Evidence map›Paper›PMID 34173604›Full record

ArticleThe Lancet regional health. Western Pacific2020

The impact of a national COVID-19 lockdown on acute coronary syndrome hospitalisations in New Zealand (ANZACS-QI 55).

Daniel Zl Chan, Ralph Ah Stewart, Andrew J Kerr, Bridget Dicker, Campbell V Kyle, Philip D Adamson, Gerry Devlin, John Edmond, Seif El-Jack, John M Elliott and 14 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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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

24 authors at 12 institutions in 2 countries.

Daniel Zl ChanGreenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
Ralph Ah StewartGreenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
Andrew J KerrDepartment of Cardiology, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
Bridget DickerClinical Audit and Research, St John New Zealand, Auckland, New Zealand.
Campbell V KyleDepartment of Chemical Pathology, LabPlus, Auckland City Hospital, Auckland, New Zealand.
Philip D AdamsonChristchurch Heart Institute, University of Otago, Christchurch, New Zealand.
Gerry DevlinGisborne Hospital, Gisborne, New Zealand.
John EdmondDepartment of Cardiology, Southern District Health Board, Dunedin, New Zealand.
Seif El-JackDepartment of Cardiology, Waitemata District Health Board, Auckland, New Zealand.
John M ElliottDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Nick FisherDepartment of Cardiology, Nelson Hospital, Nelson, New Zealand.
Charmaine FlynnThe National Institute for Health Innovation, University of Auckland, Auckland New Zealand.
Mildred LeeDepartment of Cardiology, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
Yi-Wen Becky LiaoDepartment of Cardiology, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
Maxine RhodesThe National Institute for Health Innovation, University of Auckland, Auckland New Zealand.
Tony ScottGreenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
Tony SmithClinical Audit and Research, St John New Zealand, Auckland, New Zealand.
Martin K StilesWaikato Clinical School, Faculty of Medicine and Health Sciences, University of Auckland, New Zealand.
Andrew H SwainDepartment of Paramedicine, Auckland University of Technology, Auckland, New Zealand.
Verity F ToddClinical Audit and Research, St John New Zealand, Auckland, New Zealand.
Mark Wi WebsterGreenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
Michael Ja WilliamsDepartment of Medicine, Dunedin School of Medicine, University of Otago, New Zealand.
Harvey D WhiteGreenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
Jithendra B SomaratneGreenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
Auckland City Hospital · NZUniversity of Auckland · NZAuckland University of Technology · NZMiddlemore Hospital · NZBritish Heart Foundation · GBChristchurch Hospital · NZNelson Marlborough Institute of Technology · NZSouthern District Health Board · NZStatistics New Zealand · NZSt John New Zealand · NZUniversity of Otago · NZWaitemata District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCountries with a high incidence of coronavirus 2019 (COVID-19) reported reduced hospitalisations for acute coronary syndromes (ACS) during the pandemic. This study describes the impact of a nationwide lockdown on ACS hospitalisations in New Zealand (NZ), a country with a low incidence of COVID-19.

methodsAll patients admitted to a NZ Hospital with ACS who underwent coronary angiography in the All NZ ACS Quality Improvement registry during the lockdown (23 March - 26 April 2020) were compared with equivalent weeks in 2015-2019. Ambulance attendances and regional community troponin-I testing were compared for lockdown and non-lockdown (1 July 2019 to 16 February 2020) periods.

findingsHospitalisation for ACS was lower during the 5-week lockdown (105 vs. 146 per-week, rate ratio 0•72 [95% CI 0•61-0•83],

interpretationDespite the low incidence of COVID-19, there was a nationwide decrease in ACS hospitalisations during the lockdown. These findings have important implications for future pandemic planning.

fundingThe ANZACS-QI registry receives funding from the New Zealand Ministry of Health.

Indexed as

Acute coronary syndromeCoronavirus 2019

Identifiers

PMID34173604
PMCPMC7677076
OpenAlexW3102779683

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.