Emergency medical care for heart attack and stroke rebound

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According to a new study by Kaiser Permanente, the significant reduction in hospitalization and possible stroke emergency care seen in Northern California in the early days of the COVID-19 pandemic was not seen in subsequent surges. ..

This study was published on June 2nd. Japan Automobile Manufacturers AssociationSuggests a public health campaign that encourages people to receive treatment if they are experiencing signs or symptoms of illness. stroke Or heart attack It was effective.

“In May 2020, we reported that in the early months of the pandemic, the number of weeks in our hospital for heart attacks was reduced by nearly half of what we expected,” said the lead author of the study. One Matthew D. Solomon said. , MD, Ph.D., Permanente Medical Group cardiologist and Kaiser Permanente Northern California Division of Research Physician Researcher. “This follow-up suggests a successful effort to reassure patients that it is important to leave home and receive treatment. Emergency medical care You can do it safely if you want. “

From 22 January 2019 to 18 January 2021, the research team analyzed the weekly incidence of adults hospitalized for suspected heart attack or stroke at Kaiser Permanente, Northern California. The team then has three COVIDs: spring (March 10, 2020 to May 4, 2020), summer (June 23 to August 17, 2020), and winter (November 3, 2020). -19 We compared the incidence during the period of spikes. , Until January 8, 2021) In the same week of the previous year.

The study showed that the incidence of weekly hospitalized heart attacks and suspicion of stroke decreased during the spring COVID-19 surge, but then recovered to the 2019 incidence of COVID-19 infection and hospitalization. The hospitalization rate for heart attacks was stable during the significant surge. During the summer COVID-19 surge, there was a slight but statistically significant decrease in suspected stroke patients, but the rate recovered and the winter COVID-19 surge was the largest. It did not decrease during.

“In August 2020, we published a study explaining the reduction in stroke incidence and discharge, which could put us at risk of long-term disability because we were not in the hospital for evaluation and treatment. I was very worried about some patients, “says the research community. Author Mai N. Nguyen-Huynh, MD, is a research scientist in the research division and regional director of primary stroke in the permanent medical group. “In response, we have doubled our efforts to educate patients to call 911 and go to the nearest stroke center if they have stroke symptoms. This study rewards that effort. It shows that. “

Kaiser Permanente and the Research Division in Northern California were in an ideal position to carry out this study. “Our research works with an interdisciplinary team of clinical and methodological experts to respond quickly, gain insights from electronic medical record data, and inform care planning and delivery of large and diverse populations. Emphasizes the unique capabilities of the integrated area studies team to provide. ”The lead author of the study, Dr. Alan S. Go, is an Associate Director of Cardiovascular and Metabolic Disease Research in the Research Division. He said he was the regional medical director of clinical trials for the Permanent Medical Group.

A study by Dr. Solomon and Dr. Go showed that hospitalizations were reduced by nearly half of what was expected in the first months of the pandemic, on May 19, 2020. New England Journal of MedicineA study by Dr. Nguyen-Huynh and his colleagues on the reduction of stroke patients taken to the emergency room after a pandemic occurred on August 11, 2020. stroke..

“Our goal is to eradicate Cardiovascular disease“Dr. Solomon said.

After the pandemic diminished, emergency outpatient visits for heart attacks recovered

For more information:
Matthew D. Solomon et al, COVID-19 Changes in patterns of hospital visits for acute myocardial infarction or ischemic stroke during surge, Japan Automobile Manufacturers Association (2021). DOI: 10.1001 / jama.2021.8414

Provided by
Kaiser Permanente

Quote: Heart attack and stroke rebound emergency medical care (June 9, 2021) obtained on June 9, 2021 from

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Emergency medical care for heart attack and stroke rebound

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