Τίτλος:
Persistent decline of hospitalizations for acute stroke and acute coronary syndrome during the second wave of the COVID-19 pandemic in Greece: collateral damage unaffected
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: An alarming cerebro/cardiovascular collateral damage, reflected by a decline in admissions for acute stroke (AS) and acute coronary syndrome (ACS), was observed during the initial phase of the COVID-19 pandemic, thereby leading to a re-design of public campaigns. However, there are limited data regarding the AS and ACS hospitalization rates during the second wave of the pandemic, which was followed by re-imposition of lockdowns. Methods: We calculated the rate of AS and ACS hospitalizations from three representative tertiary care hospitals in Greece during a 2-month period (November–December 2020) of the second wave of the COVID-19 pandemic compared with the corresponding control period in 2019 from three representative tertiary care hospitals in Greece. This was a follow-up study with identical design to our previous report evaluating AS and ACS hospitalizations during the first wave of the pandemic (March–April 2020). Results: Compared with 2019, there was a 34% relative reduction of AS hospitalizations [incidence rate ratio (IRR): 0.66, 95% confidence interval (CI): 0.48–0.92, p = 0.013] and 33% relative reduction of ACS hospitalizations (IRR: 0.67, 95% CI: 0.54–0.83, p < 0.001) during the second wave of the COVID-19 pandemic. The relative reduction was smaller and did not reach the level of statistical significance for the respective syndromes (haemorrhagic stroke: IRR 0.87, 95% CI: 0.41–1.82, p = 0.71; ST-elevation myocardial infarction: IRR 0.81, 95% CI: 0.57–1.14, p = 0.22). Conclusion: AS and ACS hospitalizations were persistently reduced during the second wave of the COVID-19 pandemic compared with 2019 in Greece. This decline was similar to the observations during the first wave despite the large differences in the epidemiological COVID-19 burden. Lockdowns, a common characteristic in both waves, appear to have a detrimental indirect impact on cerebro/cardiovascular diseases in the general population. © The Author(s), 2021.
Συγγραφείς:
Katsouras, C.
Tsivgoulis, G.
Papafaklis, M.
Karapanayiotides, T.
Alexopoulos, D.
Ntais, E.
Papagiannopoulou, G.
Koutroulou, I.
Ziakas, A.
Sianos, G.
Kouparanis, A.
Trivilou, P.
Ballas, C.
Samara, I.
Kosmidou, M.
Palaiodimou, L.
Grigoriadis, N.
Michalis, L.K.
Giannopoulos, S.
Περιοδικό:
Therapeutic Advances in Neurological Disorders
Εκδότης:
SAGE Publications Ltd
Λέξεις-κλειδιά:
acute coronary syndrome; adult; angina pectoris; Article; cardiovascular disease; chronic kidney failure; controlled study; coronary artery bypass graft; coronavirus disease 2019; diabetes mellitus; female; heart ejection fraction; heart infarction; hospital admission; hospitalization; human; hypercholesterolemia; hypertension; incidence; intensive care unit; interview; ischemic stroke; lockdown; major clinical study; middle aged; National Institutes of Health Stroke Scale; non ST segment elevation myocardial infarction; observational study; pandemic; percutaneous coronary intervention; peripheral occlusive artery disease; smoking; ST segment elevation myocardial infarction; tertiary care center
DOI:
10.1177/17562864211029540
