Out-of-hospital mortality as an indicator of health care system saturation: Two waves retrospective analysis.
15 Jun 2021-Travel Medicine and Infectious Disease (Travel Med Infect Dis)-Vol. 43, pp 102121-102121
About: This article is published in Travel Medicine and Infectious Disease.The article was published on 2021-06-15 and is currently open access. It has received None citations till now.
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TL;DR: Using EMS data, increases in out-of-hospital deaths in Tijuana that were nearly threefold greater magnitude than increases reported in EMS data in Italy are observed, suggesting a possible rise in silent hypoxemia, which should be met with increased detection and clinical management efforts.
44 citations
02 Mar 2021
TL;DR: In Emilia-Romagna, MI hospitalizations significantly decreased during the first wave of the COVID-19 pandemic, except for those with SARS-CoV-2 infection, and a concomitant increase in the out-of-hospital cardiac mortality was observed.
Abstract: Background The COVID-19 pandemic has put several healthcare systems under severe pressure. The present analysis investigates how the first wave of the COVID-19 pandemic affected the myocardial infarction (MI) network of Emilia-Romagna (Italy). Methods Based on Emilia-Romagna mortality registry and administrative data from all the hospitals from January 2017 to June 2020, we analysed: i) temporal trend in MI hospital admissions; ii) characteristics, management, and 30-day mortality of MI patients; iii) out-of-hospital mortality for cardiac cause. Findings Admissions for MI declined on February 22, 2020 (IRR -19.5%, 95%CI from -8.4% to -29.3%, p = 0.001), and further on March 5, 2020 (IRR -21.6%, 95%CI from -9.0% to -32.5%, p = 0.001). The return to pre-COVID-19 MI-related admission levels was observed from May 13, 2020 (IRR 34.3%, 95%CI 20.0%-50.2%, p<0.001). As compared to those before the pandemic, MI patients admitted during and after the first wave were younger and with fewer risk factors. The 30-day mortality remained in line with that expected based on previous years (ratio observed/expected was 0.96, 95%CI 0.84-1.08). MI patients positive for SARS-CoV-2 were few (1.5%) but showed poor prognosis (around 5-fold increase in 30-day mortality). In 2020, the number of out-of-hospital cardiac deaths was significantly higher (ratio observed/expected 1.17, 95%CI 1.08-1.27). The peak was reached in April. Interpretation In Emilia-Romagna, MI hospitalizations significantly decreased during the first wave of the COVID-19 pandemic. Management and outcomes of hospitalized MI patients remained unchanged, except for those with SARS-CoV-2 infection. A concomitant increase in the out-of-hospital cardiac mortality was observed. Funding None.
36 citations
TL;DR: A considerable decrease in incidence of COVID-19 cases and hospital admissions was observed 7 to 10 days after mitigation measures were put in place, occurring earlier in metropolitan areas which had implemented these first, suggesting the measures' positive impact.
Abstract: In France, measures including curfew and lockdown were implemented to control the COVID-19 pandemic second wave in 2020. This study descriptively assesses their possible effects, also relative to their timing. A considerable decrease in incidence of COVID-19 cases and hospital admissions was observed 7 to 10 days after mitigation measures were put in place, occurring earlier in metropolitan areas which had implemented these first. This temporal coincidence suggests the measures' positive impact, consistent with international experiences.
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TL;DR: In this article, the authors investigated the effects of Coronavirus disease 2019 (COVID-19) on mortality in Oman and found that during the pandemic period, there was a 15% [95% confidence interval (CI) 14-17] increase in all-cause mortality from baseline.
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TL;DR: In this paper, the authors examined the association between OHSD and SARS-CoV-2 epidemiologic burden during the first COVID-19 pandemic across the highly diverse neighborhoods of NYC.
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