Serveur d'exploration sur la COVID en France

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Worrying decrease in hospital admissions for myocardial infarction during the COVID-19 pandemic.

Identifieur interne : 000026 ( Main/Exploration ); précédent : 000025; suivant : 000027

Worrying decrease in hospital admissions for myocardial infarction during the COVID-19 pandemic.

Auteurs : Pierre Lantelme [France] ; Sandrine Couray Targe [France] ; Pierre Metral [France] ; Thomas Bochaton [France] ; Sylvain Ranc [France] ; Maggie Le Bourhis Zaimi [France] ; Andre Le Coanet [France] ; Pierre-Yves Courand [France] ; Brahim Harbaoui [France]

Source :

RBID : pubmed:32636131

Descripteurs français

English descriptors

Abstract

BACKGROUND

How coronavirus 2019 (COVID-19) is affecting management of myocardial infarction is a matter of concern, as medical resources have been massively reorientated and the population has been in lockdown since 17 March 2020 in France.

AIMS

To describe how lockdown has affected the evolution of the weekly rate of myocardial infarctions (non-ST-segment and ST-segment elevation) hospital admissions in Lyon, the second largest city in France. To verify the trend observed, the same analysis was conducted for an identical time window during 2018-2019 and for an unavoidable emergency, i.e. birth.

METHODS

Based on the national hospitalisation database [Programme de médicalisation des systèmes d'information (PMSI)], all patients admitted to the main public hospitals for a principal diagnosis of myocardial infarction or birth during the 2nd to the 14th week of 2020 were included. These were compared with the average number of patients admitted for the same diagnosis during the same time window in 2018 and 2019.

RESULTS

Before lockdown, the number of admissions for myocardial infarction in 2020 differed from that in 2018-2019 by less than 10%; after the start of lockdown, it decreased by 31% compared to the corresponding time window in 2018-2019. Conversely, the numbers of births remained stable across years and before and after the start of lockdown.

CONCLUSION

This study strongly suggests a decrease in the number of admissions for myocardial infarction during lockdown. Although we do not have a long follow-up to determine whether this trend will endure, this is an important warning for the medical community and health authorities.


DOI: 10.1016/j.acvd.2020.06.001
PubMed: 32636131
PubMed Central: PMC7316064


Affiliations:


