The Impact of the COVID-19 Pandemic on Cardiac Related Emergency Department Presentations in Queensland: A Retrospective Cohort Study

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2025-07-24 DOI:10.1111/1742-6723.70096

Emma J. Hall, Gerben Keijzers, Jamie Ranse, Amy L. Sweeny, Julia Crilly, COVERED-COVID Study Investigators

{"title":"The Impact of the COVID-19 Pandemic on Cardiac Related Emergency Department Presentations in Queensland: A Retrospective Cohort Study","authors":"Emma J. Hall, Gerben Keijzers, Jamie Ranse, Amy L. Sweeny, Julia Crilly,  COVERED-COVID Study Investigators","doi":"10.1111/1742-6723.70096","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To (i) describe and compare rates, demographics, ED characteristics and outcomes for cardiac-related presentations to Queensland EDs before, during and after periods of government restrictions, (ii) determine if and which cardiac conditions were impacted by COVID-19 restrictions.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Retrospective cohort study of all adult presentations in 105 Queensland public EDs who were diagnosed with a cardiac condition or chest pain. Four periods were compared: ‘pre-pandemic’ (January 2018–March 2020), ‘statewide restrictions’ (11 March–30 June 2020), ‘easing of restrictions’ (1 July 2020–12 December 2021) and ‘outbreak’ (13 December 2021–30 June 2022). ED presentation rates (per 10,000 person-years) and incident rate ratios were calculated for chest pain, ischaemic heart disease, arrhythmias, heart failure, inflammatory conditions, cardiac arrest, and ‘other’ acute cardiac conditions. Proportions of presentations by demographic group, ED characteristics and outcomes were also compared.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The study included 609,485 acute cardiac-related presentations. All-cause acute cardiac presentations decreased by 4% from ‘pre-pandemic’ to ‘statewide restrictions’, then increased by 20% and 25% in the ‘easing of restrictions’ and ‘outbreak’ periods, respectively. Ischaemic heart disease presentation rates decreased during ‘statewide restrictions’. Weekly chest pain presentations dropped early during ‘statewide restrictions’ but increased in each consecutive period. Weekly heart failure presentations appeared to follow seasonal patterns. Compared to ‘statewide restrictions’, inflammatory presentations increased during ‘easing of restrictions’ and ‘outbreak’ periods.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The COVID-19 pandemic impacted acute cardiac-related ED presentations in Queensland in various ways. Public health messaging for people to seek timely medical care for urgent conditions and symptoms should be emphasised in future pandemics.</p>\n </section>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70096","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency Medicine Australasia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.70096","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

To (i) describe and compare rates, demographics, ED characteristics and outcomes for cardiac-related presentations to Queensland EDs before, during and after periods of government restrictions, (ii) determine if and which cardiac conditions were impacted by COVID-19 restrictions.

Methods

Retrospective cohort study of all adult presentations in 105 Queensland public EDs who were diagnosed with a cardiac condition or chest pain. Four periods were compared: ‘pre-pandemic’ (January 2018–March 2020), ‘statewide restrictions’ (11 March–30 June 2020), ‘easing of restrictions’ (1 July 2020–12 December 2021) and ‘outbreak’ (13 December 2021–30 June 2022). ED presentation rates (per 10,000 person-years) and incident rate ratios were calculated for chest pain, ischaemic heart disease, arrhythmias, heart failure, inflammatory conditions, cardiac arrest, and ‘other’ acute cardiac conditions. Proportions of presentations by demographic group, ED characteristics and outcomes were also compared.

Results

The study included 609,485 acute cardiac-related presentations. All-cause acute cardiac presentations decreased by 4% from ‘pre-pandemic’ to ‘statewide restrictions’, then increased by 20% and 25% in the ‘easing of restrictions’ and ‘outbreak’ periods, respectively. Ischaemic heart disease presentation rates decreased during ‘statewide restrictions’. Weekly chest pain presentations dropped early during ‘statewide restrictions’ but increased in each consecutive period. Weekly heart failure presentations appeared to follow seasonal patterns. Compared to ‘statewide restrictions’, inflammatory presentations increased during ‘easing of restrictions’ and ‘outbreak’ periods.

Conclusions

The COVID-19 pandemic impacted acute cardiac-related ED presentations in Queensland in various ways. Public health messaging for people to seek timely medical care for urgent conditions and symptoms should be emphasised in future pandemics.

Abstract Image

查看原文本刊更多论文

COVID-19大流行对昆士兰州心脏相关急诊科报告的影响：一项回顾性队列研究

目的(i)描述和比较在政府限制措施之前、期间和之后，向昆士兰州急诊科进行心脏相关就诊的比率、人口统计学、急诊科特征和结果；（ii）确定是否以及哪些心脏病受到了COVID-19限制措施的影响。方法回顾性队列研究105例昆士兰公立急诊科诊断为心脏病或胸痛的所有成人病例。对四个时期进行了比较：“大流行前”（2018年1月至2020年3月）、“全州限制”（2020年3月11日至6月30日）、“放松限制”（2020年7月1日至2021年12月12日）和“爆发”（2021年12月13日至2022年6月30日）。计算了胸痛、缺血性心脏病、心律失常、心力衰竭、炎症、心脏骤停和“其他”急性心脏病的ED表现率（每10,000人年）和发生率比。还比较了人口统计学组的表现比例、ED特征和结果。结果本研究纳入609,485例急性心脏相关病例。从“大流行前”到“全州限制”，全因急性心脏病病例减少了4%，然后在“放宽限制”和“爆发”期间分别增加了20%和25%。在“全州限制”期间，缺血性心脏病的发病率有所下降。在“全州范围的限制”期间，每周胸痛的发生率较早下降，但连续每一段时间都有所增加。每周的心力衰竭报告似乎遵循季节性模式。与“全州范围的限制”相比，在“放松限制”和“爆发”期间，炎症症状增加。结论2019冠状病毒病大流行对昆士兰州急性心脏相关ED的影响是多方面的。在未来的大流行中，应强调向人们传递公共卫生信息，让他们在出现紧急情况和症状时及时就医。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.