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Indirect impact of the war in Ukraine on primary percutaneous coronary intervention for ST-segment elevation myocardial infarction in Poland

Mamas, Mamas A; Martin, Glen P; Grygier, Marek; Wadhera, Rishi K; Mallen, Christian; Curzen, Nick; Wijeysundera, Harindra C; ... Siudak, Zbigniew; + view all (2024) Indirect impact of the war in Ukraine on primary percutaneous coronary intervention for ST-segment elevation myocardial infarction in Poland. Polish Archives of Internal Medicine , 134 (6) 10.20452/pamw.16737. Green open access

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Abstract

Introduction The Russian invasion of Ukraine in February 2022 resulted in displacement of approximately 12.5 million refugees to adjacent countries, including Poland, which may have strained health care service delivery. Objectives Using the ST-segment elevation myocardial infarction (STEMI) data, we aimed to evaluate whether the Russian invasion of Ukraine has indirectly impacted delivery of acute cardiovascular care in Poland. Patient s and Methods We analyzed all adult patients undergoing percutaneous coronary interventions (PCIs) for STEMI across Poland between February 25, 2017 and May 24, 2022. The investigated health care centers were allocated to regions below and over 100 km from the Polish-Ukrainian border. Mixed-effect generalized linear regression models with random effects per hospital were used to explore the associations between the war in Ukraine and several parameters, and whether these associations differed across the regions below and over 100 km from the border. Result s A total of 90 115 procedures were included in the analysis. The average number of procedures per month was similar to the predicted volume for centers over 100 km from the border, while it was higher than expected (by an estimated median of 15 [interquartile range, 11-19]) for the region below 100 km from the border. There was no difference in adjusted fatality rate or quality of care outcomes for pre- and during-war time in both regions, with no evidence of a difference-in-difference across the regions. Conclusions Following the Russian invasion of Ukraine, there was only a modest and temporary increase in the number of primary PCIs, predominantly in the centers situated within 100 km of the Polish- Ukrainian border, although no significant impact on in-hospital fatality rate was found.

Type: Article
Title: Indirect impact of the war in Ukraine on primary percutaneous coronary intervention for ST-segment elevation myocardial infarction in Poland
Location: Poland
Open access status: An open access version is available from UCL Discovery
DOI: 10.20452/pamw.16737
Publisher version: http://dx.doi.org/10.20452/pamw.16737
Language: English
Additional information: OPEN ACCE This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), allowing anyone to copy and redistribute the material in any medium or for‑ mat and to remix, transform, and build upon the material, including commer‑ cial purposes, provided the original work is properly cited.
Keywords: ASSOCIATION, CARDIOLOGY, cardiovascular care, CARDIOVASCULAR INTERVENTIONS, CARE, EARTHQUAKE, fatality rate, General & Internal Medicine, HERZEGOVINA, HURRICANE KATRINA, Life Sciences & Biomedicine, Medicine, General & Internal, MORTALITY, percutaneous coronary interventions, POLISH CARDIAC SOCIETY, processes of care, Science & Technology, ST-segment elevation myocardial infarction, TRIGGER
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics
URI: https://discovery.ucl.ac.uk/id/eprint/10195614
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