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The association of mode of location activity and mobility with acute coronary syndrome: a nationwide ecological study #MMPMID33259680
Mohammad MA; Koul S; Gale CP; Alfredsson J; James S; Frobert O; Omerovic E; Erlinge D
J Intern Med 2021[Feb]; 289 (2): 247-254 PMID33259680show ga
BACKGROUND: We aimed to study the effect of social containment mandates on ACS presentation during COVID-19 pandemic using location activity and mobility data from mobile phone map services. METHODS: We conducted a cross-sectional study using data from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR) including all ACS presentations during the pandemic until 7 May 2020. Using a count regression model, we adjusted for day of the week, daily weather and incidence of COVID-19. RESULTS: A 10% increase in activity around areas of residence was associated with 38% lower rates of ACS hospitalizations, whereas increased activity relating to retail and recreation, grocery stores and pharmacies, workplaces and mode of mobility was associated with 10-20% higher rates of ACS hospitalizations. CONCLUSION: Government policy regarding social containment mandates has important public health implications for medical emergencies such as ACS and may explain the decline in ACS presentations observed during COVID-19 pandemic.
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J+Intern+Med 2021 ; 289 (2): 247-254
