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Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry

Background: The constraints in the management of patients with ST-segment elevation myocardial infarction (STEMI) during the COVID-19 pandemic have been suggested to have severely impacted mortality levels. The aim of the current analysis is to evaluate the age-related effects of the COVID-19 pandem...

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Autores principales: De Luca, Giuseppe, Algowhary, Magdy, Uguz, Berat, Oliveira, Dinaldo C., Ganyukov, Vladimir, Busljetik, Oliver, Cercek, Miha, Jensen, Lisette Okkels, Loh, Poay Huan, Calmac, Lucian, Ferrer, Gerard Roura i, Quadros, Alexandre, Milewski, Marek, Scotto D’Uccio, Fortunato, von Birgelen, Clemens, Versaci, Francesco, Ten Berg, Jurrien, Casella, Gianni, Wong Sung Lung, Aaron, Kala, Petr, Díez Gil, José Luis, Carrillo, Xavier, Dirksen, Maurits, Becerra Munoz, Victor, Lee, Michael Kang-yin, Juzar, Dafsah Arifa, de Moura Joaquim, Rodrigo, Paladino, Roberto, Milicic, Davor, Davlouros, Periklis, Bakraceski, Nikola, Zilio, Filippo, Donazzan, Luca, Kraaijeveld, Adriaan, Galasso, Gennaro, Arpad, Lux, Marinucci, Lucia, Guiducci, Vincenzo, Menichelli, Maurizio, Scoccia, Alessandra, Yamac, Aylin Hatice, Ugur Mert, Kadir, Flores Rios, Xacobe, Kovarnik, Tomas, Kidawa, Michal, Moreu, Josè, Flavien, Vincent, Fabris, Enrico, Martínez-Luengas, Iñigo Lozano, Boccalatte, Marco, Bosa Ojeda, Francisco, Arellano-Serrano, Carlos, Caiazzo, Gianluca, Cirrincione, Giuseppe, Kao, Hsien-Li, Sanchis Forés, Juan, Vignali, Luigi, Pereira, Helder, Manzo-Silberman, Stephane, Ordoñez, Santiago, Arat Özkan, Alev, Scheller, Bruno, Lehitola, Heidi, Teles, Rui, Mantis, Christos, Antti, Ylitalo, Brum Silveira, João António, Zoni, Cesar Rodrigo, Bessonov, Ivan, Uccello, Giuseppe, Kochiadakis, George, Alexopulos, Dimitrios, Uribe, Carlos E., Kanakakis, John, Faurie, Benjamin, Gabrielli, Gabriele, Gutierrez Barrios, Alejandro, Bachini, Juan Pablo, Rocha, Alex, Tam, Frankie C. C., Rodriguez, Alfredo, Lukito, Antonia Anna, Saint-Joy, Veauthyelau, Pessah, Gustavo, Tuccillo, Andrea, Ielasi, Alfonso, Cortese, Giuliana, Parodi, Guido, Burgadha, Mohammed Abed, Kedhi, Elvin, Lamelas, Pablo, Suryapranata, Harry, Nardin, Matteo, Verdoia, Monica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10059932/
https://www.ncbi.nlm.nih.gov/pubmed/36983119
http://dx.doi.org/10.3390/jcm12062116
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author De Luca, Giuseppe
Algowhary, Magdy
Uguz, Berat
Oliveira, Dinaldo C.
Ganyukov, Vladimir
Busljetik, Oliver
Cercek, Miha
Jensen, Lisette Okkels
Loh, Poay Huan
Calmac, Lucian
Ferrer, Gerard Roura i
Quadros, Alexandre
Milewski, Marek
Scotto D’Uccio, Fortunato
von Birgelen, Clemens
Versaci, Francesco
Ten Berg, Jurrien
Casella, Gianni
Wong Sung Lung, Aaron
Kala, Petr
Díez Gil, José Luis
Carrillo, Xavier
Dirksen, Maurits
Becerra Munoz, Victor
Lee, Michael Kang-yin
Juzar, Dafsah Arifa
de Moura Joaquim, Rodrigo
Paladino, Roberto
Milicic, Davor
Davlouros, Periklis
Bakraceski, Nikola
Zilio, Filippo
Donazzan, Luca
Kraaijeveld, Adriaan
Galasso, Gennaro
Arpad, Lux
Marinucci, Lucia
Guiducci, Vincenzo
Menichelli, Maurizio
Scoccia, Alessandra
Yamac, Aylin Hatice
Ugur Mert, Kadir
Flores Rios, Xacobe
Kovarnik, Tomas
Kidawa, Michal
Moreu, Josè
Flavien, Vincent
Fabris, Enrico
Martínez-Luengas, Iñigo Lozano
Boccalatte, Marco
Bosa Ojeda, Francisco
Arellano-Serrano, Carlos
Caiazzo, Gianluca
Cirrincione, Giuseppe
Kao, Hsien-Li
Sanchis Forés, Juan
Vignali, Luigi
Pereira, Helder
Manzo-Silberman, Stephane
Ordoñez, Santiago
Arat Özkan, Alev
Scheller, Bruno
Lehitola, Heidi
Teles, Rui
Mantis, Christos
Antti, Ylitalo
Brum Silveira, João António
Zoni, Cesar Rodrigo
Bessonov, Ivan
Uccello, Giuseppe
Kochiadakis, George
Alexopulos, Dimitrios
Uribe, Carlos E.
