Hospital COVID-19 burden impacted NSTEMI treatment, outcome

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Hospital COVID-19 burden impacted NSTEMI treatment, outcome
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For patients with non-ST segment elevation myocardial infarction (NSTEMI), hospital COVID-19 burden was associated with worse outcomes and treatments but did not affect race and ethnicity-associated inequities, according to a study published online Aug. 25 in JAMA Network Open.

For patients with non-ST segment elevation myocardial infarction , hospital COVID-19 burden was associated with worse outcomes and treatments but did not affect race and ethnicity-associated inequities, according to a study published online Aug. 25 inLaurent G. Glance, M.D.

For each 10 percent increase in COVID-19 hospital burden, Black versus White individuals with NSTEMI had a clinically insignificant increase in the odds of mortality but no increases in readmissions or nonhome discharges or decrease in revascularizations. No differential increases were seen in adverse outcomes among Hispanic versus White patients with NSTEMI based on hospital COVID-19 burden.

"Policy and clinical interventions are needed to ensure that hospitals can continue to provide high-quality, evidence-based care for all patients, even in times of strain or stress," the authors write.Laurent G. Glance et al, The COVID-19 Pandemic and Associated Inequities in Acute Myocardial Infarction Treatment and Outcomes,

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