Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis
The COVID-19 pandemic drastically reshaped healthcare in Lombardy, Italy, notably impacting EMS and emergency departments and altering the epidemiology of time-dependent pathologies such as STEMI and OHCA. While previous studies focused on modifications during the pandemic peak, with an increase in...
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MDPI AG
2024-07-01
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| Series: | Epidemiologia |
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| Online Access: | https://www.mdpi.com/2673-3986/5/3/26 |
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| author | Francesca Bottega Erika Kacerik Gabriele Perotti Carlo Signorelli Giuseppe Ristagno |
| author_facet | Francesca Bottega Erika Kacerik Gabriele Perotti Carlo Signorelli Giuseppe Ristagno |
| author_sort | Francesca Bottega |
| collection | DOAJ |
| description | The COVID-19 pandemic drastically reshaped healthcare in Lombardy, Italy, notably impacting EMS and emergency departments and altering the epidemiology of time-dependent pathologies such as STEMI and OHCA. While previous studies focused on modifications during the pandemic peak, with an increase in the number of OHCA diagnoses and a reduction in the number of STEMI, little evidence exists regarding the inter-pandemic phases. We analyzed OHCA and STEMI accesses to the ED in the regional emergency department access register (EUOL) for 2019–2021. The analysis revealed a significant difference in monthly diagnosis averages. For STEMI, the change was statistically significant (F(2, 33) = 4.45, <i>p</i> = 0.02), while it was not for OHCA (F(2, 33) = 0.18, <i>p</i> = 0.83). Despite the monthly decreases, the likelihood of receiving a STEMI diagnosis increased with total accesses, OR 1.40 [95% CI 1.25–1.58, <i>p</i> < 0.0001]. Additionally, there was a significant increase in March 2020 discharge diagnoses for OHCA compared to March 2019, OR 3.35 [95% CI 2.88–3.90, <i>p</i> < 0.0001], corresponding to the first pandemic wave. Therefore, our analysis indicates that the epidemiology of STEMI and OHCA was altered during the COVID-19 pandemic. |
| format | Article |
| id | doaj-art-8311b6c90d054eb28a6eecef96d73377 |
| institution | OA Journals |
| issn | 2673-3986 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | MDPI AG |
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| spelling | doaj-art-8311b6c90d054eb28a6eecef96d733772025-08-20T01:55:31ZengMDPI AGEpidemiologia2673-39862024-07-015336237010.3390/epidemiologia5030026Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year AnalysisFrancesca Bottega0Erika Kacerik1Gabriele Perotti2Carlo Signorelli3Giuseppe Ristagno4Faculty of Medicine, School of Public Health, University of Vita-Salute San Raffaele, Via Olgettina 60, 20132 Milano, ItalyFaculty of Medicine, School of Public Health, University of Vita-Salute San Raffaele, Via Olgettina 60, 20132 Milano, ItalyAgenzia Regionale Emergenza Urgenza Headquarters (AREU HQ), Via Campanini 6, 20124 Milano, ItalyFaculty of Medicine, School of Public Health, University of Vita-Salute San Raffaele, Via Olgettina 60, 20132 Milano, ItalyDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Via Festa del Perdono 7, 20122 Milano, ItalyThe COVID-19 pandemic drastically reshaped healthcare in Lombardy, Italy, notably impacting EMS and emergency departments and altering the epidemiology of time-dependent pathologies such as STEMI and OHCA. While previous studies focused on modifications during the pandemic peak, with an increase in the number of OHCA diagnoses and a reduction in the number of STEMI, little evidence exists regarding the inter-pandemic phases. We analyzed OHCA and STEMI accesses to the ED in the regional emergency department access register (EUOL) for 2019–2021. The analysis revealed a significant difference in monthly diagnosis averages. For STEMI, the change was statistically significant (F(2, 33) = 4.45, <i>p</i> = 0.02), while it was not for OHCA (F(2, 33) = 0.18, <i>p</i> = 0.83). Despite the monthly decreases, the likelihood of receiving a STEMI diagnosis increased with total accesses, OR 1.40 [95% CI 1.25–1.58, <i>p</i> < 0.0001]. Additionally, there was a significant increase in March 2020 discharge diagnoses for OHCA compared to March 2019, OR 3.35 [95% CI 2.88–3.90, <i>p</i> < 0.0001], corresponding to the first pandemic wave. Therefore, our analysis indicates that the epidemiology of STEMI and OHCA was altered during the COVID-19 pandemic.https://www.mdpi.com/2673-3986/5/3/26emergency departmentCOVID-19OHCASTEMILombardy region |
| spellingShingle | Francesca Bottega Erika Kacerik Gabriele Perotti Carlo Signorelli Giuseppe Ristagno Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis Epidemiologia emergency department COVID-19 OHCA STEMI Lombardy region |
| title | Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis |
| title_full | Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis |
| title_fullStr | Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis |
| title_full_unstemmed | Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis |
| title_short | Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis |
| title_sort | reshaping emergency care dynamics of ohca and stemi in a three year analysis |
| topic | emergency department COVID-19 OHCA STEMI Lombardy region |
| url | https://www.mdpi.com/2673-3986/5/3/26 |
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