Google Trends Insights Into Reduced Acute Coronary Syndrome Admissions During the COVID-19 Pandemic: Infodemiology Study.

COVID-19 Google Trends acute coronary syndrome cardiovascular coronary heart disease heart internet online search trend

Journal

JMIR cardio
ISSN: 2561-1011
Titre abrégé: JMIR Cardio
Pays: Canada
ID NLM: 101718325

Informations de publication

Date de publication:
24 Aug 2020
Historique:
received: 18 05 2020
accepted: 23 07 2020
revised: 17 06 2020
entrez: 25 8 2020
pubmed: 25 8 2020
medline: 25 8 2020
Statut: epublish

Résumé

During the coronavirus disease (COVID-19) pandemic, a reduction in the presentation of acute coronary syndrome (ACS) has been noted in several countries. However, whether these trends reflect a reduction in ACS incidence or a decrease in emergency room visits is unknown. Using Google Trends, queries for chest pain that have previously been shown to closely correlate with coronary heart disease were compared with searches for myocardial infarction and COVID-19 symptoms. The current study evaluates if search terms (or topics) pertaining to chest pain symptoms correlate with the reported decrease in presentations of ACS. Google Trends data for search terms "chest pain," "myocardial infarction," "cough," and "fever" were obtained from June 1, 2019, to May 31, 2020. Related queries were evaluated for a relationship to coronary heart disease. Following the onset of the COVID-19 pandemic, chest pain searches increased in all countries studied by at least 34% (USA P=.003, Spain P=.007, UK P=.001, Italy P=.002), while searches for myocardial infarction dropped or remained unchanged. Rising searches for chest pain included "coronavirus chest pain," "home remedies for chest pain," and "natural remedies for chest pain." Searches on COVID-19 symptoms (eg, cough, fever) rose initially but returned to baseline while chest pain-related searches remained elevated throughout May. Search engine queries for chest pain have risen during the pandemic as have related searches with alternative attribution for chest pain or home care for chest pain, suggesting that recent drops in ACS presentations may be due to patients avoiding the emergency room and potential treatment in the midst of the COVID-19 pandemic.

Sections du résumé

BACKGROUND BACKGROUND
During the coronavirus disease (COVID-19) pandemic, a reduction in the presentation of acute coronary syndrome (ACS) has been noted in several countries. However, whether these trends reflect a reduction in ACS incidence or a decrease in emergency room visits is unknown. Using Google Trends, queries for chest pain that have previously been shown to closely correlate with coronary heart disease were compared with searches for myocardial infarction and COVID-19 symptoms.
OBJECTIVE OBJECTIVE
The current study evaluates if search terms (or topics) pertaining to chest pain symptoms correlate with the reported decrease in presentations of ACS.
METHODS METHODS
Google Trends data for search terms "chest pain," "myocardial infarction," "cough," and "fever" were obtained from June 1, 2019, to May 31, 2020. Related queries were evaluated for a relationship to coronary heart disease.
RESULTS RESULTS
Following the onset of the COVID-19 pandemic, chest pain searches increased in all countries studied by at least 34% (USA P=.003, Spain P=.007, UK P=.001, Italy P=.002), while searches for myocardial infarction dropped or remained unchanged. Rising searches for chest pain included "coronavirus chest pain," "home remedies for chest pain," and "natural remedies for chest pain." Searches on COVID-19 symptoms (eg, cough, fever) rose initially but returned to baseline while chest pain-related searches remained elevated throughout May.
CONCLUSIONS CONCLUSIONS
Search engine queries for chest pain have risen during the pandemic as have related searches with alternative attribution for chest pain or home care for chest pain, suggesting that recent drops in ACS presentations may be due to patients avoiding the emergency room and potential treatment in the midst of the COVID-19 pandemic.

Identifiants

pubmed: 32831186
pii: v4i1e20426
doi: 10.2196/20426
pmc: PMC7470173
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e20426

Informations de copyright

©Conor Senecal, Rajiv Gulati, Amir Lerman. Originally published in JMIR Cardio (http://cardio.jmir.org), 24.08.2020.

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Auteurs

Conor Senecal (C)

Mayo Clinic, Rochester, MN, United States.

Rajiv Gulati (R)

Mayo Clinic, Rochester, MN, United States.

Amir Lerman (A)

Mayo Clinic, Rochester, MN, United States.

Classifications MeSH