Evidence map›Paper›PMID 34557800›Full record

ArticleThe Lancet regional health. Europe2021

In- and out-of-hospital mortality for myocardial infarction during the first wave of the COVID-19 pandemic in Emilia-Romagna, Italy: A population-based observational study.

Gianluca Campo, Daniela Fortuna, Elena Berti, Rossana De Palma, Giuseppe Di Pasquale, Marcello Galvani, Alessandro Navazio, Giancarlo Piovaccari, Andrea Rubboli, Gabriele Guardigli and 9 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Effects of the COVID-19 pandemic on acute coronary syndromes in Germany during the first wave: the COVID-19 collateral damage study.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
    Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Article
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

19 authors.

Gianluca CampoCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara S. Anna, Via Aldo Moro 8, 44124 Cona, FE, Italy.
Daniela FortunaRegional Agency for Health and Social Care, Emilia-Romagna region, Bologna, Italy.
Elena BertiRegional Agency for Health and Social Care, Emilia-Romagna region, Bologna, Italy.
Rossana De PalmaRegional Authority for Health and Welfare, Emilia-Romagna region, Bologna, Italy.
Giuseppe Di PasqualeRegional Authority for Health and Welfare, Emilia-Romagna region, Bologna, Italy.
Marcello GalvaniCardiovascular Department, Ospedale Morgagni-Pierantoni, Forlì, Italy.
Alessandro NavazioAzienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Giancarlo PiovaccariCardiovascular Department, Infermi Hospital, Rimini, Italy.
Andrea RubboliCardiovascular Department, Ospedale S. Maria delle Croci, Ravenna, Italy.
Gabriele GuardigliCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara S. Anna, Via Aldo Moro 8, 44124 Cona, FE, Italy.
Nazzareno GalièPolo Cardio-Toraco Vascolare, Policlinico S. Orsola, Bologna, Italy.
Giuseppe BorianiUO Cardiologia, Policlinico di Modena, Modena, Italy.
Stefano TondiUO Cardiologia, Ospedale di Baggiovara, Modena, Italy.
Diego ArdissinoCardiology Unit, Azienda Ospedaliero Universitaria di Parma, Parma, Italy.
Massimo PiepoliUO Cardiologia, Ospedale Guglielmo da Saliceto, Piacenza, Italy.
Federico BanchelliRegional Agency for Health and Social Care, Emilia-Romagna region, Bologna, Italy.
Andrea SantarelliCardiovascular Department, Infermi Hospital, Rimini, Italy.
Gianni CasellaCardiology Unit, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
AMI-Co investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has put several healthcare systems under severe pressure. The present analysis investigates how the first wave of the COVID-19 pandemic affected the myocardial infarction (MI) network of Emilia-Romagna (Italy).

methodsBased on Emilia-Romagna mortality registry and administrative data from all the hospitals from January 2017 to June 2020, we analysed: i) temporal trend in MI hospital admissions; ii) characteristics, management, and 30-day mortality of MI patients; iii) out-of-hospital mortality for cardiac cause.

findingsAdmissions for MI declined on February 22, 2020 (IRR -19.5%, 95%CI from -8.4% to -29.3%,

interpretationIn Emilia-Romagna, MI hospitalizations significantly decreased during the first wave of the COVID-19 pandemic. Management and outcomes of hospitalized MI patients remained unchanged, except for those with SARS-CoV-2 infection. A concomitant increase in the out-of-hospital cardiac mortality was observed.

fundingNone.

Identifiers

PMID34557800
PMCPMC8454529

What OpenQuestion holds

Textmetadata
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.