Cardiovascular Outcomes in Nova Scotia During the Early Phase of the COVID-19 Pandemic.


Journal

CJC open
ISSN: 2589-790X
Titre abrégé: CJC Open
Pays: United States
ID NLM: 101763635

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 11 11 2021
accepted: 12 12 2021
pubmed: 4 1 2022
medline: 4 1 2022
entrez: 3 1 2022
Statut: ppublish

Résumé

This study sought to determine the impact of the COVID-19 pandemic response to healthcare delivery on outcomes in patients with cardiovascular disease. This is a population-based cohort study performed in the province of Nova Scotia, Canada (population 979,499), between the pre-COVID (March 1, 2017-March 16, 2020) and in-COVID (March 17, 2020-December 31, 2020) periods. Adult patients (age ≥ 18 years) with new-onset or existing cardiovascular disease were included for comparison between periods. The main outcome measures included the following: cardiovascular emergency department visits or hospitalizations, mortality, and out-of-hospital cardiac arrest. In the first month of the in-COVID period, emergency department visits (n = 51,750) for cardiac symptoms decreased by 20.8% (95% confidence interval [CI] 14.0%-27.0%, This study demonstrates increased cardiovascular morbidity and mortality during restrictions maintained during the COVID-19 period, in an area with a low burden of COVID-19. As the healthcare system recovers or enters subsequent waves of COVID-19, these findings should inform communication to the public regarding cardiovascular symptoms, and policy for delivery of cardiovascular care. Cette étude visait à déterminer les répercussions de la réponse à la pandémie de COVID-19 sur la prestation des soins de santé et son incidence sur les résultats obtenus par les patients atteints d’une maladie cardiovasculaire. Il s’agit d’une étude de cohorte représentative de la population réalisée dans la province de la Nouvelle-Écosse, au Canada (population de 979 499 habitants), entre la période précédant le début de la pandémie de COVID-19 (du 1 Au cours du premier mois de la période de pandémie, les visites aux services des urgences (n = 51 750) pour des symptômes cardiaques ont diminué de 20,8 % (intervalle de confiance [IC] à 95 % : 14,0 % – 27,0 %, Cette étude révèle une augmentation de la morbidité et de la mortalité cardiovasculaires durant le maintien des restrictions liées à la COVID-19 dans une région où le fardeau associé à cette maladie est faible. À mesure que le système de santé se rétablit ou affronte les vagues subséquentes de COVID-19, ces résultats devraient éclairer les communications au public concernant les symptômes cardiovasculaires et orienter la politique de prestation de soins cardiovasculaires.

Sections du résumé

BACKGROUND BACKGROUND
This study sought to determine the impact of the COVID-19 pandemic response to healthcare delivery on outcomes in patients with cardiovascular disease.
METHODS METHODS
This is a population-based cohort study performed in the province of Nova Scotia, Canada (population 979,499), between the pre-COVID (March 1, 2017-March 16, 2020) and in-COVID (March 17, 2020-December 31, 2020) periods. Adult patients (age ≥ 18 years) with new-onset or existing cardiovascular disease were included for comparison between periods. The main outcome measures included the following: cardiovascular emergency department visits or hospitalizations, mortality, and out-of-hospital cardiac arrest.
RESULTS RESULTS
In the first month of the in-COVID period, emergency department visits (n = 51,750) for cardiac symptoms decreased by 20.8% (95% confidence interval [CI] 14.0%-27.0%,
CONCLUSIONS CONCLUSIONS
This study demonstrates increased cardiovascular morbidity and mortality during restrictions maintained during the COVID-19 period, in an area with a low burden of COVID-19. As the healthcare system recovers or enters subsequent waves of COVID-19, these findings should inform communication to the public regarding cardiovascular symptoms, and policy for delivery of cardiovascular care.
CONTEXTE BACKGROUND
Cette étude visait à déterminer les répercussions de la réponse à la pandémie de COVID-19 sur la prestation des soins de santé et son incidence sur les résultats obtenus par les patients atteints d’une maladie cardiovasculaire.
MÉTHODOLOGIE UNASSIGNED
Il s’agit d’une étude de cohorte représentative de la population réalisée dans la province de la Nouvelle-Écosse, au Canada (population de 979 499 habitants), entre la période précédant le début de la pandémie de COVID-19 (du 1
RÉSULTATS UNASSIGNED
Au cours du premier mois de la période de pandémie, les visites aux services des urgences (n = 51 750) pour des symptômes cardiaques ont diminué de 20,8 % (intervalle de confiance [IC] à 95 % : 14,0 % – 27,0 %,
CONCLUSIONS CONCLUSIONS
Cette étude révèle une augmentation de la morbidité et de la mortalité cardiovasculaires durant le maintien des restrictions liées à la COVID-19 dans une région où le fardeau associé à cette maladie est faible. À mesure que le système de santé se rétablit ou affronte les vagues subséquentes de COVID-19, ces résultats devraient éclairer les communications au public concernant les symptômes cardiovasculaires et orienter la politique de prestation de soins cardiovasculaires.

Autres résumés

Type: Publisher (fre)
Cette étude visait à déterminer les répercussions de la réponse à la pandémie de COVID-19 sur la prestation des soins de santé et son incidence sur les résultats obtenus par les patients atteints d’une maladie cardiovasculaire.

Identifiants

pubmed: 34977521
doi: 10.1016/j.cjco.2021.12.008
pii: S2589-790X(21)00357-7
pmc: PMC8704736
doi:

Types de publication

Journal Article

Langues

eng

Pagination

324-336

Informations de copyright

© 2021 The Authors.

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Auteurs

Alison Greene (A)

Division of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

John Sapp (J)

Division of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Greg Hirsch (G)

Division of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Navjot Sandila (N)

Research Methods Unit, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.

Ata Quraishi (A)

Division of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Osama El-Khateeb (O)

Division of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Susan Kirkland (S)

Department of Community Health & Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Robert Stewart (R)

Division of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Kim Anderson (K)

Division of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Edgar Chedrawy (E)

Division of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Samuel Campbell (S)

Division of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.

Christine Herman (C)

Division of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Judah Goldstein (J)

Division of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.
Emergency Health Services, Halifax, Nova Scotia, Canada.

Alexandra Carter (A)

Division of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.
Emergency Health Services, Halifax, Nova Scotia, Canada.

Pantelis Andreou (P)

Department of Community Health & Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Adair Collins (A)

Emergency Health Services, Halifax, Nova Scotia, Canada.

Andrew Travers (A)

Division of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.
Emergency Health Services, Halifax, Nova Scotia, Canada.

Ratika Parkash (R)

Division of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.

Classifications MeSH