Impact of the COVID-19 Pandemic on Percutaneous Coronary Intervention in England Insights From the British Cardiovascular Intervention Society PCI Database Cohort
Impact of the COVID-19 Pandemic on Percutaneous Coronary Intervention in England Insights From the British Cardiovascular Intervention Society PCI Database Cohort
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DOI：
10.1161/circinterventions.120.009654
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发表时间：
2020-11-01
影响因子：
5.6
通讯作者：
Mamas, Mamas A.
中科院分区：
文献类型：
--
作者：
Kwok, Chun Shing;Gale, Chris P.;Mamas, Mamas A.
背景：本研究的目的是通过分析2019冠状病毒病（COVID-19）大流行期间的手术数量、临床表现变化、患者特征及其临床结局，评估英格兰经皮冠状动脉介入治疗（PCI）实践的变化。方法：我们对英国心血管介入学会数据库中2017年1月至2020年4月期间接受PCI的所有患者进行了回顾性队列研究。结果：44家医院报告了126 491例患者的PCI手术。在封锁之前，每周大约进行700次手术。在2020年3月23日封锁（2020年第11/12周）后，PCI手术数量在2020年第12周后下降了49%。在稳定型心绞痛（66%）、非ST段抬高型心肌梗死（45%）和ST段抬高型心肌梗死（33%）的PCI手术中，降低幅度最大。锁定后的患者更年轻（64.5岁对65.5岁，P
Background:The objective of the study was to evaluate changes in percutaneous coronary intervention (PCI) practice in England by analyzing procedural numbers, changes in the clinical presentation, and characteristics of patients and their clinical outcomes during the coronavirus disease 2019 (COVID-19) pandemic.Methods:We conducted a retrospective cohort study of all patients who underwent PCI in England between January 2017 and April 2020 in the British Cardiovascular Intervention Society database.Results:Forty-four hospitals reported PCI procedures for 126 491 patients. There were approximate to 700 procedures performed each week before the lockdown. After the March 23, 2020 lockdown (11th/12th week in 2020), there was a 49% fall in the number of PCI procedures after the 12th week in 2020. The decrease was greatest in PCI procedures performed for stable angina (66%), followed by non-ST-segment-elevation myocardial infarction (45%), and ST-segment-elevation myocardial infarction (33%). Patients after the lockdown were younger (64.5 versus 65.5 years, P