About: Reduction of hospitalizations for myocardial infarction in Italy in the COVID-19 era

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Reduction of hospitalizations for myocardial infarction in Italy in the COVID-19 era
Creator	Indolfi, Ciro Spaccarotella, Carmen Calabrò, Maria Basso, Cristina Curcio, Antonio De Rosa, Salvatore Filardi, Pasquale Mancone, Massimo Mercuro, Giuseppe Muscoli, Saverio Nodari, Savina Pedrinelli, Roberto Sinagra, Gianfranco
Source	Medline; PMC
abstract	AIMS: To evaluate the impact of the COVID-19 pandemic on patient admissions to Italian cardiac care units (CCUs). METHODS AND RESULTS: We conducted a multicentre, observational, nationwide survey to collect data on admissions for acute myocardial infarction (AMI) at Italian CCUs throughout a 1 week period during the COVID-19 outbreak, compared with the equivalent week in 2019. We observed a 48.4% reduction in admissions for AMI compared with the equivalent week in 2019 (P < 0.001). The reduction was significant for both ST-segment elevation myocardial infarction [STEMI; 26.5%, 95% confidence interval (CI) 21.7–32.3; P = 0.009] and non-STEMI (NSTEMI; 65.1%, 95% CI 60.3–70.3; P < 0.001). Among STEMIs, the reduction was higher for women (41.2%; P = 0.011) than men (17.8%; P = 0.191). A similar reduction in AMI admissions was registered in North Italy (52.1%), Central Italy (59.3%), and South Italy (52.1%). The STEMI case fatality rate during the pandemic was substantially increased compared with 2019 [risk ratio (RR) = 3.3, 95% CI 1.7–6.6; P < 0.001]. A parallel increase in complications was also registered (RR = 1.8, 95% CI 1.1–2.8; P = 0.009). CONCLUSION: Admissions for AMI were significantly reduced during the COVID-19 pandemic across Italy, with a parallel increase in fatality and complication rates. This constitutes a serious social issue, demanding attention by the scientific and healthcare communities and public regulatory agencies.
has issue date	2020-05-15(xsd:dateTime)
bibo:doi	10.1093/eurheartj/ehaa409
bibo:pmid	32412631
has license	no-cc
sha1sum (hex)	16341162d4bc8dcab69507ea2b8718668f259ee3
schema:url	https://doi.org/10.1093/eurheartj/ehaa409
resource representing a document's title	Reduction of hospitalizations for myocardial infarction in Italy in the COVID-19 era
has PubMed Central identifier	PMC7239145
has PubMed identifier	32412631
schema:publication	Eur Heart J
resource representing a document's body	covid:16341162d4bc8dcab69507ea2b8718668f259ee3#body_text
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