Association of the COVID-19 pandemic and dying at home due to ischemic heart disease
The coronavirus disease 2019 (COVID-19) pandemic has been associated with a declining volume of patients seen in the emergency department. Despite the need for seeking urgent care for conditions such as myocardial infarction, many people may not seek treatment. This study seeks to measure associatio...
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| Veröffentlicht in: | Preventive medicine 2021-12, Vol.153, p.106818-106818, Article 106818 |
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| container_title | Preventive medicine |
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| creator | Porter, Austin Brown, Clare C. Tilford, J. Mick Cima, Michael Zohoori, Namvar McCormick, Donald Wilson, Michael P. Amick, Benjamin C. Romero, José R. |
| description | The coronavirus disease 2019 (COVID-19) pandemic has been associated with a declining volume of patients seen in the emergency department. Despite the need for seeking urgent care for conditions such as myocardial infarction, many people may not seek treatment. This study seeks to measure associations between the COVID-19 pandemic and location of death among individuals who died from ischemic heart disease (IHD). Data obtained from death certificates from the Arkansas Department of Health was used to conduct a difference-in-difference analysis to assess whether decedents of IHD were more likely to die at home during the pandemic (March 2020 through September 2020). The analysis compared location of death for decedents of IHD pre and during the pandemic to location of death for decedents from non-natural causes. Before the pandemic, 50.0% of decedents of IHD died at home compared to 57.9% dying at home during (through September 2020) the pandemic study period (p |
| doi_str_mv | 10.1016/j.ypmed.2021.106818 |
| format | Article |
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•The COVID-19 pandemic has impacted care-seeking behaviors for those with ischemic heart disease.•These changes are associated with more deaths occurring in the home compared to before the pandemic.•Health care providers should stress the importance to seek urgent care during an emergency, despite the pandemic.</description><identifier>ISSN: 0091-7435</identifier><identifier>EISSN: 1096-0260</identifier><identifier>DOI: 10.1016/j.ypmed.2021.106818</identifier><identifier>PMID: 34599924</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>COVID-19 ; Emergency Service, Hospital ; Humans ; Ischemic heart disease ; Mortality ; Myocardial Ischemia - epidemiology ; Pandemics ; SARS-CoV-2</subject><ispartof>Preventive medicine, 2021-12, Vol.153, p.106818-106818, Article 106818</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021 Elsevier Inc. All rights reserved. 2021 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-9d97eef91ba273af8c3437162d1d1befb4e5e9c4bf064c4a7322ac7d1258a2293</citedby><cites>FETCH-LOGICAL-c459t-9d97eef91ba273af8c3437162d1d1befb4e5e9c4bf064c4a7322ac7d1258a2293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ypmed.2021.106818$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34599924$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Porter, Austin</creatorcontrib><creatorcontrib>Brown, Clare C.</creatorcontrib><creatorcontrib>Tilford, J. Mick</creatorcontrib><creatorcontrib>Cima, Michael</creatorcontrib><creatorcontrib>Zohoori, Namvar</creatorcontrib><creatorcontrib>McCormick, Donald</creatorcontrib><creatorcontrib>Wilson, Michael P.</creatorcontrib><creatorcontrib>Amick, Benjamin C.</creatorcontrib><creatorcontrib>Romero, José R.</creatorcontrib><title>Association of the COVID-19 pandemic and dying at home due to ischemic heart disease</title><title>Preventive medicine</title><addtitle>Prev Med</addtitle><description>The coronavirus disease 2019 (COVID-19) pandemic has been associated with a declining volume of patients seen in the emergency department. Despite the need for seeking urgent care for conditions such as myocardial infarction, many people may not seek treatment. This study seeks to measure associations between the COVID-19 pandemic and location of death among individuals who died from ischemic heart disease (IHD). Data obtained from death certificates from the Arkansas Department of Health was used to conduct a difference-in-difference analysis to assess whether decedents of IHD were more likely to die at home during the pandemic (March 2020 through September 2020). The analysis compared location of death for decedents of IHD pre and during the pandemic to location of death for decedents from non-natural causes. Before the pandemic, 50.0% of decedents of IHD died at home compared to 57.9% dying at home during (through September 2020) the pandemic study period (p < .001). There was no difference in the proportion of decedents who died at home from non-natural causes before and during the pandemic study period (55.8% vs. 53.5%; p = .21). After controlling for confounders, there was a 48% increase in the odds of dying at home from IHD during the pandemic study period (p < .001) relative to the change in dying at home due to non-natural causes. During the study period, there was an increase in the proportion of decedents who died at home due to IHD. Despite the ongoing pandemic, practitioners should emphasize the need to seek urgent care during an emergency.