Kanakakis, John
Faurie, Benjamin
Gabrielli, Gabriele
Gutierrez Barrios, Alejandro
Bachini, Juan Pablo
Rocha, Alex
Tam, Frankie C. C.
Rodriguez, Alfredo
Lukito, Antonia Anna
Saint-Joy, Veauthyelau
Pessah, Gustavo
Tuccillo, Andrea
Ielasi, Alfonso
Cortese, Giuliana
Parodi, Guido
Burgadha, Mohammed Abed
Kedhi, Elvin
Lamelas, Pablo
Suryapranata, Harry
Nardin, Matteo
Verdoia, Monica
author_facet De Luca, Giuseppe
Algowhary, Magdy
Uguz, Berat
Oliveira, Dinaldo C.
Ganyukov, Vladimir
Busljetik, Oliver
Cercek, Miha
Jensen, Lisette Okkels
Loh, Poay Huan
Calmac, Lucian
Ferrer, Gerard Roura i
Quadros, Alexandre
Milewski, Marek
Scotto D’Uccio, Fortunato
von Birgelen, Clemens
Versaci, Francesco
Ten Berg, Jurrien
Casella, Gianni
Wong Sung Lung, Aaron
Kala, Petr
Díez Gil, José Luis
Carrillo, Xavier
Dirksen, Maurits
Becerra Munoz, Victor
Lee, Michael Kang-yin
Juzar, Dafsah Arifa
de Moura Joaquim, Rodrigo
Paladino, Roberto
Milicic, Davor
Davlouros, Periklis
Bakraceski, Nikola
Zilio, Filippo
Donazzan, Luca
Kraaijeveld, Adriaan
Galasso, Gennaro
Arpad, Lux
Marinucci, Lucia
Guiducci, Vincenzo
Menichelli, Maurizio
Scoccia, Alessandra
Yamac, Aylin Hatice
Ugur Mert, Kadir
Flores Rios, Xacobe
Kovarnik, Tomas
Kidawa, Michal
Moreu, Josè
Flavien, Vincent
Fabris, Enrico
Martínez-Luengas, Iñigo Lozano
Boccalatte, Marco
Bosa Ojeda, Francisco
Arellano-Serrano, Carlos
Caiazzo, Gianluca
Cirrincione, Giuseppe
Kao, Hsien-Li
Sanchis Forés, Juan
Vignali, Luigi
Pereira, Helder
Manzo-Silberman, Stephane
Ordoñez, Santiago
Arat Özkan, Alev
Scheller, Bruno
Lehitola, Heidi
Teles, Rui
Mantis, Christos
Antti, Ylitalo
Brum Silveira, João António
Zoni, Cesar Rodrigo
Bessonov, Ivan
Uccello, Giuseppe
Kochiadakis, George
Alexopulos, Dimitrios
Uribe, Carlos E.
Kanakakis, John
Faurie, Benjamin
Gabrielli, Gabriele
Gutierrez Barrios, Alejandro
Bachini, Juan Pablo
Rocha, Alex
Tam, Frankie C. C.
