National survey of percutaneous coronary intervention during the COVID-19 pandemic in Japan: second report of the Japanese Association of Cardiovascular Intervention and Therapeutics.
Hideki IshiiTetsuya AmanoShun KohsakaYoshihiro MorinoHiroyoshi YokoiYuji IkariPublished in: Cardiovascular intervention and therapeutics (2021)
Healthcare systems worldwide have been overburdened by the coronavirus disease 2019 (COVID-19) outbreak. Accordingly, hospitals have had to implement strategies to profoundly reorganize activities, which have affected procedures such as primary percutaneous coronary interventions (PCIs). This study aimed to describe changes in PCI practices during the health emergency at the national level. The Japanese Association of Cardiovascular Intervention and Therapeutics performed provided serial surveys of institutions throughout Japan during the pandemic. The data obtained on December, 2020 and February 2021 (during the 2nd wave of pandemic) were compared with the data obtained on August 2020 (1st wave). Primary PCI for STEMI was performed as usual in 99.1%, 98.7%, and 97.5% of institutions in mid-August, mid-December, 2020 and mid-February, 2021, respectively. The COVID-19 screening tests rates in patients were significantly higher during the third wave than during the second wave (54.0% in mid-August, 2020 and 64.6% in mid-February, 2021, P = 0.002). In addition, hospitals reported that personal protective equipment was more available over time (66.4% in mid-August, 2020 and 83.8% in mid-February, 2021, P < 0.001). In conclusion, most institutions surveyed in Japan continued to perform primary PCI as usual for STEMI patients during the second and third waves of the COVID-19 pandemic. In addition, the COVID-19 screening tests were more frequently performed over time.
Keyphrases
- coronavirus disease
- percutaneous coronary intervention
- healthcare
- sars cov
- coronary artery disease
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- end stage renal disease
- acute myocardial infarction
- acute coronary syndrome
- antiplatelet therapy
- ejection fraction
- newly diagnosed
- chronic kidney disease
- randomized controlled trial
- public health
- coronary artery bypass grafting
- peritoneal dialysis
- emergency department
- respiratory syndrome coronavirus
- atrial fibrillation
- physical activity
- patient reported outcomes
- risk assessment
- mental health
- health insurance
- social media
- climate change
- human health
- big data
- cross sectional
- transcatheter aortic valve replacement
- aortic stenosis
- data analysis
- health promotion