Abstract | Objectives: Methods: Results: From January 15, 2019 to April 14, 2020, 2064 STEMI patients undergoing PPCI were included: 1942 in the prelockdown group and 122 in the lockdown group. Only 2 cases in the lockdown group were positive for COVID-19. A significant drop (12%) in mean number of STEMI/month was observed in the lockdown group compared with prelockdown (139 vs 122, P < 0.04). A significant increase in "symptom onset to first medical contact" delay was found for patients who presented directly to the emergency department (ED) (238 minutes vs 450 minutes; P = 0.04). There were higher rates of in-hospital MACE (7.7% vs 12.3%; P = 0.06) and mortality (4.9% vs 8.2%; P = 0.11) in the lockdown group but the differences were not significant. Conclusion: According to the multicenter France PCI registry, the COVID-19 outbreak in France was associated with a significant decline in STEMI undergoing PPCI and longer transfer time for patients who presented directly to the ED. Mortality rates doubled, but the difference was not statistically significant.
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Authors | Grégoire Rangé, Radwan Hakim, Farzin Beygui, Denis Angoulvant, Pierre Marcollet, Matthieu Godin, Ronan Deballon, Philippe Bonnet, Olivier Fichaux, Christophe Barbey, Louis Viallard, Pierre Francois Lesault, Eric Durand, Emmanuel Boiffard, Gerard Dutheil, Jean-Philippe Collet, Hakim Benamer, Philippe Commeau, Gilles Montalescot, Rene Koning, Pascal Motreff |
Journal | Journal of the American College of Emergency Physicians open
(J Am Coll Emerg Physicians Open)
Vol. 1
Issue 6
Pg. 1168-1176
(Dec 2020)
ISSN: 2688-1152 [Electronic] United States |
PMID | 33363285
(Publication Type: Journal Article)
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Copyright | © 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians. |