Rodriguez, Alfredo
Lukito, Antonia Anna
Saint-Joy, Veauthyelau
Pessah, Gustavo
Tuccillo, Andrea
Ielasi, Alfonso
Cortese, Giuliana
Parodi, Guido
Burgadha, Mohammed Abed
Kedhi, Elvin
Lamelas, Pablo
Suryapranata, Harry
Nardin, Matteo
Verdoia, Monica
author_sort De Luca, Giuseppe
collection PubMed
description Background: The constraints in the management of patients with ST-segment elevation myocardial infarction (STEMI) during the COVID-19 pandemic have been suggested to have severely impacted mortality levels. The aim of the current analysis is to evaluate the age-related effects of the COVID-19 pandemic on mechanical reperfusion and 30-day mortality for STEMI within the registry ISACS-STEMI COVID-19. Methods: This retrospective multicenter registry was performed in high-volume PPCI centers on four continents and included STEMI patients undergoing PPCI in March–June 2019 and 2020. Patients were divided according to age (< or ≥75 years). The main outcomes were the incidence and timing of PPCI, (ischemia time longer than 12 h and door-to-balloon longer than 30 min), and in-hospital or 30-day mortality. Results: We included 16,683 patients undergoing PPCI in 109 centers. In 2020, during the pandemic, there was a significant reduction in PPCI as compared to 2019 (IRR 0.843 (95%-CI: 0.825–0.861, p < 0.0001). We found a significant age-related reduction (7%, p = 0.015), with a larger effect on elderly than on younger patients. Furthermore, we observed significantly higher 30-day mortality during the pandemic period, especially among the elderly (13.6% vs. 17.9%, adjusted HR (95% CI) = 1.55 [1.24–1.93], p < 0.001) as compared to younger patients (4.8% vs. 5.7%; adjusted HR (95% CI) = 1.25 [1.05–1.49], p = 0.013), as a potential consequence of the significantly longer ischemia time observed during the pandemic. Conclusions: The COVID-19 pandemic had a significant impact on the treatment of patients with STEMI, with a 16% reduction in PPCI procedures, with a larger reduction and a longer delay to treatment among elderly patients, which may have contributed to increase in-hospital and 30-day mortality during the pandemic.
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spelling pubmed-100599322023-03-30 Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry De Luca, Giuseppe Algowhary, Magdy Uguz, Berat Oliveira, Dinaldo C. Ganyukov, Vladimir Busljetik, Oliver Cercek, Miha Jensen, Lisette Okkels Loh, Poay Huan Calmac, Lucian Ferrer, Gerard Roura i Quadros, Alexandre Milewski, Marek Scotto D’Uccio, Fortunato von Birgelen, Clemens Versaci, Francesco Ten Berg, Jurrien Casella, Gianni Wong Sung Lung, Aaron Kala, Petr Díez Gil, José Luis Carrillo, Xavier Dirksen, Maurits Becerra Munoz, Victor Lee, Michael Kang-yin Juzar, Dafsah Arifa de Moura Joaquim, Rodrigo Paladino, Roberto Milicic, Davor Davlouros, Periklis Bakraceski, Nikola Zilio, Filippo Donazzan, Luca Kraaijeveld, Adriaan Galasso, Gennaro Arpad, Lux Marinucci, Lucia Guiducci, Vincenzo Menichelli, Maurizio Scoccia, Alessandra Yamac, Aylin Hatice Ugur Mert, Kadir Flores Rios, Xacobe Kovarnik, Tomas Kidawa, Michal Moreu, Josè Flavien, Vincent Fabris, Enrico Martínez-Luengas, Iñigo Lozano Boccalatte, Marco Bosa Ojeda, Francisco Arellano-Serrano, Carlos Caiazzo, Gianluca Cirrincione, Giuseppe Kao, Hsien-Li Sanchis Forés, Juan Vignali, Luigi Pereira, Helder Manzo-Silberman, Stephane Ordoñez, Santiago Arat Özkan, Alev Scheller, Bruno Lehitola, Heidi Teles, Rui Mantis, Christos Antti, Ylitalo Brum Silveira, João António Zoni, Cesar Rodrigo Bessonov, Ivan Uccello, Giuseppe Kochiadakis, George Alexopulos, Dimitrios Uribe, Carlos E. Kanakakis, John Faurie, Benjamin Gabrielli, Gabriele Gutierrez Barrios, Alejandro Bachini, Juan Pablo Rocha, Alex Tam, Frankie C. C. Rodriguez, Alfredo Lukito, Antonia Anna Saint-Joy, Veauthyelau Pessah, Gustavo Tuccillo, Andrea Ielasi, Alfonso Cortese, Giuliana Parodi, Guido Burgadha, Mohammed Abed Kedhi, Elvin Lamelas, Pablo Suryapranata, Harry Nardin, Matteo Verdoia, Monica J Clin Med Article Background: The constraints in the management of patients with ST-segment elevation myocardial infarction (STEMI) during the COVID-19 pandemic have been suggested to have severely impacted mortality levels. The aim of the current analysis is to evaluate the age-related effects of the COVID-19 pandemic on mechanical reperfusion and 30-day mortality for STEMI within the registry ISACS-STEMI COVID-19. Methods: This retrospective multicenter registry was performed in high-volume PPCI centers on four continents and included STEMI patients undergoing PPCI in March–June 2019 and 2020. Patients were divided according to age (< or ≥75 years). The main outcomes were the incidence and timing of PPCI, (ischemia time longer than 12 h and door-to-balloon longer than 30 min), and in-hospital or 30-day mortality. Results: We included 16,683 patients undergoing PPCI in 109 centers. In 2020, during the pandemic, there was a significant reduction in PPCI as compared to 2019 (IRR 0.843 (95%-CI: 0.825–0.861, p < 0.0001). We found a significant age-related reduction (7%, p = 0.015), with a larger effect on elderly than on younger patients. Furthermore, we observed significantly higher 30-day mortality during the pandemic period, especially among the elderly (13.6% vs. 17.9%, adjusted HR (95% CI) = 1.55 [1.24–1.93], p < 0.001) as compared to younger patients (4.8% vs. 5.7%; adjusted HR (95% CI) = 1.25 [1.05–1.49], p = 0.013), as a potential consequence of the significantly longer ischemia time observed during the pandemic. Conclusions: The COVID-19 pandemic had a significant impact on the treatment of patients with STEMI, with a 16% reduction in PPCI procedures, with a larger reduction and a longer delay to treatment among elderly patients, which may have contributed to increase in-hospital and 30-day mortality during the pandemic. MDPI 2023-03-08 /pmc/articles/PMC10059932/ /pubmed/36983119 http://dx.doi.org/10.3390/jcm12062116 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
De Luca, Giuseppe
Algowhary, Magdy
Uguz, Berat
Oliveira, Dinaldo C.
