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Sex-stratified patterns of emergency cardiovascular admissions prior and during the COVID-19 pandemic

2023Artigo científico Acesso aberto
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dc.contributor.authorGajewski, Piotr
dc.contributor.authorBłaziak, Mikołaj
dc.contributor.authorUrban, Szymon
dc.contributor.authorGarus, Mateusz
dc.contributor.authorBraunschweig, Frieder
dc.contributor.authorCaldeira, Daniel
dc.contributor.authorGawor, Antoni
dc.contributor.authorGreenwood, John P.
dc.contributor.authorGuzik, Mateusz
dc.contributor.authorHalfwerk, Frank R.
dc.contributor.authorIwanek, Gracjan
dc.contributor.authorJarocki, Michał
dc.contributor.authorJura, Maksym
dc.contributor.authorKrzystek-Korpacka, Małgorzata
dc.contributor.authorLewandowski, Łukasz
dc.contributor.authorLund, Lars H.
dc.contributor.authorMatysiak, Michał
dc.contributor.authorPinto, Fausto J.
dc.contributor.authorSleziak, Jakub
dc.contributor.authorWietrzyk, Weronika
dc.contributor.authorSokolski, Mateusz
dc.contributor.authorBiegus, Jan
dc.contributor.authorPonikowski, Piotr
dc.contributor.authorZymliński, Robert
dc.date.accessioned2024-07-24T10:19:31Z
dc.date.available2024-07-24T10:19:31Z
dc.date.issued2023
dc.description© The Author(s) 2023. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.pt_PT
dc.description.abstractThe COVID-19 pandemic has had a significant impact on global public health, with long-term consequences that are still largely unknown. This study aimed to assess the data regarding acute cardiovascular hospital admissions in five European centers before and during the pandemic. A multicenter, multinational observational registry was created, comparing admissions to the emergency departments during a 3-months period in 2020 (during the pandemic) with the corresponding period in 2019 (pre-pandemic). Data on patient demographics, COVID-19 test results, primary diagnosis, comorbidities, heart failure profile, medication use, and laboratory results were collected. A total of 8778 patients were included in the analysis, with 4447 patients in 2019 and 4331 patients in 2020. The results showed significant differences in the distribution of cardiovascular diseases between the two years. The frequency of pulmonary embolism (PE) increased in 2020 compared to 2019, while acute heart failure (AHF) and other cardiovascular diseases decreased. The odds of PE incidence among hospitalized patients in 2020 were 1.316-fold greater than in 2019. The incidence of AHF was 50.83% less likely to be observed in 2020, and the odds for other cardiovascular diseases increased by 17.42% between the 2 years. Regarding acute coronary syndrome (ACS), the distribution of its types differed between 2019 and 2020, with an increase in the odds of ST-segment elevation myocardial infarction (STEMI) in 2020. Stratification based on sex revealed further insights. Among men, the incidence of AHF decreased in 2020, while other cardiovascular diseases increased. In women, only the incidence of STEMI showed a significant increase. When analyzing the influence of SARS-CoV-2 infection, COVID-positive patients had a higher incidence of PE compared to COVID-negative patients. COVID-positive patients with ACS also exhibited symptoms of heart failure more frequently than COVID-negative patients. These findings provide valuable information on the impact of the COVID-19 pandemic on acute cardiovascular hospital admissions. The increased incidence of PE and changes in the distribution of other cardiovascular diseases highlight the importance of monitoring and managing cardiovascular health during and post pandemic period. The differences observed between sexes emphasize the need for further research to understand potential sex-specific effects of COVID-19 on cardiovascular outcomes.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSci Rep. 2023 Oct 20;13(1):17924pt_PT
dc.identifier.doi10.1038/s41598-023-44400-3pt_PT
dc.identifier.eissn2045-2322
dc.identifier.urihttp://hdl.handle.net/10451/65430
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relation.publisherversionhttps://www.nature.com/srep/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.titleSex-stratified patterns of emergency cardiovascular admissions prior and during the COVID-19 pandemicpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleScientific Reportspt_PT
oaire.citation.volume13pt_PT
person.familyNameCaldeira
person.familyNamePinto
person.givenNameDaniel
person.givenNameFausto J.
person.identifier1308889
person.identifier.ciencia-idAA19-EC35-8D01
person.identifier.ciencia-idC311-AEDD-6DBB
person.identifier.orcid0000-0002-2520-5673
person.identifier.orcid0000-0002-8034-4529
person.identifier.ridG-9363-2015
person.identifier.scopus-author-id36623384200
person.identifier.scopus-author-id7102740158
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationeba36bb8-5eb3-4ccc-88f8-bd7012d42382
relation.isAuthorOfPublication5f44176f-69f5-482c-83cd-ab94425a6ec3
relation.isAuthorOfPublication.latestForDiscovery5f44176f-69f5-482c-83cd-ab94425a6ec3

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