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10.1002/ccd.29154 http://scihub22266oqcxt.onion/10.1002/ccd.29154 32767652!7436427!32767652     free     free     free Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\32767652.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Catheter+Cardiovasc+Interv 2021 ; 98 (2): 217-222 Nephropedia Template TP {{tp|p=32767652|t=2021. Impact of COVID-19 pandemic on STEMI care: An expanded analysis from the United States |pdf=|usr=}}{{32767652}} gab.com Text Impact of COVID-19 pandemic on STEMI care: An expanded analysis from the United States JO: Catheter Cardiovasc Interv http://www.kidney.de/pget.php?&tw=1&pmid=32767652 #FOAvip OBJECTIVE: To evaluate the impact of COVID-19 pandemic migitation measures on of ST-elevation myocardial infarction (STEMI) care. BACKGROUND: We previously reported a 38% decline in cardiac catheterization activations during the early phase of the COVID-19 pandemic mitigation measures. This study extends our early observations using a larger sample of STEMI programs representative of different US regions with the inclusion of more contemporary data. METHODS: Data from 18 hospitals or healthcare systems in the US from January 2019 to April 2020 were collecting including number activations for STEMI, the number of activations leading to angiography and primary percutaneous coronary intervention (PPCI), and average door to balloon (D2B) times. Two periods, January 2019-February 2020 and March-April 2020, were defined to represent periods before (BC) and after (AC) initiation of pandemic mitigation measures, respectively. A generalized estimating equations approach was used to estimate the change in response variables at AC from BC. RESULTS: Compared to BC, the AC period was characterized by a marked reduction in the number of activations for STEMI (29%, 95% CI:18-38, p < .001), number of activations leading to angiography (34%, 95% CI: 12-50, p = .005) and number of activations leading to PPCI (20%, 95% CI: 11-27, p < .001). A decline in STEMI activations drove the reductions in angiography and PPCI volumes. Relative to BC, the D2B times in the AC period increased on average by 20%, 95%CI (-0.2 to 44, p = .05). CONCLUSIONS: The COVID-19 Pandemic has adversely affected many aspects of STEMI care, including timely access to the cardiac catheterization laboratory for PPCI. Twit Text FOAVip Impact of COVID-19 pandemic on STEMI care: An expanded analysis from the United States ????Catheter Cardiovasc Interv http://www.kidney.de/pget.php?&tw=1&pmid=32767652 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32767652 #FOAvip English Wikipedia <ref>{{Cite pmid|32767652}}</ref> Impact of COVID-19 pandemic on STEMI care: An expanded analysis from the United States #MMPMID32767652 Garcia S; Stanberry L; Schmidt C; Sharkey S; Megaly M; Albaghdadi MS; Meraj PM; Garberich R; Jaffer FA; Stefanescu Schmidt AC; Dixon SR; Rade JJ; Smith T; Tannenbaum M; Chambers J; Aguirre F; Huang PP; Kumbhani DJ; Koshy T; Feldman DN; Giri J; Kaul P; Thompson C; Khalili H; Maini B; Nayak KR; Cohen MG; Bangalore S; Shah B; Henry TD Catheter Cardiovasc Interv 2021[Aug]; 98 (2): 217-222 PMID32767652show ga OBJECTIVE: To evaluate the impact of COVID-19 pandemic migitation measures on of ST-elevation myocardial infarction (STEMI) care. BACKGROUND: We previously reported a 38% decline in cardiac catheterization activations during the early phase of the COVID-19 pandemic mitigation measures. This study extends our early observations using a larger sample of STEMI programs representative of different US regions with the inclusion of more contemporary data. METHODS: Data from 18 hospitals or healthcare systems in the US from January 2019 to April 2020 were collecting including number activations for STEMI, the number of activations leading to angiography and primary percutaneous coronary intervention (PPCI), and average door to balloon (D2B) times. Two periods, January 2019-February 2020 and March-April 2020, were defined to represent periods before (BC) and after (AC) initiation of pandemic mitigation measures, respectively. A generalized estimating equations approach was used to estimate the change in response variables at AC from BC. RESULTS: Compared to BC, the AC period was characterized by a marked reduction in the number of activations for STEMI (29%, 95% CI:18-38, p < .001), number of activations leading to angiography (34%, 95% CI: 12-50, p = .005) and number of activations leading to PPCI (20%, 95% CI: 11-27, p < .001). A decline in STEMI activations drove the reductions in angiography and PPCI volumes. Relative to BC, the D2B times in the AC period increased on average by 20%, 95%CI (-0.2 to 44, p = .05). CONCLUSIONS: The COVID-19 Pandemic has adversely affected many aspects of STEMI care, including timely access to the cardiac catheterization laboratory for PPCI. |*Registries[MESH] |*SARS-CoV-2[MESH] |Angioplasty, Balloon, Coronary/*statistics & numerical data[MESH] |COVID-19/*epidemiology[MESH] |Comorbidity[MESH] |Female[MESH] |Follow-Up Studies[MESH] |Humans[MESH] |Male[MESH] |Pandemics[MESH] |Percutaneous Coronary Intervention/*statistics & numerical data[MESH] |Retrospective Studies[MESH] |ST Elevation Myocardial Infarction/*epidemiology/surgery[MESH] |Time Factors[MESH]Impact of COVID-19 pandemic on STEMI care: An expanded analysis from t(epmc).pdf DeepDyve Pubget Overpricing