Evidence map›Paper›PMID 32901560›Full record

Observational studyJournal of the American Heart Association2020

Who Has Seen Patients With ST-Segment-Elevation Myocardial Infarction? First Results From Italian Real-World Coronavirus Disease 2019.

Valeria Cammalleri, Saverio Muscoli, Daniela Benedetto, Giuseppe Stifano, Massimiliano Macrini, Alessio Di Landro, Marco Di Luozzo, Massimo Marchei, Enrica Giuliana Mariano, Linda Cota and 6 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  17. Coronary interventions in 2020: the year in review.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2021
    Article
  18. [COVID-19 and mechanical circulatory support].Annales de cardiologie et d'angeiologie · 2020
    Review
  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Valeria CammalleriDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Saverio MuscoliDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Daniela BenedettoDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Giuseppe StifanoDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Massimiliano MacriniDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Alessio Di LandroDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Marco Di LuozzoDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Massimo MarcheiDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Enrica Giuliana MarianoDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Linda CotaDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Domenico SergiDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Andrea BezzeccheriDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Michela BonanniDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Martino BaluciDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
Pasquale De VicoDepartment of Anesthesia Tor Vergata University Rome Italy.
Francesco RomeoDepartment of Cardiovascular Disease Tor Vergata University Rome Italy.
University of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background After the coronavirus disease 2019 outbreak, social isolation measures were introduced to contain infection. Although there is currently a slowing down of the infection, a reduction of hospitalizations, especially for myocardial infarction, was observed. The aim of our study is to evaluate the impact of the infectious disease on ST-segment-elevation myocardial infarction (STEMI) care during the coronavirus disease 2019 pandemic, through the analysis of recent cases of patients who underwent percutaneous coronary intervention. Methods and Results Consecutive patients affected by STEMI from March 1 to 31, 2020, during social restrictions of Italian government, were collected and compared with patients with STEMI treated during March 2019. During March 2020, we observed a 63% reduction of patients with STEMI who were admitted to our catheterization laboratory, when compared with the same period of 2019 (13 versus 35 patients). Changes in all time components of STEMI care were notably observed, particularly for longer median time in symptom-to-first medical contact, spoke-to-hub, and the cumulative symptom-to-wire delay. Procedural data and in-hospital outcomes were similar between the 2 groups, whereas the length of hospitalization was longer in patients of 2020. In this group, we also observed higher levels of cardiac biomarkers and a worse left ventricular ejection fraction at baseline and discharge. Conclusions The coronavirus disease 2019 outbreak induced a reduction of hospital access for STEMI with an increase in treatment delay, longer hospitalization, higher levels of cardiac biomarkers, and worse left ventricular function.

Indexed as

BetacoronavirusAgedComorbidityCoronavirus InfectionsCOVID-19Echocardiography, Doppler, ColorElectrocardiographyFemaleFollow-Up StudiesHeart VentriclesHospitalizationHospital MortalityHumansIncidenceItalyMaleacute coronary syndromecomplicationscoronavirusinterstitial pneumoniapercutaneous coronary intervention

Identifiers

PMID32901560
PMCPMC7792389
OpenAlexW3083857063

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.