ArticleScientific reports2023
Impact of COVID-19 pandemic on emergency medical system and management strategies in patients with acute coronary syndrome.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Risk Assessment of Emergency Medical Resource Exhaustion Under Major Infectious Disease Outbreaks: Based on Discrete-Event Simulation Models.Risk management and healthcare policy · 2026Article
- Impact of COVID-19 pandemic phases on emergency medical services reaction times in Southern Poland.Scientific reports · 2025Article
- Impact of snowfall on emergency medical system and mortality in patients with acute coronary syndrome.Scientific reports · 2025Article
- Review
- Global Mapping and Visualization Analysis of One Health Knowledge in the COVID-19 Context.Environmental health insights · 2024Article
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Authors and funding
20 authors at 11 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The global coronavirus disease-2019 (COVID-19) pandemic is associated with reduced rate of percutaneous coronary intervention (PCI). However, there were a few data showing how emergency medical system (EMS) and management strategies for acute coronary syndrome (ACS) changed during the pandemic. We sought to clarify changes on characteristics, treatments, and in-hospital mortality of patients with ACS transported via EMS between pre- and post-pandemic. We examined consecutive 656 patients with ACS admitted to Sapporo City ACS Network Hospitals between June 2018 and November 2021. The patients were divided into pre- and post-pandemic groups. The number of ACS hospitalizations declined significantly during the pandemic (proportional reduction 66%, coefficient -0.34, 95% CI -0.50 to -0.18, p < 0.001). The median time from an EMS call to hospital was significantly longer in post-pandemic group than in pre-pandemic group (32 [26-39] vs. 29 [25-36] min, p = 0.008). There were no significant differences in the proportion of patients with ACS receiving PCI, and in-hospital mortality between the groups. The COVID-19 pandemic had a significant impact on EMS and management in patients with ACS. Although a significant decline was observed in ACS hospitalizations, the proportion of patients with ACS receiving emergency PCI remained during the pandemic.
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