Медицинская библиотека · Revista espanola de cardiologia (English ed.) · 2020

Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience.

Rodríguez-Leor Oriol, Cid-Álvarez Belén, Pérez de Prado Armando, Rossello Xavier, Ojeda Soledad, Serrador Ana, López-Palop Ramón, Martín-Moreiras Javier, Rumoroso José Ramón, Cequier Ángel, Ibáñez Borja, Cruz-González Ignacio, Romaguera Rafael, Moreno Raúl, Working Group on the Infarct Code of the Interventional Cardiology Association of the Spanish Society of Cardiology Investigators, Villa Manuel, Ruíz-Salmerón Rafael, Molano Francisco, Sánchez Carlos, Muñoz-García Erika, Íñigo Luís, Herrador Juan, Gómez-Menchero Antonio, Gómez-Menchero Antonio, Caballero Juan, Ojeda Soledad, Cárdenas Mérida, Gheorghe Livia, Oneto Jesús, Morales Francisco, Valencia Félix, Ruíz José Ramón, Diarte José Antonio, Avanzas Pablo, Rondán Juan, Peral Vicente, Pernasetti Lucía Vera, Hernández Julio, Bosa Francisco, Lorenzo Pedro Luís Martín, Jiménez Francisco, Hernández José M de la Torre, Jiménez-Mazuecos Jesús, Lozano Fernando, Moreu José, Novo Enrique, Robles Javier, Moreiras Javier Martín, Fernández-Vázquez Felipe, Amat-Santos Ignacio J, Gómez-Hospital Joan Antoni, García-Picart Joan, Blanco Bruno García Del, Regueiro Ander, Carrillo-Suárez Xavier, Tizón Helena, Mohandes Mohsen, Casanova Juan, Agudelo-Montañez Víctor, Muñoz Juan Francisco, Franco Juan, Del Castillo Roberto, Salinas Pablo, Elizaga Jaime, Sarnago Fernando, Jiménez-Valero Santiago, Rivero Fernando, Oteo Juan Francisco, Alegría-Barrero Eduardo, Sánchez-Recalde Ángel, Ruíz Valeriano, Pinar Eduardo, Pinar Eduardo, Planas Ana, Ledesma Bernabé López, Berenguer Alberto, Fernández-Cisnal Agustín, Aguar Pablo, Pomar Francisco, Jerez Miguel, Torres Francisco, García Ricardo, Frutos Araceli, Nodar Juan Miguel Ruíz, García Koldobika, Sáez Roberto, Torres Alfonso, Tellería Miren, Sadaba Mario, Mínguez José Ramón López, Merchán Juan Carlos Rama, Portales Javier, Trillo Ramiro, Aldama Guillermo, Fernández Saleta, Santás Melisa, Pérez María Pilar Portero

СтатьяМногоцентровое исследованиеНаблюдательное исследованиеПеревод в очереди

Аннотация

INTRODUCTION AND

OBJECTIVES

The COVID-19 outbreak has had an unclear impact on the treatment and outcomes of patients with ST-segment elevation myocardial infarction (STEMI). The aim of this study was to assess changes in STEMI management during the COVID-19 outbreak.

METHODS

Using a multicenter, nationwide, retrospective, observational registry of consecutive patients who were managed in 75 specific STEMI care centers in Spain, we compared patient and procedural characteristics and in-hospital outcomes in 2 different cohorts with 30-day follow-up according to whether the patients had been treated before or after COVID-19.

RESULTS

Suspected STEMI patients treated in STEMI networks decreased by 27.6% and patients with confirmed STEMI fell from 1305 to 1009 (22.7%). There were no differences in reperfusion strategy (> 94% treated with primary percutaneous coronary intervention in both cohorts). Patients treated with primary percutaneous coronary intervention during the COVID-19 outbreak had a longer ischemic time (233 [150-375] vs 200 [140-332] minutes, P<.001) but showed no differences in the time from first medical contact to reperfusion. In-hospital mortality was higher during COVID-19 (7.5% vs 5.1%; unadjusted OR, 1.50; 95%CI, 1.07-2.11; P <.001); this association remained after adjustment for confounders (risk-adjusted OR, 1.88; 95%CI, 1.12-3.14; P=.017). In the 2020 cohort, there was a 6.3% incidence of confirmed SARS-CoV-2 infection during hospitalization.

