Demographic Trends and Changes in the Pre- and In-Hospital Medical Management of Acute Myocardial Infarction During the First 12 Months of the COVID-19 Pandemic in Mie Prefecture　― Report From the Mie ACS Registry ―

Takasaki, Akihisa; Kurita, Tairo; Yanagisawa, Masashi; Ino, Ayaka; Hiramatsu, Daisuke; Ikami, Akiyoshi; Ito, Hiromasa; Fukuoka, Shusuke; Sugimoto, Tadafumi; Nakata, Takashi; Masuda, Jun; Takao, Masaki; Kakimoto, Hitoshi; Dohi, Kaoru

doi:10.1253/circrep.cr-22-0050

Cited by 4 publications

(3 citation statements)

References 26 publications

(22 reference statements)

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“…Under the COVID‐19 pandemic, several studies in Japan reported that the time for prehospital care increased for patients with out‐of‐hospital cardiac arrest, acute myocardial infarction, and stroke. 23 , 24 , 25 However, a study dealing with the victims of traffic accidents in the early stage of the COVID‐19 pandemic found no change in the time for prehospital care. 3 In the present study dealing with major trauma, the time for prehospital care increased significantly in 2020 compared to 2019.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Ojima

Ishida

Katayama

et al. 2023

Acute Medicine & Surgery

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Aim The nationwide impact of the coronavirus disease (COVID‐19) pandemic on major trauma in Japan is unknown. The nationwide registry‐based data of the Japanese Trauma Data Bank were analyzed to elucidate the impact of COVID‐19 on the epidemiology, treatment, and outcomes of major trauma patients. Methods Among patients transported directly from the injury site by ambulance with an Injury Severity Score of ≥16, we compared patients managed from April to December in 2019 to those managed from April to December in 2020. Results In total, 9792 patients were included in this study (2019, n = 5194; 2020, n = 4598). There were no significant differences in age or sex, but there were significant differences between 2019 and 2020 in the rates of “self‐injury (suicide)”, “motor vehicle accident”, “fall from height”, “fall down”, and “fall to the ground”, which are factors associated with patient age. Injury severity in 2019 and 2020 did not differ to a statistically significant extent, but the rate of major spinal injury increased. The time of prehospital care significantly increased in 2020 compared to 2019. There was no noticeable change in hospital treatment or in‐hospital mortality between 2019 and 2020. Conclusion This study suggests that the COVID‐19 pandemic might have altered the injuries of major trauma; however, medical services for major trauma were well supplied in Japan in 2020.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Ojima

Ishida

Katayama

et al. 2023

Acute Medicine & Surgery

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“…Some studies have suggested that in-hospital mortality during the pandemic was worse than during the pre-pandemic period [ 1 ]. Factors contributing to this trend include delayed time from symptom onset to treatment due to individual hesitation to visit hospitals for fear of contracting COVID-19, delays in transportation, and wait time for the results of COVID-19 screening tests [ 1 , 20 ]. In Japan, an increase in the proportion of mechanical complications in patients with STEMI with delayed reperfusion due to delayed hospital arrival during the pandemic has been reported [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…For instance, a single-center study in Tokyo reported that the 30-day cumulative mortality of STEMI patients during the COVID-19 pandemic was higher than that during the pre-pandemic period; however, the difference was not significant (13.7% of 117 patients vs. 6.6% of 281 patients, P = 0.074) [ 30 ]. In Mie Prefecture, Japan, the in-hospital mortality of patients with AMI during the early phase of the pandemic (April 2020 to September 2020) was not significantly different from that during the pre-pandemic period [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on the Long-Term Prognosis of Acute Myocardial Infarction in Japan

Sato,

Yonezu,

Saito

et al. 2024

Cureus

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Background During the early phase of the coronavirus disease 2019 (COVID-19) pandemic, a global reduction in hospitalizations for acute myocardial infarction (AMI) was observed. Generally, patients experienced increased severity of AMI with delays in time from symptom onset to treatment during the pandemic. However, the impact of the COVID-19 pandemic on in-hospital mortality among patients with AMI remains unclear. This study aimed to compare the long-term prognosis of patients with AMI during the COVID-19 pandemic to that observed in the pre-pandemic period and to evaluate the influence of the COVID-19 pandemic on the prognosis of patients with AMI. Methods We reviewed the data of patients admitted to our hospital for AMI treatment between April 1, 2018, and March 31, 2021. The time from admission to major adverse cardiac events (MACE), as well as the time from admission to all-cause death, were examined between the pandemic period (April 1, 2020, to March 31, 2021) and the pre-pandemic period (April 1, 2018, to March 31, 2020). Results Eighty patients were included in the study, and those admitted during the pandemic exhibited a higher likelihood of advanced age, lower levels of LDL-cholesterol, and a reduced prevalence of hypertension. The 2.5-year MACE-free survival and overall survival rates between the patients during the pre-pandemic and pandemic periods were not significantly different. Conclusion The long-term prognosis of patients with AMI during the COVID-19 pandemic remains unclear. In this study, we reported that the 2.5-year MACE-free survival and overall survival rates of the patients with AMI admitted during the COVID-19 pandemic were not significantly different from those during the pre-pandemic period. The impact of the COVID-19 pandemic on the prognosis of patients with AMI appears to vary according to the study population.

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Epidemiological, clinical, and economic burden of myocardial infarction patients in Iran during the COVID-19 pandemic

Pourasghari,

Kolivand,

Azari

et al. 2023

IJC Heart & Vasculature

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Demographic Trends and Changes in the Pre- and In-Hospital Medical Management of Acute Myocardial Infarction During the First 12 Months of the COVID-19 Pandemic in Mie Prefecture　― Report From the Mie ACS Registry ―

Cited by 4 publications

References 26 publications

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Impact of the COVID-19 Pandemic on the Long-Term Prognosis of Acute Myocardial Infarction in Japan

Epidemiological, clinical, and economic burden of myocardial infarction patients in Iran during the COVID-19 pandemic

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Demographic Trends and Changes in the Pre- and In-Hospital Medical Management of Acute Myocardial Infarction During the First 12 Months of the COVID-19 Pandemic in Mie Prefecture ― Report From the Mie ACS Registry ―

Cited by 4 publications

References 26 publications

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Impact of the COVID-19 Pandemic on the Long-Term Prognosis of Acute Myocardial Infarction in Japan

Epidemiological, clinical, and economic burden of myocardial infarction patients in Iran during the COVID-19 pandemic

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Demographic Trends and Changes in the Pre- and In-Hospital Medical Management of Acute Myocardial Infarction During the First 12 Months of the COVID-19 Pandemic in Mie Prefecture　― Report From the Mie ACS Registry ―