About: Impact of COVID‐19 pandemic on STEMI care: An expanded analysis from the United States

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Impact of COVID‐19 pandemic on STEMI care: An expanded analysis from the United States
Creator	Schmidt, Christian Thompson, Craig Henry, Timothy Nayak, R Huang, P Chambers, Jenny Garberich, Ross Garcia, Santiago Paul, \| Sharkey, Scott Smith, Timothy Tannenbaum, Mark Dmitriy, \| Cohen, Mauricio Jaffer, A Megaly, Michael Rade, Jeffrey Koshy, Thomas Schmidt, Ada Khalili, Houman Stanberry, Larissa Aguirre, \| Albaghdadi, S Binita, \| Brij, \| Dharam, \| Dixon Mbchb, Simon Farouc, \| Feldman, N Giri, \| Keshav, \| Kumbhani, J Mazen, \| Md, Kaul Md, Maini Meraj, M Perwaiz, \| Prashant, \| Sripal Bangalore, \|
Source	Medline; PMC
abstract	OBJECTIVE: To evaluate the impact of COVID‐19 pandemic migitation measures on of ST‐elevation myocardial infarction (STEMI) care. BACKGROUND: We previously reported a 38% decline in cardiac catheterization activations during the early phase of the COVID‐19 pandemic mitigation measures. This study extends our early observations using a larger sample of STEMI programs representative of different US regions with the inclusion of more contemporary data. METHODS: Data from 18 hospitals or healthcare systems in the US from January 2019 to April 2020 were collecting including number activations for STEMI, the number of activations leading to angiography and primary percutaneous coronary intervention (PPCI), and average door to balloon (D2B) times. Two periods, January 2019–February 2020 and March–April 2020, were defined to represent periods before (BC) and after (AC) initiation of pandemic mitigation measures, respectively. A generalized estimating equations approach was used to estimate the change in response variables at AC from BC. RESULTS: Compared to BC, the AC period was characterized by a marked reduction in the number of activations for STEMI (29%, 95% CI:18–38, p < .001), number of activations leading to angiography (34%, 95% CI: 12–50, p = .005) and number of activations leading to PPCI (20%, 95% CI: 11–27, p < .001). A decline in STEMI activations drove the reductions in angiography and PPCI volumes. Relative to BC, the D2B times in the AC period increased on average by 20%, 95%CI (−0.2 to 44, p = .05). CONCLUSIONS: The COVID‐19 Pandemic has adversely affected many aspects of STEMI care, including timely access to the cardiac catheterization laboratory for PPCI.
has issue date	2020-08-07(xsd:dateTime)
bibo:doi	10.1002/ccd.29154
bibo:pmid	32767652
has license	no-cc
sha1sum (hex)	456fb46bde6352e9feb1acd55cd6fc49cff9bdf4
schema:url	https://doi.org/10.1002/ccd.29154
resource representing a document's title	Impact of COVID‐19 pandemic on STEMI care: An expanded analysis from the United States
has PubMed Central identifier	PMC7436427
has PubMed identifier	32767652
schema:publication	Catheter Cardiovasc Interv
resource representing a document's body	covid:456fb46bde6352e9feb1acd55cd6fc49cff9bdf4#body_text
is schema:about of	named entity 'Objective' named entity 'healthcare systems' named entity 'STEMI' named entity 'angiographic' named entity 'Minneapolis' named entity 'door to balloon' named entity 'STEMI' named entity 'D2B' named entity 'Midwest' named entity 'PPCI' named entity 'primary percutaneous coronary intervention' named entity '20%' named entity 'PPCI' named entity 'evaluate' named entity 'ST-elevation' named entity 'STEMI' named entity 'STEMI' named entity 'medical care' named entity 'STEMI' named entity 'STEMI' named entity 'STEMI' named entity 'COVID-19' named entity '95% CI' named entity 'March 2020' named entity 'STEMI' named entity 'coronavirus 2019' named entity 'STEMI' named entity 'STEMI' named entity 'PPCI' named entity 'COVID-19' named entity 'confidence intervals' named entity 'D2B' named entity 'STEMI' named entity 'March 2020' named entity 'D2B' named entity 'cardiac catheterization laboratory' named entity 'emergency medical care' named entity 'Tri-state area' named entity 'D2B' named entity 'STEMI' named entity 'categorical variable' named entity 'angiography' named entity 'Swedish'

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