Evidence map›Paper›PMID 34977521›Full record

ArticleCJC open2022

Cardiovascular Outcomes in Nova Scotia During the Early Phase of the COVID-19 Pandemic.

Alison Greene, John Sapp, Greg Hirsch, Navjot Sandila, Ata Quraishi, Osama El-Khateeb, Susan Kirkland, Robert Stewart, Kim Anderson, Edgar Chedrawy and 8 more

Open access · goldAbstract read
In one paragraph

Article in CJC open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

18 authors at 4 institutions in 1 country.

Alison GreeneDivision of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
John SappDivision of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Greg HirschDivision of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Navjot SandilaResearch Methods Unit, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Ata QuraishiDivision of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Osama El-KhateebDivision of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Susan KirklandDepartment of Community Health & Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Robert StewartDivision of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Kim AndersonDivision of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Edgar ChedrawyDivision of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Samuel CampbellDivision of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.
Christine HermanDivision of Cardiac Surgery, Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Judah GoldsteinDivision of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.
Alexandra CarterDivision of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.
Pantelis AndreouDepartment of Community Health & Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Adair CollinsEmergency Health Services, Halifax, Nova Scotia, Canada.
Andrew TraversDivision of Emergency Medical Services, Department of Emergency Medicine, QEII Health Sciences Centre, Halifax, Nova Scotia, Canada.
Ratika ParkashDivision of Cardiology, Department of Medicine, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Queen Elizabeth II Health Sciences Centre · CAHealth Sciences Centre · CANova Scotia Health Authority · CADalhousie University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study sought to determine the impact of the COVID-19 pandemic response to healthcare delivery on outcomes in patients with cardiovascular disease.

methodsThis is a population-based cohort study performed in the province of Nova Scotia, Canada (population 979,499), between the pre-COVID (March 1, 2017-March 16, 2020) and in-COVID (March 17, 2020-December 31, 2020) periods. Adult patients (age ≥ 18 years) with new-onset or existing cardiovascular disease were included for comparison between periods. The main outcome measures included the following: cardiovascular emergency department visits or hospitalizations, mortality, and out-of-hospital cardiac arrest.

resultsIn the first month of the in-COVID period, emergency department visits (n = 51,750) for cardiac symptoms decreased by 20.8% (95% confidence interval [CI] 14.0%-27.0%,

conclusionsThis study demonstrates increased cardiovascular morbidity and mortality during restrictions maintained during the COVID-19 period, in an area with a low burden of COVID-19. As the healthcare system recovers or enters subsequent waves of COVID-19, these findings should inform communication to the public regarding cardiovascular symptoms, and policy for delivery of cardiovascular care.

Identifiers

PMID34977521
PMCPMC8704736
OpenAlexW4200123437

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.