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Le document en format XML

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<term>Coronavirus Infections (transmission)</term>
<term>Coronavirus Infections (virology)</term>
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<term>ST Elevation Myocardial Infarction (epidemiology)</term>
<term>ST Elevation Myocardial Infarction (therapy)</term>
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<term>France (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Infarctus du myocarde avec sus-décalage du segment ST (diagnostic)</term>
<term>Infarctus du myocarde avec sus-décalage du segment ST (thérapie)</term>
<term>Infarctus du myocarde avec sus-décalage du segment ST (épidémiologie)</term>
<term>Infarctus du myocarde sans sus-décalage du segment ST (diagnostic)</term>
<term>Infarctus du myocarde sans sus-décalage du segment ST (thérapie)</term>
<term>Infarctus du myocarde sans sus-décalage du segment ST (épidémiologie)</term>
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<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Pronostic (MeSH)</term>
<term>Virulence (MeSH)</term>
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<term>Non-ST Elevated Myocardial Infarction</term>
<term>Pneumonia, Viral</term>
<term>ST Elevation Myocardial Infarction</term>
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<term>Infarctus du myocarde avec sus-décalage du segment ST</term>
<term>Infarctus du myocarde sans sus-décalage du segment ST</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
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<term>Coronavirus Infections</term>
<term>Non-ST Elevated Myocardial Infarction</term>
<term>Pneumonia, Viral</term>
<term>ST Elevation Myocardial Infarction</term>
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<term>Betacoronavirus</term>
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<term>Non-ST Elevated Myocardial Infarction</term>
<term>ST Elevation Myocardial Infarction</term>
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<term>Infarctus du myocarde avec sus-décalage du segment ST</term>
<term>Infarctus du myocarde sans sus-décalage du segment ST</term>
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<keywords scheme="MESH" qualifier="transmission" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en">
<term>Patient Admission</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<term>France</term>
<term>Infarctus du myocarde avec sus-décalage du segment ST</term>
<term>Infarctus du myocarde sans sus-décalage du segment ST</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
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<term>Humans</term>
<term>Incidence</term>
<term>Pandemics</term>
<term>Prognosis</term>
<term>Time Factors</term>
<term>Virulence</term>
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<term>Facteurs temps</term>
<term>Humains</term>
<term>Incidence</term>
<term>Pandémies</term>
<term>Pronostic</term>
<term>Virulence</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>How coronavirus 2019 (COVID-19) is affecting management of myocardial infarction is a matter of concern, as medical resources have been massively reorientated and the population has been in lockdown since 17 March 2020 in France.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>AIMS</b>
</p>
<p>To describe how lockdown has affected the evolution of the weekly rate of myocardial infarctions (non-ST-segment and ST-segment elevation) hospital admissions in Lyon, the second largest city in France. To verify the trend observed, the same analysis was conducted for an identical time window during 2018-2019 and for an unavoidable emergency, i.e. birth.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Based on the national hospitalisation database [Programme de médicalisation des systèmes d'information (PMSI)], all patients admitted to the main public hospitals for a principal diagnosis of myocardial infarction or birth during the 2nd to the 14th week of 2020 were included. These were compared with the average number of patients admitted for the same diagnosis during the same time window in 2018 and 2019.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Before lockdown, the number of admissions for myocardial infarction in 2020 differed from that in 2018-2019 by less than 10%; after the start of lockdown, it decreased by 31% compared to the corresponding time window in 2018-2019. Conversely, the numbers of births remained stable across years and before and after the start of lockdown.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>This study strongly suggests a decrease in the number of admissions for myocardial infarction during lockdown. Although we do not have a long follow-up to determine whether this trend will endure, this is an important warning for the medical community and health authorities.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">32636131</PMID>
<DateCompleted>
<Year>2020</Year>
<Month>07</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>07</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1875-2128</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>113</Volume>
<Issue>6-7</Issue>
<PubDate>
<MedlineDate>2020 Jun - Jul</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Archives of cardiovascular diseases</Title>
<ISOAbbreviation>Arch Cardiovasc Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Worrying decrease in hospital admissions for myocardial infarction during the COVID-19 pandemic.</ArticleTitle>
<Pagination>
<MedlinePgn>443-447</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S1875-2136(20)30130-3</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.acvd.2020.06.001</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">How coronavirus 2019 (COVID-19) is affecting management of myocardial infarction is a matter of concern, as medical resources have been massively reorientated and the population has been in lockdown since 17 March 2020 in France.</AbstractText>
