Evidence map›Paper›PMID 34840126›Full record

ArticleArchives of cardiovascular diseases2021

Myocardial infarction throughout 1 year of the COVID-19 pandemic: French nationwide study of hospitalization rates, prognosis and 90-day mortality rates.

Clémence Grave, Amélie Gabet, Etienne Puymirat, Jean-Philippe Empana, Philippe Tuppin, Nicolas Danchin, Valérie Olié

Abstract read
In one paragraph

Article in Archives of cardiovascular diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

7 authors.

Clémence GraveSanté Publique France (French Public Health Agency), 94415 Saint-Maurice, France. Electronic address: clemence.grave@santepubliquefrance.fr.
Amélie GabetSanté Publique France (French Public Health Agency), 94415 Saint-Maurice, France.
Etienne PuymiratDepartment of Cardiology, Hôpital Européen Georges Pompidou, AP-HP, Université Paris-Descartes, 75015 Paris, France.
Jean-Philippe EmpanaUniversité de Paris, INSERM, UMR-S970, Integrative Epidemiology of Cardiovascular Disease Team, Paris Cardiovascular Research Centre, 75015 Paris, France.
Philippe TuppinCaisse Nationale de l'Assurance Maladie (French National Health Insurance), 75020 Paris, France.
Nicolas DanchinDepartment of Cardiology, Hôpital Européen Georges Pompidou, AP-HP, Université Paris-Descartes, 75015 Paris, France.
Valérie OliéSanté Publique France (French Public Health Agency), 94415 Saint-Maurice, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies reported a decrease in hospital admissions for myocardial infarction (MI) in early 2020 as a result of the coronavirus disease 2019 (COVID-19) crisis, mainly restricted to the beginning of the pandemic.

aimsTo describe national trends in hospital admissions for MI in 2020, and to compare patient characteristics, in-hospital prognosis and 90-day mortality between patients who had an MI in 2020 and those admitted in 2017-2019.

methodsAll patients hospitalized for MI in France from 2017 to 2020 were selected from the national hospital discharge database. Analyses compared temporal trends in MI admissions, in-hospital cardiac complications and mortality rates in 2020 versus 2017-2019.

resultsIn 2020, 94,747 patients were hospitalized for MI, corresponding to a 6% decrease in MI admissions compared with 2017-19. This decrease was larger during the first lockdown (-24%; P<0.0001) than during the second lockdown (-8%; P<0.0001). Reductions in MI admissions were more pronounced and longer among patients with non-ST-segment elevation MI, older people and women. An increase in ST-segment elevation MI admissions was observed between lockdowns (+4%; P=0.0005). Globally, and after adjustment for age, sex and calendar year, in-hospital and 90-day post-discharge mortality rates did not differ in 2020 versus 2017-19: incidence rate ratio (IRR)

conclusionsIn 2020, a significant decrease in MI admissions was observed, and was marked at the beginning of the year. This highlights the need to disseminate public information on the importance of maintaining care and regular medical follow-up. The effect of the COVID-19 crisis on acute and 3-month outcomes of patients hospitalized for MI appears limited. Nevertheless, monitoring of chronic MI complications and the impact on non-hospitalized patients should continue.

Indexed as

COVID-19Myocardial InfarctionAftercareAgedCommunicable Disease ControlFemaleHospitalizationHospital MortalityHumansPandemicsPatient DischargePrognosisSARS-CoV-2ConfinementCOVID-19HospitalisationHospitalizationInfarctus du myocardeLockdownMortalitéMortalityMyocardial infarction

Identifiers

PMID34840126
PMCPMC8600551

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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.