.7%); p = 0.5). Additionally, a similar rate of periprocedural complications was reported. Patients diagnosed with COVID-19 were exposed to longer time from first medical contact to angiography (on-hours: 133.8 (±137.1) vs. 117.1 (±135.8) (min); p = 0.001) (off-hours: 148.1 (±201.6) vs. 112.2 (±138.7) (min); p = 0.003). However, there was no influence of COVID-19 diagnosis on mortality and the prevalence of other periprocedural complications irrespective of time of intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment Delay and Clinical Outcomes in Patients with ST-Segment Elevation Myocardial Infarction during the COVID-19 Pandemic

Tokarek

Dziewierz

Malinowski

et al. 2021

JCM

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“…Poland introduced extensive anti-epidemic measures relatively early, in order to slow down the spread of the disease. Already on 2 March 2020, i.e., earlier than the first case of COVID-19 infection in Poland, a Crisis act was introduced, that is, a Law on special arrangements for the prevention of and fight against COVID-19 [16,17]. In Poland, there were three waves of the pandemic-the first one in spring 2020, the second one in autumn 2020, the third one in spring 2021.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Diagnostics Outside and Inside the National Health Service: A Single Institutional Experience

Fuławka¹,

Kuzan

2021

Diagnostics

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The COVID-19 epidemic has been going on continuously for more than 1.5 years. Fast and reliable diagnosis is a key component of an outbreak response strategy. Our goal is to present the statistics from one of the diagnostic points of a large city in Poland. Swabs of the throat or nasopharynx of people reporting for molecular diagnostics of SARS-CoV-2 presence were taken. CE-IVD-certified RNA isolation and RT-PCR assays were used. According to our data, the prevalence of SARS-CoV-2 infection in the examined population equaled 14.7%; however, large differences were observed depending on where the sampling point was located: as much as 50.3% of positive results for samples collected at a stationary point, 36.2% for samples from inpatients and hospital staff, and only 8.9% for samples from patients whose test was paid by their employer. The age structure of the infected population was fairly even, with a slightly higher number of people over 50 years of age. Men were examined more often, but it was among women that a higher percentage of infection was recorded. Every fifth test was performed for a foreigner, but compared to Poles, a much lower incidence of infection was found in these samples. We conclude that due to the high prevalence of infection in patients from social care centers and in those referred to hospitals, it is recommended that a special sanitary regime is followed in those settings. We will evaluate the effectiveness of vaccinations, expecting that the coming months bring positive changes in the statistics on prevalence.

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The effect of COVID-19 on the in-hospital outcomes of percutaneous coronary intervention in patients with acute coronary syndrome: A large scale meta-analysis

El‐Qushayri

Dahy

Benmelouka³

et al. 2023

American Journal of Medicine Open

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Coronavirus disease 2019 (COVID-19) among hospitalized patients in Poland: a study based on a national hospital registry

Cited by 12 publications

References 26 publications

Treatment Delay and Clinical Outcomes in Patients with ST-Segment Elevation Myocardial Infarction during the COVID-19 Pandemic

Treatment Delay and Clinical Outcomes in Patients with ST-Segment Elevation Myocardial Infarction during the COVID-19 Pandemic

COVID-19 Diagnostics Outside and Inside the National Health Service: A Single Institutional Experience

The effect of COVID-19 on the in-hospital outcomes of percutaneous coronary intervention in patients with acute coronary syndrome: A large scale meta-analysis

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