•The COVID-19 pandemic has impacted care-seeking behaviors for those with ischemic heart disease.•These changes are associated with more deaths occurring in the home compared to before the pandemic.•Health care providers should stress the importance to seek urgent care during an emergency, despite the pandemic.</description><subject>COVID-19</subject><subject>Emergency Service, Hospital</subject><subject>Humans</subject><subject>Ischemic heart disease</subject><subject>Mortality</subject><subject>Myocardial Ischemia - epidemiology</subject><subject>Pandemics</subject><subject>SARS-CoV-2</subject><issn>0091-7435</issn><issn>1096-0260</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtPAyEUhYnRaK3-AhPD0s1UYJgHC01MfSZN3KhbwsAdh6YzVKBN-u9Fq0Y3rm4C3z0HzkHohJIJJbQ8n082yx7MhBFG00lZ03oHjSgRZUZYSXbRiBBBs4rnxQE6DGFOCKUl4fvoIOeFEILxEXq6CsFpq6J1A3Ytjh3g6ePLw3VGBV6qwUBvNU4Tm40dXrGKuHM9YLMCHB22QXefRAfKR2xsABXgCO21ahHg-GuO0fPtzdP0Pps93j1Mr2aZTv4xE0ZUAK2gjWJVrtpa5zyvaMkMNbSBtuFQgNC8aUnJNVdVzpjSlaGsqBVjIh-jy63uctWkJDQM0auFXHrbK7-RTln592awnXx1a1nzOoVBksDZl4B3bysIUfbpR7BYqAHcKkhWVHVVFqQuEppvUe1dCB7aHxtK5Ecfci4_-5AffchtH2nr9PcLf3a-C0jAxRaAlNPagpdBWxg0GOtBR2mc_dfgHQBznTg</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Porter, Austin</creator><creator>Brown, Clare C.</creator><creator>Tilford, J. 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Mick</au><au>Cima, Michael</au><au>Zohoori, Namvar</au><au>McCormick, Donald</au><au>Wilson, Michael P.</au><au>Amick, Benjamin C.</au><au>Romero, José R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of the COVID-19 pandemic and dying at home due to ischemic heart disease</atitle><jtitle>Preventive medicine</jtitle><addtitle>Prev Med</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>153</volume><spage>106818</spage><epage>106818</epage><pages>106818-106818</pages><artnum>106818</artnum><issn>0091-7435</issn><eissn>1096-0260</eissn><abstract>The coronavirus disease 2019 (COVID-19) pandemic has been associated with a declining volume of patients seen in the emergency department. Despite the need for seeking urgent care for conditions such as myocardial infarction, many people may not seek treatment. This study seeks to measure associations between the COVID-19 pandemic and location of death among individuals who died from ischemic heart disease (IHD). Data obtained from death certificates from the Arkansas Department of Health was used to conduct a difference-in-difference analysis to assess whether decedents of IHD were more likely to die at home during the pandemic (March 2020 through September 2020). The analysis compared location of death for decedents of IHD pre and during the pandemic to location of death for decedents from non-natural causes. Before the pandemic, 50.0% of decedents of IHD died at home compared to 57.9% dying at home during (through September 2020) the pandemic study period (p < .001). There was no difference in the proportion of decedents who died at home from non-natural causes before and during the pandemic study period (55.8% vs. 53.5%; p = .21). After controlling for confounders, there was a 48% increase in the odds of dying at home from IHD during the pandemic study period (p < .001) relative to the change in dying at home due to non-natural causes. During the study period, there was an increase in the proportion of decedents who died at home due to IHD. Despite the ongoing pandemic, practitioners should emphasize the need to seek urgent care during an emergency.
•The COVID-19 pandemic has impacted care-seeking behaviors for those with ischemic heart disease.•These changes are associated with more deaths occurring in the home compared to before the pandemic.•Health care providers should stress the importance to seek urgent care during an emergency, despite the pandemic.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34599924</pmid><doi>10.1016/j.ypmed.2021.106818</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | COVID-19 Emergency Service, Hospital Humans Ischemic heart disease Mortality Myocardial Ischemia - epidemiology Pandemics SARS-CoV-2 |
| title | Association of the COVID-19 pandemic and dying at home due to ischemic heart disease |
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