@article{TEXTUAL,
      recid = {12751},
      author = {Folk, Jessica and McGurk, Kevin and Au, Loretta and Imas,  Polina and Dhake, Sarah and Haag, Adam},
      title = {The COVID-19 impact on STEMI disparities},
      journal = {Heliyon},
      address = {2024-05-31},
      number = {TEXTUAL},
      abstract = {<p>ST-segment elevation myocardial infarction (STEMI) is a  significant source of morbidity and mortality. Despite  guideline-driven management and increased awareness of  social determinants of health, there are persistent  disparities in diagnosis, management, and outcomes. The  coronavirus disease 2019 (COVID-19) pandemic has greatly  affected emergency department visitation, conditions and  throughput. The aim of this study was to find any potential  health disparities in patients who presented with STEMI  during the COVID-19 pandemic by reviewing STEMI care data  from April to September 2019 (pre-pandemic) and April to  September 2020 (during the pandemic) for our hospital  system.</p> <p>Patients with STEMI within 12 h of  presentation were included in this study, and subdivided by  age, gender, and race/ethnicity. We compared the turnaround  times between emergency department arrival to intervention  (electrocardiogram or catheterization) within the patient  subgroups to find any notable differences. No statistically  significant changes in turnaround times during either study  period were found based on age, gender, or race/ethnicity  for the STEMI interventions despite shifts in emergency  department resources during the pandemic. This study helped  assess the status quo in STEMI intervention for our health  system and serves as a baseline for us to monitor gaps in  care or areas of improvement. As healthcare systems  institute new measures to promote equitable care, such as  improving the accuracy of demographic data capture,  establishing a baseline is an essential first step in  evaluating the impact of these measures.</p>},
      url = {http://knowledge.uchicago.edu/record/12751},
}