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Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study

The COVID-19 pandemic modified the management of myocardial infarction (MI) and stroke. We aimed to evaluate the effect of the COVID-19 pandemic on the volume and spatial distribution of hospitalizations for MI and stroke, before, during and after the first nationwide lockdown in France in 2020, com...

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Autores principales: Mariet, Anne-Sophie, Duloquin, Gauthier, Benzenine, Eric, Roussot, Adrien, Pommier, Thibaut, Eicher, Jean-Christophe, Baptiste, Laura, Giroud, Maurice, Cottin, Yves, Béjot, Yannick, Quantin, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9598815/
https://www.ncbi.nlm.nih.gov/pubmed/36289763
http://dx.doi.org/10.3390/biomedicines10102501
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author Mariet, Anne-Sophie
Duloquin, Gauthier
Benzenine, Eric
Roussot, Adrien
Pommier, Thibaut
Eicher, Jean-Christophe
Baptiste, Laura
Giroud, Maurice
Cottin, Yves
Béjot, Yannick
Quantin, Catherine
author_facet Mariet, Anne-Sophie
Duloquin, Gauthier
Benzenine, Eric
Roussot, Adrien
Pommier, Thibaut
Eicher, Jean-Christophe
Baptiste, Laura
Giroud, Maurice
Cottin, Yves
Béjot, Yannick
Quantin, Catherine
author_sort Mariet, Anne-Sophie
collection PubMed
description The COVID-19 pandemic modified the management of myocardial infarction (MI) and stroke. We aimed to evaluate the effect of the COVID-19 pandemic on the volume and spatial distribution of hospitalizations for MI and stroke, before, during and after the first nationwide lockdown in France in 2020, compared with 2019. Hospitalization data were extracted from the French National Discharge database. Patient’s characteristics were compared according to COVID-19 status. Changes in hospitalization rates over time were measured using interrupted time series analysis. Possible spatial patterns of over or under-hospitalization rates were investigated using Moran’s indices. We observed a rapid and significant drop in hospitalizations just before the beginning of the lockdown with a nadir at 36.5% for MI and 31.2% for stroke. Hospitalization volumes returned to those seen in 2019 four weeks after the end of the lockdown, except for MI, which rebounded excessively. Older age, male sex, elevated rate of hypertension, diabetes, obesity and mortality characterized COVID-19 patients. There was no evidence of a change in the spatial pattern of over- or under-hospitalization clusters over the three periods. After a steep drop, only MI showed a significant rebound after the first lockdown with no change in the spatial distribution of hospitalizations.
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spelling pubmed-95988152022-10-27 Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study Mariet, Anne-Sophie Duloquin, Gauthier Benzenine, Eric Roussot, Adrien Pommier, Thibaut Eicher, Jean-Christophe Baptiste, Laura Giroud, Maurice Cottin, Yves Béjot, Yannick Quantin, Catherine Biomedicines Article The COVID-19 pandemic modified the management of myocardial infarction (MI) and stroke. We aimed to evaluate the effect of the COVID-19 pandemic on the volume and spatial distribution of hospitalizations for MI and stroke, before, during and after the first nationwide lockdown in France in 2020, compared with 2019. Hospitalization data were extracted from the French National Discharge database. Patient’s characteristics were compared according to COVID-19 status. Changes in hospitalization rates over time were measured using interrupted time series analysis. Possible spatial patterns of over or under-hospitalization rates were investigated using Moran’s indices. We observed a rapid and significant drop in hospitalizations just before the beginning of the lockdown with a nadir at 36.5% for MI and 31.2% for stroke. Hospitalization volumes returned to those seen in 2019 four weeks after the end of the lockdown, except for MI, which rebounded excessively. Older age, male sex, elevated rate of hypertension, diabetes, obesity and mortality characterized COVID-19 patients. There was no evidence of a change in the spatial pattern of over- or under-hospitalization clusters over the three periods. After a steep drop, only MI showed a significant rebound after the first lockdown with no change in the spatial distribution of hospitalizations. MDPI 2022-10-07 /pmc/articles/PMC9598815/ /pubmed/36289763 http://dx.doi.org/10.3390/biomedicines10102501 Text en © 2022 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
Mariet, Anne-Sophie
Duloquin, Gauthier
Benzenine, Eric
Roussot, Adrien
Pommier, Thibaut
Eicher, Jean-Christophe
Baptiste, Laura
Giroud, Maurice
Cottin, Yves
Béjot, Yannick
Quantin, Catherine
Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study
title Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study
title_full Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study
title_fullStr Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study
title_full_unstemmed Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study
title_short Impact of the First COVID-19 Wave on French Hospitalizations for Myocardial Infarction and Stroke: A Retrospective Cohort Study
title_sort impact of the first covid-19 wave on french hospitalizations for myocardial infarction and stroke: a retrospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9598815/
https://www.ncbi.nlm.nih.gov/pubmed/36289763
http://dx.doi.org/10.3390/biomedicines10102501
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