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10.1016/j.lanwpc.2020.100056

http://scihub22266oqcxt.onion/10.1016/j.lanwpc.2020.100056
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suck abstract from ncbi


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pmid34173604      Lancet+Reg+Health+West+Pac 2020 ; 5 (ä): ä
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  • The impact of a national COVID-19 lockdown on acute coronary syndrome hospitalisations in New Zealand (ANZACS-QI 55) #MMPMID34173604
  • Chan DZ; Stewart RA; Kerr AJ; Dicker B; Kyle CV; Adamson PD; Devlin G; Edmond J; El-Jack S; Elliott JM; Fisher N; Flynn C; Lee M; Liao YW; Rhodes M; Scott T; Smith T; Stiles MK; Swain AH; Todd VF; Webster MW; Williams MJ; White HD; Somaratne JB
  • Lancet Reg Health West Pac 2020[Dec]; 5 (ä): ä PMID34173604show ga
  • Background: Countries with a high incidence of coronavirus 2019 (COVID-19) reported reduced hospitalisations for acute coronary syndromes (ACS) during the pandemic. This study describes the impact of a nationwide lockdown on ACS hospitalisations in New Zealand (NZ), a country with a low incidence of COVID-19. Methods: All patients admitted to a NZ Hospital with ACS who underwent coronary angiography in the All NZ ACS Quality Improvement registry during the lockdown (23 March ? 26 April 2020) were compared with equivalent weeks in 2015?2019. Ambulance attendances and regional community troponin-I testing were compared for lockdown and non-lockdown (1 July 2019 to 16 February 2020) periods. Findings: Hospitalisation for ACS was lower during the 5-week lockdown (105 vs. 146 per-week, rate ratio 0?72 [95% CI 0?61?0?83], p = 0.003). This was explained by fewer admissions for non-ST-segment elevation ACS (NSTE-ACS; p = 0?002) but not ST-segment elevation myocardial infarction (STEMI; p = 0?31). Patient characteristics and in-hospital mortality were similar. For STEMI, door-to-balloon times were similar (70 vs. 72 min, p = 0?52). For NSTE-ACS, there was an increase in percutaneous revascularisation (59% vs. 49%, p<0?001) and reduction in surgical revascularisation (9% vs. 15%, p = 0?005). There were fewer ambulance attendances for cardiac arrests (98 vs. 110 per-week, p = 0?04) but no difference for suspected ACS (408 vs. 420 per-week, p = 0?44). Community troponin testing was lower throughout the lockdown (182 vs. 394 per-week, p<0?001). Interpretation: Despite the low incidence of COVID-19, there was a nationwide decrease in ACS hospitalisations during the lockdown. These findings have important implications for future pandemic planning. Funding: The ANZACS-QI registry receives funding from the New Zealand Ministry of Health.
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