Ganyukov, Vladimir
Busljetik, Oliver
Cercek, Miha
Jensen, Lisette Okkels
Loh, Poay Huan
Calmac, Lucian
Ferrer, Gerard Roura i
Quadros, Alexandre
Milewski, Marek
Scotto D’Uccio, Fortunato
von Birgelen, Clemens
Versaci, Francesco
Ten Berg, Jurrien
Casella, Gianni
Wong Sung Lung, Aaron
Kala, Petr
Díez Gil, José Luis
Carrillo, Xavier
Dirksen, Maurits
Becerra Munoz, Victor
Lee, Michael Kang-yin
Juzar, Dafsah Arifa
de Moura Joaquim, Rodrigo
Paladino, Roberto
Milicic, Davor
Davlouros, Periklis
Bakraceski, Nikola
Zilio, Filippo
Donazzan, Luca
Kraaijeveld, Adriaan
Galasso, Gennaro
Arpad, Lux
Marinucci, Lucia
Guiducci, Vincenzo
Menichelli, Maurizio
Scoccia, Alessandra
Yamac, Aylin Hatice
Ugur Mert, Kadir
Flores Rios, Xacobe
Kovarnik, Tomas
Kidawa, Michal
Moreu, Josè
Flavien, Vincent
Fabris, Enrico
Martínez-Luengas, Iñigo Lozano
Boccalatte, Marco
Bosa Ojeda, Francisco
Arellano-Serrano, Carlos
Caiazzo, Gianluca
Cirrincione, Giuseppe
Kao, Hsien-Li
Sanchis Forés, Juan
Vignali, Luigi
Pereira, Helder
Manzo-Silberman, Stephane
Ordoñez, Santiago
Arat Özkan, Alev
Scheller, Bruno
Lehitola, Heidi
Teles, Rui
Mantis, Christos
Antti, Ylitalo
Brum Silveira, João António
Zoni, Cesar Rodrigo
Bessonov, Ivan
Uccello, Giuseppe
Kochiadakis, George
Alexopulos, Dimitrios
Uribe, Carlos E.
Kanakakis, John
Faurie, Benjamin
Gabrielli, Gabriele
Gutierrez Barrios, Alejandro
Bachini, Juan Pablo
Rocha, Alex
Tam, Frankie C. C.
Rodriguez, Alfredo
Lukito, Antonia Anna
Saint-Joy, Veauthyelau
Pessah, Gustavo
Tuccillo, Andrea
Ielasi, Alfonso
Cortese, Giuliana
Parodi, Guido
Burgadha, Mohammed Abed
Kedhi, Elvin
Lamelas, Pablo
Suryapranata, Harry
Nardin, Matteo
Verdoia, Monica
Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry
title Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry
title_full Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry
title_fullStr Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry
title_full_unstemmed Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry
title_short Age-Related Effects of COVID-19 Pandemic on Mechanical Reperfusion and 30-Day Mortality for STEMI: Results of the ISACS-STEMI COVID-19 Registry
title_sort age-related effects of covid-19 pandemic on mechanical reperfusion and 30-day mortality for stemi: results of the isacs-stemi covid-19 registry
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10059932/
https://www.ncbi.nlm.nih.gov/pubmed/36983119
http://dx.doi.org/10.3390/jcm12062116
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