Department of Surgery, Central Finland Hospital Nova, Finland.
School of Medicine, University of Eastern Finland, Finland.
Scand J Public Health. 2022 Feb;50(1):117-123. doi: 10.1177/14034948211038422. Epub 2021 Sep 8.
: This multi-centre study examined the effects of restricted availability of health-care services during the COVID-19 pandemic on treatment of coronary artery disease (CAD) in Finland. Data on referrals to cardiological units (=81,008), emergency department (ED) visits (=10,001) and hospitalisations (=8654) for CAD were collected from three large Finnish hospitals, and incidences were calculated per 100,000 persons for the years 2017 through 2020. Year 2020 was compared to the reference years 2017-2019 by incidence rate ratios (IRR) with 95% confidence intervals (CI). Referrals to cardiological units decreased after the onset of the pandemic in March to May (IRR=0.83, 95% CI 0.81-0.86). ED visits due to acute coronary syndrome decreased during the first months of the pandemic, with the overall annual incidence 2-14% lower than in the reference years. ED visits due to chronic CAD increased prominently during in April and May compared to the corresponding months in the reference years (IRR=1.49, 95% CI 1.23-1.81 in April; IRR=1.57, 95% CI 1.32-1.89 in May) and remained elevated until the end of 2020, with an increase in annual incidence of 17% (IRR=1.17, 95% CI 1.11-1.24). .
本多中心研究考察了 COVID-19 大流行期间医疗服务受限对芬兰冠心病 (CAD) 治疗的影响。从芬兰的三家大医院收集了心血管科就诊（=81,008）、急诊科就诊（=10,001）和 CAD 住院治疗（=8654）的数据，并计算了 2017 年至 2020 年每 10 万人的发病率。2020 年与 2017-2019 年参考年相比，发病率比（IRR）及其 95%置信区间（CI）。3 月至 5 月大流行开始后，心血管科就诊人数减少（IRR=0.83，95%CI 0.81-0.86）。急性冠状动脉综合征的急诊科就诊人数在大流行的头几个月有所下降，全年发病率比参考年低 2-14%。4 月和 5 月慢性 CAD 的急诊科就诊人数显著增加，与参考年同期相比（IRR=1.49，95%CI 1.23-1.81，4 月；IRR=1.57，95%CI 1.32-1.89，5 月），并且一直持续到 2020 年底，发病率增加了 17%（IRR=1.17，95%CI 1.11-1.24）。
