California hospitals saw sharp drop in heart attacks during COVID-19 shutdown


heart
Credit: CC0 Public Domain

For years it’s been one of the leading causes of death, a critical condition plaguing nearly every corner of the country. Every hour, seven people die from heart disease in the state but since the new coronavirus pandemic, some Northern California hospitals are admitting fewer heart attack patients than before.

The trend, an unexpected byproduct of COVID-19, is one of the main findings in a new study by researchers at Kaiser Permanente who measured the change in hospital admissions for attacks.

The results, published as a research letter in the New England Journal of Medicine, show that although California avoided the kind of dire outbreaks seen in Italy and New York, the specter of infection may have kept people away from the hospital.

The rate of hospitalization for heart attacks was nearly cut in half, falling by 48% from the beginning of January until mid-April. The study used data from Kaiser Permanente’s 21 medical centers in Northern California and the Central Valley and measured the rate weekly.

“We found as dramatic a reduction in heart attacks in Northern California as in places where the pandemic hit much harder like Northern Italy,” said Dr. Matthew Solomon, a cardiologist at Kaiser Permanente Oakland Medical Center and lead author of the study.

“It seems people had as strong a reaction, avoiding the hospitals for acute emergencies as in the places that were devastated by COVID-19.”

The decline started after the first death in Northern California was reported on March 4—believed to be a Placer County man in his 70s at the time. During the same week, deaths in a Washington state nursing home were mounting and the scale of an outbreak on a Princess Cruises ship was still unknown.

From January to March 3, Kaiser Permanente hospitals saw 1,051 patients for heart attacks, about 44 more patients compared to the year before. During the next four weeks, however, the regional health system 453 and about 175 compared to volume in 2019.

The results are not easily explained. Solomon said there does not appear to be any relationship between the decline in hospitalization and the severity of the pandemic since California largely dodged the worse case scenarios. Although the published study did not include any test of potential links to the pandemic’s severity.

Other theories don’t hold up well either. Solomon said some have theorized that the decline is the result of people being less physically active or maybe they have fewer stressors at home.

“There’s no intervention that we’re aware of that could drop the true incidence of heart attacks by this much,” Solomon said. “In other national emergencies like earthquakes or terrorist attacks, rates go up due to fear and anxiety. And there’s a ton of fear and anxiety about the COVID-19 pandemic.”

Some local emergency medical service providers said the trend is consistent with what they’ve seen locally but not everyone agreed. Emergency transport volume for some was higher during the pandemic than in previous years.

Sacramento County, for example, experienced a modest decline in heart attack transports in February—about 23 fewer than in 2019—but the volume outpaced the previous years in March and April, according to data provided to The Bee.

There was no in trauma cases either and only a moderate decline in the number of strokes in April. Since January, however, there were about 10% more stroke transports this year compared to 2019.

“These numbers are based on our EMS transports and not what the hospitals are seeing,” said David Mangino, administrator for Sacramento County’s Emergency Medical Services Agency “Those are the three data elements that we watched because they are our critical patients.”

Kristin Weivoda, administrator for Yolo County’s Emergency Medical Services Agency, said they have also seen a decrease in demand for emergency transports, mirroring the trend found in the Kaiser Permanente study. She said local hospitals are seeing it, too.

Early in the COVID-19 response people were discouraged from calling 911 if they have symptoms of the flu or a cold that could be the coronavirus, Weivoda said. The may have interpreted those early warnings as a need to stay away from the hospitals because they may get sick, she said.

Those decisions could have unintended consequences just as harmful as COVID-19.

“We’re trying to protect people from COVID-19, but because of the fear that people aren’t utilizing 911 and they’re avoiding symptoms that they have and should be seeking medical attention for,” Weivoda said.

“Across the state of California we’re seeing an uptick in secondary mortality because people aren’t addressing their disease or an emergent disease that could be corrected if they were addressed in a timely manner.”


Incidence of AMI hospitalization down during COVID-19


©2020 The Sacramento Bee (Sacramento, Calif.)
Distributed by Tribune Content Agency, LLC.

Citation:
California hospitals saw sharp drop in heart attacks during COVID-19 shutdown (2020, May 22)
retrieved 22 May 2020
from https://medicalxpress.com/news/2020-05-california-hospitals-sharp-heart-covid-.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.



loading...

Related posts:

Virus cases drop to zero in China but surge in Latin America
Regular aspirin use tied to lower risk for digestive tract cancers
Das Spülschwamm-Mikrobiom: Was dich nicht umbringt, macht dich härter!
MEDucation TV: Medizinische Fortbildung digital
Avoid E. coli with proper burger cooking
Leibniz-WissenschaftsCampus EvoLUNG erhält erneut Förderung
Cancer drugs cause large cells that resist treatment; scientist aims to stop it
Neue Erkenntnisse zu Hepatitis C bei Säuglingen könnte zu besseren Therapien führen
Vienna Philharmonic says no increased virus risk for orchestras
Europe relaxing virus restrictions but cases flare elsewhere
EU calls for independent probe of WHO's pandemic response
Coronavirus cases pass 5.25 million worldwide
Putzfimmel im Gehirn - Biermann Medizin
Global study finds women less likely to have heart disease—and die of it—than men
Coronavirus-Infektionen können zu Delir und PTSD führen
Anti-obesity medications mitigate weight regain in RYGB surgery patients
Endgültiges Aus für Mentholzigarette in der EU
Kinder und Jugendliche psychisch stark machen – Neues Infoportal geht ans Netz
Turkey registers 41 new deaths, lowest since end of March
Half of moms-to-be at risk of preeclampsia are missing out on preventive aspirin
Leberkrebs: Forderung nach mehr Aufmerksamkeit in Bezug auf Hepatitis D
Mögliches Referenzmessverfahren für die Analyse auf SARS-CoV-2
The cholera outbreak in a Victorian asylum that anticipated the coronavirus crisis in care homes
Cord blood study provides insights on benefits, limitations for autism treatment
New study evaluates facial feminization outcomes, benefits for transgender women
Study sheds light on risks of breast cancer after pre-invasive disease
Spain to reopen to tourists as South America named virus hotspot
Produce-buying incentive program a win-win for Oregon consumers and farmers
'Knowing how' is in your brain
Kostengünstige Netzhaut-Diagnostik per Smartphone - Biermann Medizin
Klappenersatz bei Aortenstenose: Neue Erkenntnisse über den Behandlungserfolg von TAVI
Why pancreatic ductal adenocarcinoma is so lethal
Zimbabwe COVID-19 infections spike to 132
When could a COVID-19 vaccine be ready?
Mayo Clinic Minute: Health benefits of gardening
Schwerer Verlauf von COVID-19:  Welche Lungenpatienten besonderen Schutz brauchen
US death toll from coronavirus surges past 100,000 people
Voluntary collective isolation is best response to COVID-19 for indigenous populations
FDA says cows may have caused E. coli lettuce contamination
People with substance use disorders face greater challenges during the COVID-19 pandemic
Live poultry linked to Salmonella cases in 28 states
UN chief warns psychological suffering from virus is growing
COVID-19 Lungenentzündung: Sicher, rasch und standardisiert mittels Ultraschall-Protokoll erfassen
No improvements seen in meeting AAP vitamin D intake guidelines
I-call – Wenn Mikroimplantate miteinander kommunizieren
Study traces brain-to-gut connections
Bluttest könnte Behinderungsprogression bei MS voraussagen
Researchers collaboratively test mask effectiveness to fight spread of COVID-19
BCG: Warnung vor latenten Infektionen
Mit Hochdurchsatz gegen Krebs und COVID-19
Turkey to lift travel ban, open gyms, restaurants on June 1
Analysemethoden nehmen Einfluss auf das Ergebnis
Multi-drug regimen for heart failure could meaningfully extend patients' lives
Neue Erkenntnisse zur Wirkweise von Ketamin
Interdisziplinäre zentrale Ultraschalleinheit des UKL als Ausbildungsstätte anerkannt
Besonders fitte Antikörper sollen gegen SARS-CoV-2 helfen
Weniger indolente, mehr aggressive Prostatakarzinome
Leopoldina: Gesundheitssystem weiterentwickeln - Biermann Medizin
Studie zum Infektionsgeschehen an Schulen
Public health campaigns can do better on cannabis harm reduction
New research finds 'Dr. Google' is almost always wrong
Mortalitätsrate unter jungen Epileptikern weiter hoch
Brazil surges to second in coronavirus cases worldwide
Antikörper erkennt Alzheimer-Pathogene - Biermann Medizin
DGVS mahnt Rückkehr zur regulären Früherkennung an
Dairy-rich diet linked to lower risks of diabetes and high blood pressure
Entwicklung maschineller Lernverfahren: Großer maschinenlesbarer EKG-Datensatz veröffentlicht
Aerobics may be a smart workout for your brain at any age
the hunt for the antibody to treat COVID-19
The malaria parasite P. vivax can remain in the spleen upon expression of certain proteins
Healthcare rationing could see 'unlawful deaths' from COVID-19, researchers claim
Tumorschmerz beim Pankreaskarzinom: Komplexe Interaktion zwischen Tumorzellen und Nerven
Research team shrinks breast cancer tumors in mice with targeted therapy
Newborn may have contracted coronavirus in the womb
How the coronavirus could be prevented from invading a host cell
Glucose levels linked to maternal mortality even in non-diabetic women
its impact cannot be explained away through the prism of race
Virologe Streeck wehrt sich gegen Vorwürfe: „Doof gelaufen“
Combinatorial screening approach opens path to better-quality joint cartilage
Neue Angiographie-Einheit erweitert Behandlungsmöglichkeiten deutlich
US records 1,225 coronavirus deaths in 24 hours: Johns Hopkins
Turkey confirms 32 deaths, 1,141 new COVID-19 cases
Spain revises virus death toll down by nearly 2,000
Thailand malls reopen, with temperatures taken, masks worn
How should I clean and store my face mask?
Lagerungsschwindel – Einfache Frage zur Diagnose?
Researchers urge clinical trial of blood pressure drug to prevent complication of COVID-19
STAAB-Studie: Mehr als die Hälfte der Probanden haben Vorstufe einer Herzinsuffizienz
Walking or cycling to work associated with reduced risk of early death and illness
Mayor says Mexico City will begin gradual reopening June 1
COVID-19 patients may have lower stroke rates than previously suggested
Cavity-causing bacteria assemble an army of protective microbes on human teeth
Study shows patients with hemorrhagic brain disease have disordered gut microbiomes
Scientists fight online virus misinformation war
Immunantwort nach Corona-Infektion im Blick
High-tech devices help NFL teams keep players safe, in shape
New York City 'on track' to begin reopening week of June 8: governor
Corona-Antikörpertests: Sichere Ergebnisse im Fokus
Gesucht: Hirnstruktur, die unser Verhalten steuert
Madagascar reports first coronavirus death

Leave a Reply

Your email address will not be published. Required fields are marked *

Next Post

Incidence of AMI hospitalization down during COVID-19

Sat May 23 , 2020
(HealthDay)—In Northern California, the incidence of hospitalization for acute myocardial infarction decreased during the COVID-19 pandemic period, according to a letter to the editor published online May 19 in the New England Journal of Medicine. Matthew D. Solomon, M.D., Ph.D., from the Kaiser Permanente Oakland Medical Center in California, and […]