在COVID-19大流行期间的心血管表现:一个中断的时间序列分析
Hari Prakash Sritharan1,2, Harrison Nguyen2, Usaid Khalil Allahwala1,2
1Faculty of Medicine and Health, University of Sydney, Science Road, Camperdown, Sydney, NSW 2050, Australia.
Journal of public health (Oxford, England)
|September 26, 2024
概括
在最初的COVID-19封锁期间,心血管住院病例显著下降. 这一趋势随着限制的放松而逆转,除了心肌病和心力衰竭病例的持续减少外.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 大流行对心血管住院的影响需要进一步调查.
- 了解这些趋势对于医疗保健规划和资源配置至关重要.
研究的目的:
- 在COVID-19大流行期间分析心血管表现的趋势.
- 评估不同流行病阶段对住院率的影响.
主要方法:
- 一项多中心研究分析了从2018年3月到2023年2月的心血管表现.
- 用中断时间序列分析来评估四个不同时期每周呈现的变化:疫情前,第一次封锁,放松限制和广泛疫苗接种.
- 数据来源于行政健康记录,使用ICD-10-AM诊断代码.
主要成果:
- 总共包括来自澳大利亚三个公共医院的116,518名患者.
- 在第一次封锁期间 (T1) 心血管病例显著下降,平均下降13.1% (P=0.004).
- 虽然大多数表现在后期阶段 (T2和T3) 恢复到预期水平,但在T3 (下降4.5%,P=0.007) 中心肌病和心力衰竭的显著减少仍然存在.
结论:
- 最初的COVID-19封锁导致心血管住院病例显著减少.
- 这些住院趋势在很大程度上正常化,随着限制的放松和疫苗接种的推出.
- 值得注意的例外是,即使在限制解除后,心肌病和心力衰竭病例的持续减少也被观察到.
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