Racial differences in management and outcomes of acute myocardial infarction during COVID-19 pandemic
Racial differences in management and outcomes of acute myocardial infarction during COVID-19 pandemic
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DOI：
10.1136/heartjnl-2020-318356
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发表时间：
2021-05-01
期刊：
影响因子：
5.7
通讯作者：
Mamas, Mamas
中科院分区：
文献类型：
--
作者：
Rashid, Muhammad;Timmis, Adam;Mamas, Mamas
人们担心，黑人、亚裔和少数族裔社区的医疗保健和结果受到COVID-19大流行的不成比例的影响。我们调查了COVID-19期间BAME合并急性心肌梗死（AMI）的住院率、治疗和死亡率。方法使用多个国家的医疗记录，将2020年2月1日至5月27日期间在英格兰住院的AMI患者纳入COVID-19组，而将过去连续三年同期住院的患者纳入COVID-19前组。结果在73 746名患者中，与COVID-19前相比，COVID-19期间BAME患者因AMI住院的比例更高（16. 7% vs 10. 1%）。在COVID-19期间入院的BAME患者更年轻，男性，可能患有ST段抬高型急性心肌梗死。COVID-19 BAME组因非ST段抬高急性心肌梗死入院，接受冠状动脉造影的频率较低（86.1% vs 90.0%，p
ObjectiveThere are concerns that healthcare and outcomes of black, Asian and minority ethnic (BAME) communities are disproportionately impacted by the COVID-19 pandemic. We investigated admission rates, treatment and mortality of BAME with acute myocardial infarction (AMI) during COVID-19.MethodsUsing multisource national healthcare records, patients hospitalised with AMI in England during 1 February-27 May 2020 were included in the COVID-19 group, whereas patients admitted during the same period in the previous three consecutive years were included in a pre-COVID-19 group. Multilevel hierarchical regression analyses were used to quantify the changes in-hospital and 7-day mortality in BAME compared with whites.ResultsOf 73 746 patients, higher proportions of BAME patients (16.7% vs 10.1%) were hospitalised with AMI during the COVID-19 period compared with pre-COVID-19. BAME patients admitted during the COVID-19 period were younger, male and likely to present with ST-elevation acute myocardial infarction. COVID-19 BAME group admitted with non-ST-elevation acute myocardial infarction less frequently received coronary angiography (86.1% vs 90.0%, p