Han Jason J, Patrick William L, Rao Akhil, Smood Benjamin, Helmers Mark, Iyengar Amit, Kelly John J, Kalva Saiesh, Atluri Pavan, Desai Nimesh, Cevasco Marisa
Division of Cardiovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Leonard Davis Institute, University of Pennsylvania, Philadelphia, PA, USA.
Cardiol Ther. 2022 Jun;11(2):269-281. doi: 10.1007/s40119-022-00259-5. Epub 2022 Mar 22.
A significant decrease in emergency presentations of acute cardiac conditions has been observed during the COVID-19 pandemic. We aimed to understand perceptions that influence people's decisions whether to present to the emergency department (ED) with symptoms related to acute cardiovascular events to inform necessary medical communication.
We recruited users of Amazon Mechanical Turk (Seattle, WA) to participate in a survey to elucidate perceptions of COVID-19 risk associated with a visit to the ED. A conjoint analysis was designed based on commonly reported factors associated with people's decisions to present to the ED during the pandemic to calculate preference utilities.
After exclusions, 1003 participants completed the survey between 12/5/2020 and 12/6/2020. Participants ranked the perceived risk of contracting COVID-19 at the ED as one of the highest, only second to that at bars and restaurants. Only 68% (685/1003) were willing to present to the ED immediately with severe chest pain. Fear of further transmitting the virus to loved ones was the most frequently cited reason for not presenting. Conjoint analysis demonstrated severe chest pain to be the dominant factor in the decision to present to the ED.
The risk of contracting COVID-19 while presenting to the ED for a life-threatening cardiovascular symptom is overestimated and is strongly affected by social factors.
在新冠疫情期间，急性心脏疾病的急诊就诊人数显著下降。我们旨在了解影响人们决定是否因急性心血管事件相关症状前往急诊科（ED）就诊的认知因素，以便为必要的医疗沟通提供信息。
我们招募了亚马逊土耳其机器人（位于华盛顿州西雅图）的用户参与一项调查，以阐明与前往急诊科就诊相关的新冠风险认知。基于疫情期间与人们前往急诊科就诊决策相关的常见因素设计了一项联合分析，以计算偏好效用。
排除后，1003名参与者于2020年12月5日至2020年12月6日期间完成了调查。参与者将在急诊科感染新冠的感知风险列为最高之一，仅次于酒吧和餐厅。只有68%（685/1003）的人愿意在出现严重胸痛时立即前往急诊科。担心将病毒进一步传播给亲人是最常被提及的不前往就诊的原因。联合分析表明，严重胸痛是决定前往急诊科就诊的主导因素。
因危及生命的心血管症状前往急诊科就诊时感染新冠的风险被高估，且受到社会因素的强烈影响。
