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Hospital admissions during Covid-19 lock-down in Germany: Differences in discretionary and unavoidable cardiovascular events

Stöhr, Elisabeth ; Aksoy, Adem ; Campbell, Meghan ; Al Zaidi, Muntadher ; Öztürk, Can ; Vorloeper, Julia ; Lange, Jonas ; Sugiura, Atsushi ; Wilde, Nihal ; Becher, Marc Ulrich ; Diepenseifen, Christian ; Heister, Ulrich ; Nickenig, Georg ; Zimmer, Sebastian ; Tiyerili, Vedat Lazzeri, Chiara

PloS one, 2020-11, Vol.15 (11), p.e0242653-e0242653 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Hospital admissions during Covid-19 lock-down in Germany: Differences in discretionary and unavoidable cardiovascular events
Autor: Stöhr, Elisabeth ; Aksoy, Adem ; Campbell, Meghan ; Al Zaidi, Muntadher ; Öztürk, Can ; Vorloeper, Julia ; Lange, Jonas ; Sugiura, Atsushi ; Wilde, Nihal ; Becher, Marc Ulrich ; Diepenseifen, Christian ; Heister, Ulrich ; Nickenig, Georg ; Zimmer, Sebastian ; Tiyerili, Vedat
Lazzeri, Chiara
Assuntos: Acute Disease - epidemiology ; Acute Disease - therapy ; Aged ; Aged, 80 and over ; Angina ; Angina pectoris ; Betacoronavirus ; Biology and life sciences ; Cardiac arrhythmia ; Cardiology ; Cardiopulmonary resuscitation ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - therapy ; Care and treatment ; Catheters ; Cerebral infarction ; Chronic obstructive pulmonary disease ; Congestive heart failure ; Control ; Coronavirus Infections - epidemiology ; Coronaviruses ; COVID-19 ; CPR ; Departments ; Emergencies ; Emergency medical services ; Epidemics ; Female ; Germany ; Heart attacks ; Heart diseases ; Heart failure ; Hospital care ; Hospitalization ; Hospitalization - statistics & numerical data ; Hospitals ; Humans ; Hypertension ; Infections ; Male ; Medical instruments ; Medicine and Health Sciences ; Middle Aged ; Myocardial infarction ; Pandemics ; Patient admissions ; Physicians ; Pneumonia, Viral - epidemiology ; Reduction ; Resuscitation ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Shutdowns ; Standard deviation ; Statistics ; Stroke ; Suburban areas ; Syncope ; Urban areas
É parte de: PloS one, 2020-11, Vol.15 (11), p.e0242653-e0242653
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Competing Interests: The authors have declared that no competing interests exist.
Descrição: A decline in hospitalization for cardiovascular events and catheter laboratory activation was reported for the United States and Italy during the initial stage of the Covid-19 pandemic of 2020. We report on the deployment of emergency services for cardiovascular events in a defined region in western Germany during the government-imposed lock-down period. We examined 5799 consecutive patients who were treated by emergency services for cardiovascular events during the Covid-19 pandemic (January 1 to April 30, 2020), and compared those to the corresponding time frame in 2019. Examining the emergency physicians' records provided by nine locations in the area, we found a 20% overall decline in cardiovascular admissions. The greatest reduction could be seen immediately following the government-imposed social restrictions. This reduction was mainly driven by a reduction in discretionary admissions for dizziness/syncope (-53%), heart failure (-38%), exacerbated COPD (-28%) and unstable angina (-23%), while unavoidable admissions for ST-elevation myocardial infarction (STEMI), cardiopulmonary resuscitation (CPR) and stroke were unchanged. There was a greater decline in emergency admissions for patients ≥60 years. There was also a greater reduction in emergency admissions for those living in urban areas compared to suburban areas. During the Covid-19 pandemic, a significant decline in hospitalization for cardiovascular events was observed during the government-enforced shutdown in a predefined area in western Germany. This reduction in admissions was mainly driven by "discretionary" cardiovascular events (unstable angina, heart failure, exacerbated COPD and dizziness/syncope), but events in which admission was unavoidable (CPR, STEMI and stroke) did not change.
Editor: United States: Public Library of Science
Idioma: Inglês

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Hospital admissions during Covid-19 lock-down in Germany: Differences in discretionary and unavoidable cardiovascular events

Stöhr, Elisabeth ; Aksoy, Adem ; Campbell, Meghan ; Al Zaidi, Muntadher ; Öztürk, Can ; Vorloeper, Julia ; Lange, Jonas ; Sugiura, Atsushi ; Wilde, Nihal ; Becher, Marc Ulrich ; Diepenseifen, Christian ; Heister, Ulrich ; Nickenig, Georg ; Zimmer, Sebastian ; Tiyerili, Vedat Lazzeri, Chiara

United States: Public Library of Science

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