CONCLUSIONS

The number of STEMI patients treated during the current COVID-19 outbreak fell vs the previous year and there was an increase in the median time from symptom onset to reperfusion and a significant 2-fold increase in the rate of in-hospital mortality. No changes in reperfusion strategy were detected, with primary percutaneous coronary intervention performed for the vast majority of patients. The co-existence of STEMI and SARS-CoV-2 infection was relatively infrequent.

Для цитирования: Rodríguez-Leor Oriol, Cid-Álvarez Belén, Pérez de Prado Armando, Rossello Xavier, Ojeda Soledad, Serrador Ana, López-Palop Ramón, Martín-Moreiras Javier, Rumoroso José Ramón, Cequier Ángel, Ibáñez Borja, Cruz-González Ignacio, Romaguera Rafael, Moreno Raúl, Working Group on the Infarct Code of the Interventional Cardiology Association of the Spanish Society of Cardiology Investigators, Villa Manuel, Ruíz-Salmerón Rafael, Molano Francisco, Sánchez Carlos, Muñoz-García Erika, Íñigo Luís, Herrador Juan, Gómez-Menchero Antonio, Gómez-Menchero Antonio, Caballero Juan, Ojeda Soledad, Cárdenas Mérida, Gheorghe Livia, Oneto Jesús, Morales Francisco, Valencia Félix, Ruíz José Ramón, Diarte José Antonio, Avanzas Pablo, Rondán Juan, Peral Vicente, Pernasetti Lucía Vera, Hernández Julio, Bosa Francisco, Lorenzo Pedro Luís Martín, Jiménez Francisco, Hernández José M de la Torre, Jiménez-Mazuecos Jesús, Lozano Fernando, Moreu José, Novo Enrique, Robles Javier, Moreiras Javier Martín, Fernández-Vázquez Felipe, Amat-Santos Ignacio J, Gómez-Hospital Joan Antoni, García-Picart Joan, Blanco Bruno García Del, Regueiro Ander, Carrillo-Suárez Xavier, Tizón Helena, Mohandes Mohsen, Casanova Juan, Agudelo-Montañez Víctor, Muñoz Juan Francisco, Franco Juan, Del Castillo Roberto, Salinas Pablo, Elizaga Jaime, Sarnago Fernando, Jiménez-Valero Santiago, Rivero Fernando, Oteo Juan Francisco, Alegría-Barrero Eduardo, Sánchez-Recalde Ángel, Ruíz Valeriano, Pinar Eduardo, Pinar Eduardo, Planas Ana, Ledesma Bernabé López, Berenguer Alberto, Fernández-Cisnal Agustín, Aguar Pablo, Pomar Francisco, Jerez Miguel, Torres Francisco, García Ricardo, Frutos Araceli, Nodar Juan Miguel Ruíz, García Koldobika, Sáez Roberto, Torres Alfonso, Tellería Miren, Sadaba Mario, Mínguez José Ramón López, Merchán Juan Carlos Rama, Portales Javier, Trillo Ramiro, Aldama Guillermo, Fernández Saleta, Santás Melisa, Pérez María Pilar Portero. Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience.. Revista espanola de cardiologia (English ed.). 2020. DOI: 10.1016/j.rec.2020.08.002.

Предметные рубрики MeSH

COVID-19 Comorbidity Disease Management Female Follow-Up Studies Hospital Mortality Humans Male Middle Aged Pandemics Percutaneous Coronary Intervention Registries Retrospective Studies SARS-CoV-2 ST Elevation Myocardial Infarction Spain

Подготовка и перевод публикации

Обработка статьи · этапы, ошибки и управление

Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.