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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Related Experiment Video

Updated: Jun 24, 2025

Delayed Intramyocardial Delivery of Stem Cells after Ischemia Reperfusion Injury in a Murine Model
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The COVID-19 impact on STEMI disparities.

Jessica Folk1,2, Kevin McGurk3, Loretta Au4

  • 1Division of Emergency Medicine, NorthShore University HealthSystem, USA.

Heliyon
|June 13, 2024
PubMed
Summary

The coronavirus disease 2019 (COVID-19) pandemic did not significantly alter treatment times for ST-segment elevation myocardial infarction (STEMI) patients across different demographics. This study establishes a baseline for monitoring STEMI care equity.

Keywords:
COVID-19Health disparitiesInterventional cardiovascular careST-Segment elevation myocardial infarction

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Area of Science:

  • Cardiology
  • Public Health
  • Health Equity

Background:

  • ST-segment elevation myocardial infarction (STEMI) remains a leading cause of death and disability.
  • Existing health disparities in STEMI care persist despite awareness of social determinants.
  • The COVID-19 pandemic impacted emergency healthcare services, necessitating an evaluation of its effect on STEMI care.

Purpose of the Study:

  • To investigate potential health disparities in STEMI patient care during the COVID-19 pandemic.
  • To compare STEMI intervention turnaround times pre-pandemic (2019) versus during the pandemic (2020).
  • To establish a baseline for assessing equitable STEMI care within a hospital system.

Main Methods:

  • Retrospective review of STEMI patient data from April to September 2019 and April to September 2020.
  • Inclusion criteria: STEMI patients presenting within 12 hours of symptom onset.
  • Analysis of turnaround times (emergency department arrival to intervention) stratified by age, gender, and race/ethnicity.

Main Results:

  • No statistically significant differences in STEMI intervention turnaround times were observed between the pre-pandemic and pandemic periods.
  • Turnaround times remained consistent across various patient subgroups (age, gender, race/ethnicity) during both study periods.
  • Despite pandemic-related shifts in emergency department resources, STEMI care timeliness was maintained.

Conclusions:

  • The COVID-19 pandemic did not introduce statistically significant disparities in STEMI intervention times based on demographic factors within this health system.
  • This study provides a crucial baseline for future assessments of STEMI care equity and the impact of interventions aimed at reducing disparities.
  • Continuous monitoring is essential for identifying and addressing any emerging gaps in STEMI care.