Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic period
Introduction Due to the SARS-CoV-2 pandemic, there have been fundamental changes to the delivery and operation of healthcare facilities across the world, significantly impacting how patients with a variety of diseases are treated. We aimed to assess the impact of the COVID-19 pandemic on patient man...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2024-06-01
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| Series: | Archives of Medical Science |
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| Online Access: | https://www.archivesofmedicalscience.com/Mortality-analysis-of-patients-with-acute-coronary-syndrome-receiving-comprehensive,188089,0,2.html |
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| author | Grzegorz Kubielas Dorota Diakowska Michał Czapla Catherine Ross Przemysław Mitkowski Izabella Uchmanowicz |
| author_facet | Grzegorz Kubielas Dorota Diakowska Michał Czapla Catherine Ross Przemysław Mitkowski Izabella Uchmanowicz |
| author_sort | Grzegorz Kubielas |
| collection | DOAJ |
| description | Introduction
Due to the SARS-CoV-2 pandemic, there have been fundamental changes to the delivery and operation of healthcare facilities across the world, significantly impacting how patients with a variety of diseases are treated. We aimed to assess the impact of the COVID-19 pandemic on patient management outcomes among patients with acute coronary syndromes (ACS) and explore the differences in patients who were treated within and outside the coordinated care programme for patients after ACS (KOS-Zawal).
Material and methods
We analysed 472,996 medical records of patients after ACS from 2017 to 2022. The study examined information on deaths in two groups of patients: those included and those not included in the KOS-Zawal programme.
Results
Before the COVID-19 pandemic a significantly higher mortality rate was observed in the group of patients not covered by the KOS-Zawal benefit compared with covered patients (25.5% vs. 15.8%; p < 0.0001). During the COVID-19 pandemic a significantly higher incidence of death was noted in the group of patients not covered by KOS-Zawal compared with patients covered by the programme (18% vs. 7.9%; p < 0.0001). Compared to the time before and during COVID-19, the number of deaths among patients not covered (25.5% vs. 18%; p < 0.0001) and covered by KOS-Zawal (15.8% vs. 7.9%, p < 0.0001) decreased significantly.
Conclusions
Patients not covered by KOS-Zawal had a significantly higher mortality rate compared to those covered by the programme during the pandemic. The pandemic significantly affected patients under KOS-Zawal care, with a reduced mortality rate. |
| format | Article |
| id | doaj-art-ca88e10feef84363b85b10c05392ef0a |
| institution | OA Journals |
| issn | 1734-1922 1896-9151 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj-art-ca88e10feef84363b85b10c05392ef0a2025-08-20T02:31:34ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512024-06-01211606610.5114/aoms/188089188089Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic periodGrzegorz Kubielas0https://orcid.org/0000-0003-1229-0650Dorota Diakowska1https://orcid.org/0000-0002-1377-5601Michał Czapla2https://orcid.org/0000-0002-4245-5420Catherine Ross3Przemysław Mitkowski4Izabella Uchmanowicz5https://orcid.org/0000-0001-5452-0210Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, PolandDivision of Medical Biology, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wrocław, PolandDepartment of Emergency Medical Service, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, PolandThe Centre for Cardiovascular Health, School of Health and Social Care, Edinburgh Napier University, Edinburgh, United KingdomDepartment of Cardiology, Poznan University of Medical Sciences, Poznan, PolandDepartment of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, PolandIntroduction Due to the SARS-CoV-2 pandemic, there have been fundamental changes to the delivery and operation of healthcare facilities across the world, significantly impacting how patients with a variety of diseases are treated. We aimed to assess the impact of the COVID-19 pandemic on patient management outcomes among patients with acute coronary syndromes (ACS) and explore the differences in patients who were treated within and outside the coordinated care programme for patients after ACS (KOS-Zawal). Material and methods We analysed 472,996 medical records of patients after ACS from 2017 to 2022. The study examined information on deaths in two groups of patients: those included and those not included in the KOS-Zawal programme. Results Before the COVID-19 pandemic a significantly higher mortality rate was observed in the group of patients not covered by the KOS-Zawal benefit compared with covered patients (25.5% vs. 15.8%; p < 0.0001). During the COVID-19 pandemic a significantly higher incidence of death was noted in the group of patients not covered by KOS-Zawal compared with patients covered by the programme (18% vs. 7.9%; p < 0.0001). Compared to the time before and during COVID-19, the number of deaths among patients not covered (25.5% vs. 18%; p < 0.0001) and covered by KOS-Zawal (15.8% vs. 7.9%, p < 0.0001) decreased significantly. Conclusions Patients not covered by KOS-Zawal had a significantly higher mortality rate compared to those covered by the programme during the pandemic. The pandemic significantly affected patients under KOS-Zawal care, with a reduced mortality rate.https://www.archivesofmedicalscience.com/Mortality-analysis-of-patients-with-acute-coronary-syndrome-receiving-comprehensive,188089,0,2.htmlacute coronary syndromecomprehensive cardiac caremortality riskcardiac care |
| spellingShingle | Grzegorz Kubielas Dorota Diakowska Michał Czapla Catherine Ross Przemysław Mitkowski Izabella Uchmanowicz Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic period Archives of Medical Science acute coronary syndrome comprehensive cardiac care mortality risk cardiac care |
| title | Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic period |
| title_full | Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic period |
| title_fullStr | Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic period |
| title_full_unstemmed | Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic period |
| title_short | Mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care (KOS-Zawal) during the COVID-19 pandemic period |
| title_sort | mortality analysis of patients with acute coronary syndrome receiving comprehensive cardiac care kos zawal during the covid 19 pandemic period |
| topic | acute coronary syndrome comprehensive cardiac care mortality risk cardiac care |
| url | https://www.archivesofmedicalscience.com/Mortality-analysis-of-patients-with-acute-coronary-syndrome-receiving-comprehensive,188089,0,2.html |
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