The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year Study
<i>Objectives</i>: The COVID-19 pandemic had a significant impact on emergency medical systems (EMS). Regarding the ST-elevation myocardial infarction (STEMI) dependent time network, however, there is little evidence linked to the post-pandemic phase regarding this issue. Such informatio...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/19/5718 |
| _version_ | 1797478657339424768 |
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| author | Giuseppe Stirparo Lorenzo Bellini Giuseppe Ristagno Rodolfo Bonora Andrea Pagliosa Maurizio Migliari Aida Andreassi Carlo Signorelli Giuseppe M. Sechi Nazzareno Fagoni |
| author_facet | Giuseppe Stirparo Lorenzo Bellini Giuseppe Ristagno Rodolfo Bonora Andrea Pagliosa Maurizio Migliari Aida Andreassi Carlo Signorelli Giuseppe M. Sechi Nazzareno Fagoni |
| author_sort | Giuseppe Stirparo |
| collection | DOAJ |
| description | <i>Objectives</i>: The COVID-19 pandemic had a significant impact on emergency medical systems (EMS). Regarding the ST-elevation myocardial infarction (STEMI) dependent time network, however, there is little evidence linked to the post-pandemic phase regarding this issue. Such information could prove to be of pivotal importance regarding STEMI clinical management, especially pre-hospital clinical protocols such as fibrinolysis. <i>Methods</i>: A retrospective observational cohort study of all STEMI rescues recorded in the Lombardy EMS registry from the 1st of January 2019 to the 30th of December 2021. <i>Results</i>: Regarding the number of STEMI diagnoses, March 2020 (first pandemic wave in Italy) saw a reduction compared to March 2019 (OR 0.76 [0.60–0.93], <i>p</i> = 0.011). The average time of the entire mission increased to 63.1 min in 2021, reaching 64.7 min in 2020, compared with 57.7 min in 2019. The number of HUBs for STEMI patients saw a reduction, falling from 52 HUBs in the pre-pandemic phase to 13 HUBs during the first wave. <i>Conclusions</i>: During the pandemic phase, there was an increase in the transportation times of STEMI patients from home to the hospital. Such changes did not alter the clinical approach in the out-of-hospital phase. Indeed, the implementation of fibrinolysis was not required. |
| first_indexed | 2024-03-09T21:34:50Z |
| format | Article |
| id | doaj.art-f2fd6472fe5442f798dfd6b2daa5990d |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T21:34:50Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-f2fd6472fe5442f798dfd6b2daa5990d2023-11-23T20:47:36ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011119571810.3390/jcm11195718The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year StudyGiuseppe Stirparo0Lorenzo Bellini1Giuseppe Ristagno2Rodolfo Bonora3Andrea Pagliosa4Maurizio Migliari5Aida Andreassi6Carlo Signorelli7Giuseppe M. Sechi8Nazzareno Fagoni9Faculty of Medicine, School of Public Health, University of Vita-Salute San Raffaele, Via Olgettina 60, 20090 Milano, ItalyFaculty of Medicine, School of Public Health, University of Vita-Salute San Raffaele, Via Olgettina 60, 20090 Milano, ItalyDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti Via Festa del Perdono 7, 20122 Milano, ItalyAgenzia Regionale Emergenza Urgenza Headquarters (AREU HQ), Via Campanini 6, 20090 Milano, ItalyAgenzia Regionale Emergenza Urgenza Headquarters (AREU HQ), Via Campanini 6, 20090 Milano, ItalyAgenzia Regionale Emergenza Urgenza Headquarters (AREU HQ), Via Campanini 6, 20090 Milano, ItalyAgenzia Regionale Emergenza Urgenza Headquarters (AREU HQ), Via Campanini 6, 20090 Milano, ItalyFaculty of Medicine, School of Public Health, University of Vita-Salute San Raffaele, Via Olgettina 60, 20090 Milano, ItalyAgenzia Regionale Emergenza Urgenza Headquarters (AREU HQ), Via Campanini 6, 20090 Milano, ItalyDipartimento di Medicina Molecolare e Traslazionale, Università di Brescia, Piazza del Mercato, 15, 25121 Brescia, Italy<i>Objectives</i>: The COVID-19 pandemic had a significant impact on emergency medical systems (EMS). Regarding the ST-elevation myocardial infarction (STEMI) dependent time network, however, there is little evidence linked to the post-pandemic phase regarding this issue. Such information could prove to be of pivotal importance regarding STEMI clinical management, especially pre-hospital clinical protocols such as fibrinolysis. <i>Methods</i>: A retrospective observational cohort study of all STEMI rescues recorded in the Lombardy EMS registry from the 1st of January 2019 to the 30th of December 2021. <i>Results</i>: Regarding the number of STEMI diagnoses, March 2020 (first pandemic wave in Italy) saw a reduction compared to March 2019 (OR 0.76 [0.60–0.93], <i>p</i> = 0.011). The average time of the entire mission increased to 63.1 min in 2021, reaching 64.7 min in 2020, compared with 57.7 min in 2019. The number of HUBs for STEMI patients saw a reduction, falling from 52 HUBs in the pre-pandemic phase to 13 HUBs during the first wave. <i>Conclusions</i>: During the pandemic phase, there was an increase in the transportation times of STEMI patients from home to the hospital. Such changes did not alter the clinical approach in the out-of-hospital phase. Indeed, the implementation of fibrinolysis was not required.https://www.mdpi.com/2077-0383/11/19/5718emergency careCOVID-19STEMILombardy region |
| spellingShingle | Giuseppe Stirparo Lorenzo Bellini Giuseppe Ristagno Rodolfo Bonora Andrea Pagliosa Maurizio Migliari Aida Andreassi Carlo Signorelli Giuseppe M. Sechi Nazzareno Fagoni The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year Study Journal of Clinical Medicine emergency care COVID-19 STEMI Lombardy region |
| title | The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year Study |
| title_full | The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year Study |
| title_fullStr | The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year Study |
| title_full_unstemmed | The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year Study |
| title_short | The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network—A Three-Year Study |
| title_sort | impact of covid 19 on lombardy region st elevation myocardial infarction emergency medical system network a three year study |
| topic | emergency care COVID-19 STEMI Lombardy region |
| url | https://www.mdpi.com/2077-0383/11/19/5718 |
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