The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022

Introduction: Many factors related to the switch to summer/winter time interfere with biological rhythms. Objectives: This study aimed to analyze the impact of time change on clinical outcomes of patients with acute coronary syndromes (ACS) undergoing percutaneous coronary intervention (PCI). Patien...

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Main Authors: Karol Kaziród-Wolski, Aleksandra Piotrowska, Janusz Sielski, Patrycja Zając, Krzysztof P. Malinowski, Michał Zabojszcz, Kamil Pytlak, Magdalena Wolska, Agnieszka Kołodziej, Mamas A. Mamas, Paulina Mizera, Zbigniew Siudak
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/10/9/375
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author Karol Kaziród-Wolski
Aleksandra Piotrowska
Janusz Sielski
Patrycja Zając
Krzysztof P. Malinowski
Michał Zabojszcz
Kamil Pytlak
Magdalena Wolska
Agnieszka Kołodziej
Mamas A. Mamas
Paulina Mizera
Zbigniew Siudak
author_facet Karol Kaziród-Wolski
Aleksandra Piotrowska
Janusz Sielski
Patrycja Zając
Krzysztof P. Malinowski
Michał Zabojszcz
Kamil Pytlak
Magdalena Wolska
Agnieszka Kołodziej
Mamas A. Mamas
Paulina Mizera
Zbigniew Siudak
author_sort Karol Kaziród-Wolski
collection DOAJ
description Introduction: Many factors related to the switch to summer/winter time interfere with biological rhythms. Objectives: This study aimed to analyze the impact of time change on clinical outcomes of patients with acute coronary syndromes (ACS) undergoing percutaneous coronary intervention (PCI). Patients and methods: Electronic data of 874,031 patients with ACS who underwent invasive procedures were collected from the Polish National Register of Interventional Cardiology Procedures (ORPKI) between 2014 and 2021. We determined the number of patients undergoing PCI and periprocedural mortality during the day of spring or autumn time change and within the first 3 and 7 days after the time change. Results: We demonstrated the impact of time changes on the periprocedural mortality of ACS patients within 1 day and the period of 3 and 7 days from the time change. We observed that the occurrence of all ACS and NSTEMI on the first day was lower for both time changes and higher in the case of UA and spring time change. The autumn time change significantly reduced the occurrence of all types of ACS. A significant decrease in the number of invasive procedures was found after autumn transition in the period from the first day to 7 days for ACS, NSTEMI, and UA. Conclusions: The occurrence of ACS and the number of invasive procedures were lower for both changes over time. Autumn time change is associated with increased periprocedural mortality in ACS and a less frequent occurrence of UA and NSTEMI within 7 days.
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spelling doaj.art-0077bd54a8c8461c9d63d764a8e7fa7c2023-11-19T11:16:33ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-09-0110937510.3390/jcdd10090375The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022Karol Kaziród-Wolski0Aleksandra Piotrowska1Janusz Sielski2Patrycja Zając3Krzysztof P. Malinowski4Michał Zabojszcz5Kamil Pytlak6Magdalena Wolska7Agnieszka Kołodziej8Mamas A. Mamas9Paulina Mizera10Zbigniew Siudak11Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandCollegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandCollegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandThe Rheumatology Department, The Province Hospital in Końskie, 26-200 Końskie, PolandDepartment of Bioinformatics and Telemedicine, Jagiellonian University Medical College, 30-688 Kraków, PolandCollegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandCollegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandOutpatient Treatment Facility “CenterMed”, 25-314 Kielce, PolandCollegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandKeele Cardiac Research Group, Keele University, Keele ST5 5BG, UKCollegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandCollegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, PolandIntroduction: Many factors related to the switch to summer/winter time interfere with biological rhythms. Objectives: This study aimed to analyze the impact of time change on clinical outcomes of patients with acute coronary syndromes (ACS) undergoing percutaneous coronary intervention (PCI). Patients and methods: Electronic data of 874,031 patients with ACS who underwent invasive procedures were collected from the Polish National Register of Interventional Cardiology Procedures (ORPKI) between 2014 and 2021. We determined the number of patients undergoing PCI and periprocedural mortality during the day of spring or autumn time change and within the first 3 and 7 days after the time change. Results: We demonstrated the impact of time changes on the periprocedural mortality of ACS patients within 1 day and the period of 3 and 7 days from the time change. We observed that the occurrence of all ACS and NSTEMI on the first day was lower for both time changes and higher in the case of UA and spring time change. The autumn time change significantly reduced the occurrence of all types of ACS. A significant decrease in the number of invasive procedures was found after autumn transition in the period from the first day to 7 days for ACS, NSTEMI, and UA. Conclusions: The occurrence of ACS and the number of invasive procedures were lower for both changes over time. Autumn time change is associated with increased periprocedural mortality in ACS and a less frequent occurrence of UA and NSTEMI within 7 days.https://www.mdpi.com/2308-3425/10/9/375acute coronary syndromesmortalitymyocardial infarctionunstable anginawinter/summer time transition
spellingShingle Karol Kaziród-Wolski
Aleksandra Piotrowska
Janusz Sielski
Patrycja Zając
Krzysztof P. Malinowski
Michał Zabojszcz
Kamil Pytlak
Magdalena Wolska
Agnieszka Kołodziej
Mamas A. Mamas
Paulina Mizera
Zbigniew Siudak
The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022
Journal of Cardiovascular Development and Disease
acute coronary syndromes
mortality
myocardial infarction
unstable angina
winter/summer time transition
title The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022
title_full The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022
title_fullStr The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022
title_full_unstemmed The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022
title_short The Effect of Daylight-Saving Time on Percutaneous Coronary Intervention Outcomes in Acute Coronary Syndrome Patients—Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) in the Years 2014–2022
title_sort effect of daylight saving time on percutaneous coronary intervention outcomes in acute coronary syndrome patients data from the polish national registry of percutaneous coronary interventions orpki in the years 2014 2022
topic acute coronary syndromes
mortality
myocardial infarction
unstable angina
winter/summer time transition
url https://www.mdpi.com/2308-3425/10/9/375
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