2022 Quality Summit ePosters (Non-CE) - General Quality Improvement-2. Transformation in NSTEMI Admissions, Management, & Outcomes over the First Two Years of the COVID-19 Pandemic

2. Transformation in NSTEMI Admissions, Management, & Outcomes over the First Two Years of the COVID-19 Pandemic

Pdf Summary

This study examined the impact of the COVID-19 pandemic on the admissions, management, and outcomes of non-ST elevation myocardial infarction (NSTEMI) patients. The researchers found that the pandemic resulted in changes in resource allocation in healthcare systems, leading to reduced admission rates for NSTEMI patients during the early phase of the pandemic. However, admission rates returned to pre-pandemic levels later on.<br /><br />The study also found that NSTEMI patients presented earlier during the pre-pandemic period compared to the early pandemic phase. Additionally, the door-to-angiography time, which indicates the time taken to perform an angiography after hospital admission, was significantly reduced during the early pandemic phase compared to the pre-pandemic period.<br /><br />The researchers observed an increase in the rate of percutaneous coronary intervention (PCI) procedures during the early and later pandemic phases compared to the pre-pandemic period. The length of hospital stay for NSTEMI patients was also reduced during the early pandemic phase, but returned to pre-pandemic levels later on.<br /><br />In terms of outcomes, the study found that the composite in-hospital outcomes, including deaths, acute congestive heart failure, and sustained ventricular tachycardia/ventricular fibrillation, were similar between the pre-pandemic and pandemic phases.<br /><br />The researchers concluded that the COVID-19 pandemic had an impact on the management and outcomes of NSTEMI patients, with changes in resource allocation and an increase in early PCI procedures. They suggested further investigation into the factors that contributed to these changes and emphasized the potential for improvement in the management and workflow of NSTEMI patients.<br /><br />Overall, this study highlighted the transformation in NSTEMI admissions, management, and outcomes during the first two years of the COVID-19 pandemic, providing insights into the potential opportunities for improvement in NSTEMI care.

Keywords

COVID-19 pandemic

non-ST elevation myocardial infarction

NSTEMI patients

resource allocation

healthcare systems

admission rates

door-to-angiography time

percutaneous coronary intervention

length of hospital stay

in-hospital outcomes