Abstract
Objective To assess performance measures of attention of STEMI in Coronary Intensive Care Unit in General Hospital Camilo Cienfuegos.Methods Admitted patients with STEMI, from February-April 2020, were compared with patients from similar period from 2015-2019, and patients from January 2019 to January 2020. Primary endpoint were performance measures according to the 2017 AHA / ACC Clinical Performance and Quality Measures for Adults with STEMI document, and secondary endpoint were all-cause in-hospital mortality and major acute coronary events.Results Only 35 patients were admitted from February-April 2020. When comparing with similar periods from recent years, in-hospital death (8.3 % vs. 20 %; p=0.03), major complications (38.7 % vs. 57.1 %; p=0.03), and cardiogenic shock (6.9 % vs. 17.4 %; p=0.04) were significantly higher. When comparing with 2019 and January 2020, in-hospital death (9.6 %; p=0.04), and major complications (35.8 % p=0.03) were significantly higher in February-April 2020; however, there was no difference in prevalence of cardiogenic shock (8 %; p=0.12).Conclusion COVID-19 pandemic had decreased prevalence of STEMI, as well as some performance measures of attention in this center.
Highlights
Since COVID-19 became a pandemic, the healthcare systems worldwide have been impacted [1]
Primary endpoint were performance measures according to the 2017 AHA / ACC Clinical Performance and Quality Measures for Adults with ST Elevation Myocardial Infarction (STEMI) document, and secondary endpoint were all-cause in-hospital mortality and major acute coronary events
Several reports have warned about mistreatment and misdiagno sis of patients with ST Elevation Myocardial Infarction (STEMI) [2], and this has become an obstacle in managing cardiovascular disorders
Summary
Since COVID-19 became a pandemic, the healthcare systems worldwide have been impacted [1]. Several reports have warned about mistreatment and misdiagno sis of patients with ST Elevation Myocardial Infarction (STEMI) [2], and this has become an obstacle in managing cardiovascular disorders. Patients from low or middle-income settings (LMIS), where latest treatments are not available, may be the most affected due to these errors [3]. In LMIS settings, health systems must act rapidly to treat patients with COVID-19, and overwhelming the care facilities [4]. All other health issues must to be kept under control. When it comes to acute myocardial infarction, highquality attention depends on the action of health systems [4], and the patient’s determination to seek timely medical attention. Current trends in conditions in high income countries show a troublingly behavior [2, 5, 6]
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