Yalamanchi Radhapriya, Dasari Bipin Chandra, Narra Lavanya, Oomman Abraham, Kumar Pramod, Nayak Rajeshwari, Showkathali Refai
Department of Cardiology, Apollo Main Hospital, Chennai, Tamil Nadu, India.
Indian J Crit Care Med. 2020 Nov;24(11):1103-1105. doi: 10.5005/jp-journals-10071-23660.
The impact of coronavirus disease 2019 (COVID-19) lockdown on cardiac emergency admissions to hospitals has been reported previously. We aimed to study the emergency room (ER) admissions to cardiac intensive care unit (CICU) at a tertiary care center during that period and compare this with admissions during the same time frame in the previous years.
This is a retrospective observational study of patients admitted to the CICU during the pandemic period from March 22 to August 1 (inclusive) of 2020 and compared this with CICU admissions in the same time frame in the previous 2 years (2018 and 2019).
During the study period in 2020, a total of 216 patients (age 59 ± 14 years) were admitted via ER, which is a 33% and 30% decline in admissions compared to 2019 ( = 322, age 63 ± 12 years) and 2018 ( = 307, age 62 ± 13), respectively. The decline in admissions with the primary diagnosis of acute coronary syndrome (ACS), acute decompensated heart failure, arrhythmia, and other diagnoses during the study period in 2020 were 27%, 38%, 62%, and 59%, respectively, while there was a 50% increase in acute pulmonary embolism admission compared to the mean admission in 2018 and 2019. Weekly admission rates gradually increased from less than 10 per week in the first 3 weeks to >15 by eighth week of the study period in 2020, while the trend was same throughout the study period in the previous 2 years. The CICU mortality rate in 2020 study period was 4.6% compared to 3.9% in 2018 ( = 0.83) and 5.6% in 2019 ( = 0.70). The in-hospital mortality of these patients was also similar in all 3 years (6.5%, 7.8%, and 7.9% in 2018, 2019, and 2020, respectively; = 0.61).
Our study showed that CICU admissions during COVID-19 lockdown had declined compared to the previous years in a large tertiary center in India. Government and health organizations should educate the public early on during the pandemic about the consequences of ignoring other acute medical problems such as ACS, provide various measures for them to reach hospital early, and give reassurance with the best practices adopted in hospitals to avoid contracting the virus from the hospital environment.
Yalamanchi R, Dasari BC, Narra L, Oomman A, Kumar P, Nayak R, Cardiac Intensive Care Unit Admissions during COVID-19 Pandemic-A Single Center Experience. Indian J Crit Care Med 2020;24(11):1103-1105.
先前已有关于2019冠状病毒病（COVID-19）封锁对医院心脏急症入院情况影响的报道。我们旨在研究在此期间一家三级护理中心心脏重症监护病房（CICU）的急诊室（ER）入院情况，并将其与前几年同一时间段的入院情况进行比较。
这是一项对2020年3月22日至8月1日（含）大流行期间入住CICU的患者进行的回顾性观察研究，并将其与前两年（2018年和2019年）同一时间段的CICU入院情况进行比较。
在2020年的研究期间，共有216例患者（年龄59±14岁）通过急诊室入院，与2019年（n = 322，年龄63±12岁）和2018年（n = 307，年龄62±13岁）相比，入院人数分别下降了33%和30%。2020年研究期间，以急性冠状动脉综合征（ACS）、急性失代偿性心力衰竭、心律失常和其他诊断为主要诊断的入院人数下降分别为27%、38%、62%和59%，而急性肺栓塞入院人数与2018年和2019年的平均入院人数相比增加了50%。每周入院率从研究期前3周的每周少于10例逐渐增加到2020年研究期第8周时的>15例，而前两年在整个研究期间趋势相同。2020年研究期间CICU死亡率为4.6%，而2018年为3.9%（P = 0.83），2019年为5.6%（P = 0.70）。这些患者的院内死亡率在所有3年中也相似（2018年、2019年和2020年分别为6.5%、7.8%和7.9%；P = 0.61）。
我们的研究表明，在印度的一家大型三级中心，与前几年相比，COVID-19封锁期间CICU的入院人数有所下降。政府和卫生组织应在大流行早期就向公众宣传忽视其他急性医疗问题（如ACS）的后果，为他们提供尽早到达医院的各种措施，并通过医院采取的最佳做法让公众放心，以避免在医院环境中感染病毒。
Yalamanchi R, Dasari BC, Narra L, Oomman A, Kumar P, Nayak R, COVID-19大流行期间心脏重症监护病房入院情况——单中心经验。《印度重症医学杂志》2020年；24(11):1103 - 1105。