<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To describe how lockdown has affected the evolution of the weekly rate of myocardial infarctions (non-ST-segment and ST-segment elevation) hospital admissions in Lyon, the second largest city in France. To verify the trend observed, the same analysis was conducted for an identical time window during 2018-2019 and for an unavoidable emergency, i.e. birth.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Based on the national hospitalisation database [Programme de médicalisation des systèmes d'information (PMSI)], all patients admitted to the main public hospitals for a principal diagnosis of myocardial infarction or birth during the 2nd to the 14th week of 2020 were included. These were compared with the average number of patients admitted for the same diagnosis during the same time window in 2018 and 2019.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Before lockdown, the number of admissions for myocardial infarction in 2020 differed from that in 2018-2019 by less than 10%; after the start of lockdown, it decreased by 31% compared to the corresponding time window in 2018-2019. Conversely, the numbers of births remained stable across years and before and after the start of lockdown.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study strongly suggests a decrease in the number of admissions for myocardial infarction during lockdown. Although we do not have a long follow-up to determine whether this trend will endure, this is an important warning for the medical community and health authorities.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Lantelme</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>University of Lyon, CREATIS UMR5220; INSERM U1044; INSA-15 Lyon, France; Cardiology Department, Hôpital Croix-Rousse and Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France. Electronic address: pierre.lantelme@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Couray Targe</LastName>
<ForeName>Sandrine</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Information, Hospices Civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Metral</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Information, Saint-Joseph Hospital, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bochaton</LastName>
<ForeName>Thomas</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Cardiology Department, Hôpital Louis-Pradel, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ranc</LastName>
<ForeName>Sylvain</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Cardiology Department, Saint-Joseph Hospital, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Le Bourhis Zaimi</LastName>
<ForeName>Maggie</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Information, Hospices Civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Le Coanet</LastName>
<ForeName>Andre</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Information, Hospices Civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Courand</LastName>
<ForeName>Pierre-Yves</ForeName>
<Initials>PY</Initials>
<AffiliationInfo>
<Affiliation>University of Lyon, CREATIS UMR5220; INSERM U1044; INSA-15 Lyon, France; Cardiology Department, Hôpital Croix-Rousse and Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Harbaoui</LastName>
<ForeName>Brahim</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>University of Lyon, CREATIS UMR5220; INSERM U1044; INSA-15 Lyon, France; Cardiology Department, Hôpital Croix-Rousse and Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>06</Month>
<Day>25</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Netherlands</Country>
<MedlineTA>Arch Cardiovasc Dis</MedlineTA>
<NlmUniqueID>101465655</NlmUniqueID>
<ISSNLinking>1875-2128</ISSNLinking>
</MedlineJournalInfo>
<SupplMeshList>
<SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName>
<QualifierName UI="Q000472" MajorTopicYN="N">pathogenicity</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000072658" MajorTopicYN="N">Non-ST Elevated Myocardial Infarction</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000072657" MajorTopicYN="N">ST Elevation Myocardial Infarction</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014774" MajorTopicYN="N">Virulence</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Acute coronary syndrome</Keyword>
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Infarctus du myocarde</Keyword>
<Keyword MajorTopicYN="N">Myocardial infarction</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2020</Year>
<Month>05</Month>
<Day>09</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>06</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>06</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2020</Year>
<Month>7</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>7</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2020</Year>
<Month>7</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="doi">10.1016/j.acvd.2020.06.001</ArticleId>
<ArticleId IdType="pmc">PMC7316064</ArticleId>
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<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
</region>
<settlement>
<li>Lyon</li>
</settlement>
</list>
<tree>
<country name="France">
<region name="Auvergne-Rhône-Alpes">
<name sortKey="Lantelme, Pierre" sort="Lantelme, Pierre" uniqKey="Lantelme P" first="Pierre" last="Lantelme">Pierre Lantelme</name>
</region>
<name sortKey="Bochaton, Thomas" sort="Bochaton, Thomas" uniqKey="Bochaton T" first="Thomas" last="Bochaton">Thomas Bochaton</name>
<name sortKey="Courand, Pierre Yves" sort="Courand, Pierre Yves" uniqKey="Courand P" first="Pierre-Yves" last="Courand">Pierre-Yves Courand</name>
<name sortKey="Couray Targe, Sandrine" sort="Couray Targe, Sandrine" uniqKey="Couray Targe S" first="Sandrine" last="Couray Targe">Sandrine Couray Targe</name>
<name sortKey="Harbaoui, Brahim" sort="Harbaoui, Brahim" uniqKey="Harbaoui B" first="Brahim" last="Harbaoui">Brahim Harbaoui</name>
<name sortKey="Le Bourhis Zaimi, Maggie" sort="Le Bourhis Zaimi, Maggie" uniqKey="Le Bourhis Zaimi M" first="Maggie" last="Le Bourhis Zaimi">Maggie Le Bourhis Zaimi</name>
<name sortKey="Le Coanet, Andre" sort="Le Coanet, Andre" uniqKey="Le Coanet A" first="Andre" last="Le Coanet">Andre Le Coanet</name>
<name sortKey="Metral, Pierre" sort="Metral, Pierre" uniqKey="Metral P" first="Pierre" last="Metral">Pierre Metral</name>
<name sortKey="Ranc, Sylvain" sort="Ranc, Sylvain" uniqKey="Ranc S" first="Sylvain" last="Ranc">Sylvain Ranc</name>
</country>
</tree>
</affiliations>
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