Effects of COVID-۱۹ Pandemic on the Treatment Management of ST-elevation Myocardial Infarction

Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_EBCJ-12-1_001

تاریخ نمایه سازی: 27 فروردین 1401

Abstract:

Background: The outbreak of coronavirus disease ۲۰۱۹ (COVID-۱۹) in early ۲۰۲۰ has affected reperfusion time in patients with ST-segment elevation myocardial infarction (STEMI) across the globe.Aim: The present study aimed to assess the effect of the COVID-۱۹ pandemic on the treatment management of STEMI.Method: This quantitative cross-sectional descriptive-analytical study investigated medical records of all patients (n=۲۷۹) with STEMI who were consecutively admitted to Heshmatieh Hospital in Sabzevar city and underwent Primary Percutaneous Coronary Intervention (PPCI) in the last ۹ months of ۲۰۱۹ (from April to December) as "Pre-pandemic group" (n=۱۶۱) and the same period in ۲۰۲۰ as "post-pandemic group" (n=۱۱۸). The data collection tools were a demographic information form and a checklist for recording treatment information.Results: The average times from the symptom onset to first medical contact (FMC) and from FMC to the commencement of PPCI were significantly increased in the post-pandemic group, compared to those in the pre-pandemic group (۸۷۰.۵۰±۱۳۹۷.۴۸ versus ۳۴۸.۸۰±۳۹۹.۲۰ min and ۷۳.۲۳±۹۱.۸۷ versus ۵۲.۶۸±۲۷.۴۶ min, respectively). The mean length of stay was reduced after the intervention in the post-pandemic group. Despite the reduction in the number of STEMI patients’ referrals in the post-COVID-۱۹ pandemic period, the comparison of the referral of patients by month showed no significant difference between the two study groups before and after the COVID-۱۹ pandemic.Implications for Practice: The COVID-۱۹ pandemic caused treatment delay and reduced hospital stay among STEMI patients. The results of this study can be used to inform the community and better manage time-dependent diseases, such as STEMI, in the future.

Keywords:

COVID-۱۹ , Primary percutaneous coronary intervention , ST-elevation myocardial infarction , Time-to-Treatments

Authors

Hassan Shahbazi

Department of Nursing Education, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran

Neda Mahdavifar

MSc Student of Emergency Nursing, Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran

Ali Asghar Jesmi

Department of Statistics and Epidemiology, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran

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