Academic Journal
Impact of Coronavirus Disease 2019 (COVID-19) Outbreak on Acute Admissions at the Emergency and Cardiology Departments Across Europe
| Τίτλος: | Impact of Coronavirus Disease 2019 (COVID-19) Outbreak on Acute Admissions at the Emergency and Cardiology Departments Across Europe |
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| Συγγραφείς: | Sokolski, Mateusz, Gajewski, Piotr, Zymliński, Robert, Biegus, Jan, Berg, Jurrien M. Ten, Bor, Wilbert, Braunschweig, Frieder, Caldeira, Daniel, Cuculi, Florim, DElia, Emilia, Edes, Istvan Ferenc, Garus, Mateusz, Greenwood, John P., Halfwerk, Frank R., Hindricks, Gerhard, Knuuti, Juhani, Kristensen, Steen Dalby, Landmesser, Ulf, Lund, Lars H., Lyon, Alexander, Mebazaa, Alexandre, Merkely, Béla, Nawrocka-Millward, Sylwia, Pinto, Fausto J., Ruschitzka, Frank, Semedo, Edimir, Senni, Michele, Sepehri Shamloo, Alireza, Sorensen, Jacob, Stengaard, Carsten, Thiele, Holger, Toggweiler, Stefan, Tukiendorf, Andrzej, Verhorst, Patrick M., Wright, David Jay, Zamorano, Pepe, Zuber, Michel, Narula, Jagat, Bax, Jeroen J., Ponikowski, Piotr |
| Πηγή: | Am J Med Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid Sokolski, M, Gajewski, P, Zymlinski, R, Biegus, J, Berg, J M T, Bor, W, Braunschweig, F, Caldeira, D, Cuculi, F, D'Elia, E, Edes, I F, Garus, M, Greenwood, J P, Halfwerk, F R, Hindricks, G, Knuuti, J, Kristensen, S D, Landmesser, U, Lund, L H, Lyon, A, Mebazaa, A, Merkely, B, Nawrocka-Millward, S, Pinto, F J, Ruschitzka, F, Semedo, E, Senni, M, Shamloo, A S, Sorensen, J, Stengaard, C, Thiele, H, Toggweiler, S, Tukiendorf, A, Verhorst, P M, Wright, D J, Zamorano, P, Zuber, M, Narula, J, Bax, J J & Ponikowski, P 2021, 'Impact of coronavirus disease 2019 (COVID-19) outbreak on acute admissions at the emergency and cardiology departments across Europe', The American Journal of Medicine, vol. 134, no. 4, pp. 482-489. https://doi.org/10.1016/j.amjmed.2020.08.043 The American Journal of Medicine |
| Στοιχεία εκδότη: | Elsevier BV, 2021. |
| Έτος έκδοσης: | 2021 |
| Θεματικοί όροι: | Male, Myocardial Ischemia, Patient Admission/statistics & numerical data, Europe/epidemiology, 03 medical and health sciences, Patient Admission, 0302 clinical medicine, Humans, Registries, Acute cardiovascular admissions, Acute coronary syndrome, COVID-19, Outbreak, SARS-CoV2, Myocardial Ischemia/epidemiology, COVID-19/epidemiology, Hospitalization/statistics & numerical data, Aged, SARS-CoV-2, Registries/statistics & numerical data, General Medicine, Cardiology Service, Hospital/statistics & numerical data, ta3121, Clinical Research Study, Middle Aged, Critical Pathways/organization & administration, 3. Good health, Europe, Hospitalization, Emergency Service, Hospital/statistics & numerical data, Critical Pathways, Female, Cardiology Service, Hospital, Emergency Service, Hospital |
| Περιγραφή: | We evaluated whether the severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) pandemic was associated with changes in the pattern of acute cardiovascular admissions across European centers.We set-up a multicenter, multinational, pan-European observational registry in 15 centers from 12 countries. All consecutive acute admissions to emergency departments and cardiology departments throughout a 1-month period during the COVID-19 outbreak were compared with an equivalent 1-month period in 2019. The acute admissions to cardiology departments were classified into 5 major categories: acute coronary syndrome, acute heart failure, arrhythmia, pulmonary embolism, and other.Data from 54,331 patients were collected and analyzed. Nine centers provided data on acute admissions to emergency departments comprising 50,384 patients: 20,226 in 2020 compared with 30,158 in 2019 (incidence rate ratio [IRR] with 95% confidence interval [95%CI]: 0.66 [0.58-0.76]). The risk of death at the emergency departments was higher in 2020 compared to 2019 (odds ratio [OR] with 95% CI: 4.1 [3.0-5.8], P < 0.0001). All 15 centers provided data on acute cardiology departments admissions: 3007 patients in 2020 and 4452 in 2019; IRR (95% CI): 0.68 (0.64-0.71). In 2020, there were fewer admissions with IRR (95% CI): acute coronary syndrome: 0.68 (0.63-0.73); acute heart failure: 0.65 (0.58-0.74); arrhythmia: 0.66 (0.60-0.72); and other: 0.68(0.62-0.76). We found a relatively higher percentage of pulmonary embolism admissions in 2020: odds ratio (95% CI): 1.5 (1.1-2.1), P = 0.02. Among patients with acute coronary syndrome, there were fewer admissions with unstable angina: 0.79 (0.66-0.94); non-ST segment elevation myocardial infarction: 0.56 (0.50-0.64); and ST-segment elevation myocardial infarction: 0.78 (0.68-0.89).In the European centers during the COVID-19 outbreak, there were fewer acute cardiovascular admissions. Also, fewer patients were admitted to the emergency departments with 4 times higher death risk at the emergency departments. |
| Τύπος εγγράφου: | Article Other literature type |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 0002-9343 |
| DOI: | 10.1016/j.amjmed.2020.08.043 |
| Σύνδεσμος πρόσβασης: | http://www.amjmed.com/article/S0002934320308251/pdf https://pubmed.ncbi.nlm.nih.gov/33010226 http://juuli.fi/Record/0373255320 https://doi.org/10.1016/j.amjmed.2020.08.043 https://hdl.handle.net/20.500.12530/58875 https://research.utwente.nl/en/publications/88a1c517-9e9c-477f-87bf-71ddde293f78 https://doi.org/10.1016/j.amjmed.2020.08.043 https://www.amjmed.com/article/S0002934320308251/pdf https://europepmc.org/article/PMC/PMC7526639 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526639 https://doi.org/10.1016/j.amjmed.2020.08.043 https://www.ncbi.nlm.nih.gov/pubmed/33010226 https://www.sciencedirect.com/science/article/abs/pii/S0002934320308251 https://www.amjmed.com/article/S0002-9343(20)30825-1/fulltext https://doi.org/10.1016/j.amjmed.2020.08.043 https://hdl.handle.net/1887/3279704 https://hdl.handle.net/10281/372967 https://doi.org/10.1016/j.amjmed.2020.08.043 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526639/pdf/main.pdf http://www.scopus.com/inward/record.url?scp=85096867898&partnerID=8YFLogxK https://pure.au.dk/portal/en/publications/f78d23c3-998b-4ba7-a4e2-02e041c7ba3e https://doi.org/10.1016/j.amjmed.2020.08.043 |
| Rights: | Elsevier TDM CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....16e4757bc24c0f895147e6418639c521 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 00029343 |
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| DOI: | 10.1016/j.amjmed.2020.08.043 |