Effect of COVID-19 pandemic on performance measures in acute myocardial infarction

Abstract

Objective To assess performance measures of attention of STEMI in Coronary Intensive Care Unit in General Hospital Camilo Cienfuegos. Methods Admitted patients with STEMI, from February-April 2020, were compared with patients from similar period from 2015-2019, and patients from January 2019 to January 2020. Primary endpoint were performance measures according to the 2017 AHA/ACC Clinical Performance and Quality Measures for Adults with STEMI document, and secondary endpoint were all-cause in-hospital mortality and major acute coronary events. Results Only 35 patients were admitted from February-April 2020. When comparing with similar periods from recent years, in-hospital death (8.3% vs. 20%; p=0.03), major complications (38.7% vs. 57.1%; p=0.03), and cardiogenic shock (6.9% vs. 17.4%; p=0.04) were significantly higher. When comparing with 2019 and January 2020, in-hospital death (9.6%; p=0.04), and major complications (35.8% p=0.03) were significantly higher in February-April 2020; however, there was no difference in prevalence of cardiogenic shock (8%; p=0.12). Conclusion COVID-19 pandemic had decreased prevalence of STEMI, as well as some performance measures of attention in this center.