Admission of patients with STEMI since the outbreak of the COVID-19 pandemic: a survey by the European Society of Cardiology
Admission of patients with STEMI since the outbreak of the COVID-19 pandemic: a survey by the European Society of Cardiology
复制标题
DOI：
10.1093/ehjqcco/qcaa046
复制
发表时间：
2020-07-01
影响因子：
5.2
通讯作者：
Casadei, Barbara
中科院分区：
文献类型：
--
作者：
Pessoa-Amorim, Guilherme;Camm, Christian F.;Casadei, Barbara
目标COVID-19大流行需要全球医疗资源的重大重新部署。对感染的恐惧、国家封锁和医疗优先事项的改变有可能影响非传染性疾病医疗资源的利用。为了调查卫生专业人员对COVID-19大流行对ST段抬高型心肌梗死（STEMI）患者入院率和时间的影响的看法，欧洲心脏病学会（ESC）向6大洲的心脏病专家和心血管护士进行了一项基于互联网的问卷调查。方法和结果从6大洲的141个国家收到了3101份回复。88.3%的受访者表示，他们的国家处于“全面封锁”状态，7.1%处于部分封锁状态。78.8%的受访者表示，自冠状病毒爆发以来，STEMI患者人数减少，65.2%的受访者表示STEMI患者减少了40%以上。约60%的受访者报告STEMI患者的就诊时间晚于平时，58.5%的受访者报告>40%的STEMI住院患者的就诊时间超过了直接经皮介入（PCI）或溶栓的最佳时间窗。报告的延迟STEMI表现率较高的独立预测因素是一个完全封锁的国家，当地收治的COVID-19病例>100例，以及当地心脏病服务的完全重组。结论调查表明，COVID-19对STEMI表现的影响可能是巨大的，表现率较低，延迟表现率较高。这可能对未来的医疗保健和政策规划产生重要影响，以防进一步的大流行浪潮。
Aims The COVID-19 pandemic required a significant redeployment of worldwide healthcare resources. Fear of infection, national lockdowns and altered healthcare priorities have the potential to impact utilisation of healthcare resources for non-communicable diseases. To survey health professionals' views of the impact of the COVID-19 pandemic on the rate and timing of admission of patients with ST-elevation myocardial infarction (STEMI), the European Society of Cardiology (ESC) administered an internet-based questionnaire to cardiologists and cardiovascular nurses across 6 continents.Methods and results 3101 responses were received from 141 countries across 6 continents. 88.3% responded that their country was in "total lockdown" and 7.1% in partial lockdown. 78.8% responded that the number of patients presenting with STEMI was reduced since the coronavirus outbreak and 65.2% indicated that the reduction in STEMI presentations was >40%. Approximately 60% of all respondents reported that STEMI patients presented later than usual and 58.5% that >40% of STEMI patients admitted to hospital presented beyond the optimal window for primary percutaneous intervention (PCI) or thrombolysis. Independent predictors of the reported higher rate of delayed STEMI presentation were a country in total lockdown, >100 COVID-19 cases admitted locally, and the complete restructuring of the local cardiology service.Conclusion The survey indicates that the impact of COVID-19 on STEMI presentations is likely to be substantial, with both lower presentations and a higher rate of delayed presentations occurring. This has potentially important ramifications for future healthcare and policy planning in the event of further waves of this pandemic.