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Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China

To estimate the impact on emergency attendance for stroke and acute myocardial infarction (AMI) during the pandemic of COVID-19 in Beijing, China. Based on 17,123 and 8693 emergency attendance for stroke and AMI, an interrupted time-series (ITS) study was conducted. Since 01/24/2020, the top two lev...

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Autores principales: Wu, Yiqun, Chen, Fei, Sun, Zhaobin, Zhang, Yingxian, Song, Yafang, Feng, Wuwei, Wang, Yuping, Liu, Ying, Song, Haiqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8075280/
https://www.ncbi.nlm.nih.gov/pubmed/33904052
http://dx.doi.org/10.1007/s11239-021-02385-8
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author Wu, Yiqun
Chen, Fei
Sun, Zhaobin
Zhang, Yingxian
Song, Yafang
Feng, Wuwei
Wang, Yuping
Liu, Ying
Song, Haiqing
author_facet Wu, Yiqun
Chen, Fei
Sun, Zhaobin
Zhang, Yingxian
Song, Yafang
Feng, Wuwei
Wang, Yuping
Liu, Ying
Song, Haiqing
author_sort Wu, Yiqun
collection PubMed
description To estimate the impact on emergency attendance for stroke and acute myocardial infarction (AMI) during the pandemic of COVID-19 in Beijing, China. Based on 17,123 and 8693 emergency attendance for stroke and AMI, an interrupted time-series (ITS) study was conducted. Since 01/24/2020, the top two levels of regulations on major public health have been implemented in Beijing. This study covered from 03/01/2018 to 06/03/2020, including 19 weeks of lockdown period and 99 weeks before. A segmented Poisson regression model was used to estimate the immediate change and the monthly change in the secular trend of the emergency attendance rates. The emergency attendance rates of stroke and AMI cut in half at the beginning of the lockdown period, with 52.1% (95% CI 45.8% to 57.7%) and 63.1% (95% CI 56.1% to 63.1%) immediate decreases for stroke and AMI, respectively. Then during the lockdown period, 7.0% (95% CI 2.5%, 11.6%) and 16.1% (95% CI 9.5, 23.1) increases per month in the secular trends of emergency attendance rates were shown for stroke and AMI, respectively. Though the accelerated increasing rates, there were estimated 1335 and 747 patients with stroke and AMI without seeking emergency medical aid during the lockdown, respectively. The emergency attendance for stroke and AMI cut in half at the beginning of the pandemic then had gradual restoration thereafter. The results hint the need for more engagement and communications with all stakeholders to reduce the negative impact on CVD emergency medical services during the crisis. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s11239-021-02385-8) contains supplementary material, which is available to authorized users.
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spelling pubmed-80752802021-04-27 Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China Wu, Yiqun Chen, Fei Sun, Zhaobin Zhang, Yingxian Song, Yafang Feng, Wuwei Wang, Yuping Liu, Ying Song, Haiqing J Thromb Thrombolysis Article To estimate the impact on emergency attendance for stroke and acute myocardial infarction (AMI) during the pandemic of COVID-19 in Beijing, China. Based on 17,123 and 8693 emergency attendance for stroke and AMI, an interrupted time-series (ITS) study was conducted. Since 01/24/2020, the top two levels of regulations on major public health have been implemented in Beijing. This study covered from 03/01/2018 to 06/03/2020, including 19 weeks of lockdown period and 99 weeks before. A segmented Poisson regression model was used to estimate the immediate change and the monthly change in the secular trend of the emergency attendance rates. The emergency attendance rates of stroke and AMI cut in half at the beginning of the lockdown period, with 52.1% (95% CI 45.8% to 57.7%) and 63.1% (95% CI 56.1% to 63.1%) immediate decreases for stroke and AMI, respectively. Then during the lockdown period, 7.0% (95% CI 2.5%, 11.6%) and 16.1% (95% CI 9.5, 23.1) increases per month in the secular trends of emergency attendance rates were shown for stroke and AMI, respectively. Though the accelerated increasing rates, there were estimated 1335 and 747 patients with stroke and AMI without seeking emergency medical aid during the lockdown, respectively. The emergency attendance for stroke and AMI cut in half at the beginning of the pandemic then had gradual restoration thereafter. The results hint the need for more engagement and communications with all stakeholders to reduce the negative impact on CVD emergency medical services during the crisis. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s11239-021-02385-8) contains supplementary material, which is available to authorized users. Springer US 2021-04-26 2021 /pmc/articles/PMC8075280/ /pubmed/33904052 http://dx.doi.org/10.1007/s11239-021-02385-8 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Wu, Yiqun
Chen, Fei
Sun, Zhaobin
Zhang, Yingxian
Song, Yafang
Feng, Wuwei
Wang, Yuping
Liu, Ying
Song, Haiqing
Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China
title Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China
title_full Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China
title_fullStr Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China
title_full_unstemmed Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China
title_short Impact of the pandemic of COVID-19 on emergency attendance for stroke and acute myocardial infarction in Beijing, China
title_sort impact of the pandemic of covid-19 on emergency attendance for stroke and acute myocardial infarction in beijing, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8075280/
https://www.ncbi.nlm.nih.gov/pubmed/33904052
http://dx.doi.org/10.1007/s11239-021-02385-8
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