Impact of COVID-19 pandemic lockdown on myocardial infarction care

被引：16
作者：
Schmitz, Timo [1 ,2 ]
Meisinger, Christa [1 ,2 ]
Kirchberger, Inge [1 ,2 ]
Thilo, Christian [3 ]
Amann, Ute [2 ]
Baumeister, Sebastian E. [1 ,2 ,4 ]
Linseisen, Jakob [1 ,2 ]
机构：
[1] Univ Augsburg, Univ Hosp Augsburg, Chair Epidemiol, Augsburg, Germany
[2] Helmholtz Zentrum Munchen, German Res Ctr Environm Hlth, Independent Res Grp Clin Epidemiol, Munich, Germany
[3] Univ Hosp Augsburg, Dept Internal Med Cardiol 1, Augsburg, Germany
[4] Univ Hosp Munster, Munster, Germany
来源：
EUROPEAN JOURNAL OF EPIDEMIOLOGY | 2021年 / 36卷 / 06期
关键词：
Covid-19; Myocardial infarction; Lockdown; Door-to-device-time; Population-based registry; Augsburg; Bavaria; Germany; TO-BALLOON TIME; DOOR; OUTCOMES; REGISTRY;
D O I：
10.1007/s10654-021-00764-2
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
The aim of this study was to evaluate the impact of the COVID-19 pandemic lockdown on acute myocardial infarction (AMI) care, and to identify underlying stressors in the German model region for complete AMI registration. The analysis was based on data from the population-based KORA Myocardial Infarction Registry located in the region of Augsburg, Germany. All cases of AMI (n = 210) admitted to one of four hospitals in the city of Augsburg or the county of Augsburg from February 10th, 2020, to May 19, 2020, were included. Patients were divided into three groups, namely pre-lockdown, strict lockdown, and attenuated lockdown period. An additional survey was conducted asking the patients for stress and fears in the 4 weeks prior to their AMI. The AMI rate declined by 44% in the strict lockdown period; in the attenuated lockdown period the rate was 17% lower compared to the pre-lockdown period. The downward trend in AMI rates during lockdown was seen in STEMI and NSTEMI patients, and independent of sex and age. The door-to-device time decreased by 70-80% in the lockdown-periods. In the time prior to the infarction, patients felt stressed mainly due to fear of infection with Sars-CoV-2 and less because of the restrictions and consequences of the lockdown. A strict lockdown due to the Covid-19 pandemic had a marked impact on AMI care even in a non-hot-spot region with relatively few cases of COVID-19. Fear of infection with the virus is presumably the main reason for the drop in hospitalizations due to AMI.
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页码：619 / 627
页数：9
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