scholarly journals Statewide declines in myocardial infarction and stroke emergency department visits during COVID-19 restrictions in North Carolina

2021 ◽  
Author(s):  
Eugenia Wong ◽  
Wayne Rosamond ◽  
Mehul D. Patel ◽  
Anna E. Waller
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
North Carolina ◽  
Emergency Department Visits

Abstract 045: Declines In Acute Myocardial Infarction And Stroke Emergency Department Visits Observed During Covid-19 Restrictions In North Carolina

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Eugenia Wong ◽  
Wayne D Rosamond ◽  
Mehul D Patel ◽  
Anna Waller
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
North Carolina ◽  
Hospital Admissions ◽  
Emergency Department Visits ◽  
Syndromic Surveillance System ◽  
Before And After ◽  
Ed Visits ◽  
At Home

Introduction: Efforts to control the COVID-19 pandemic brought sweeping social change, with stay-at-home orders and physical distancing mandates in 43 of 50 states by April 2020. Early on, isolated studies around the world described reduced hospital admissions. Reports from some US hospitals also described declines in catheterization laboratory activations, and acute myocardial infarction (AMI) and stroke admissions. However, there have been few population-based analyses of emergency department (ED) visits to verify these initial reports and describe longer term impacts of the pandemic on care seeking behavior. Hypothesis: We hypothesized that AMI and stroke ED visits in North Carolina (NC) would decrease substantially after a statewide stay-at-home order was announced on March 27, 2020. Methods: We analyzed all ED visits from January 5 to August 28, 2020 using data collected by the NC Disease Event Tracking and Epidemiologic Collection Tool, a syndromic surveillance system that automatically gathers ED data in near-real time for all EDs in NC. Counts of AMI and stroke/transient ischemic attack (TIA) were ascertained using ICD-10-CM diagnosis codes. We compared weekly 2020 ED visit data before and after NC’s stay-at-home order, and to 2019 ED visit data. Results: Overall ED volume declined by 44% in the weeks before and after the stay-at-home order ( Figure ) while the prior year’s ED volume stayed steady at ~100,000 visits per week. From January 5 to March 28, there were 593 AMI and 791 stroke/TIA visits per week on average. By April 11, ED visits reached a nadir at 426 AMI and 543 stroke/TIA visits per week, representing a 28% and 31% decrease, respectively. Since June, AMI and stroke/TIA ED visits have rebounded slightly but have yet to reach pre-pandemic levels. Conclusions: We observed swift declines in AMI and stroke/TIA ED visits following NC’s stay-at-home order. These findings potentially reflect the avoidance of medical care due to fears of COVID-19 exposure and may eventually result in higher associated case fatality.

scholarly journals Impact of Extreme Heat Events on Emergency Department Visits in North Carolina (2007–2011)

2015 ◽  
Vol 41 (1) ◽  
pp. 146-156 ◽  
Author(s):  
Christopher M. Fuhrmann ◽  
Margaret M. Sugg ◽  
Charles E. Konrad ◽  
Anna Waller
Keyword(s):  
Emergency Department ◽  
North Carolina ◽  
Emergency Department Visits ◽  
Extreme Heat ◽  
Extreme Heat Events ◽  
Heat Events

Relationship between synoptic weather type and emergency department visits for different types of pain across the Triangle region of North Carolina

2020 ◽  
Vol 64 (11) ◽  
pp. 1815-1823
Author(s):  
Christopher Elcik ◽  
Christopher M. Fuhrmann ◽  
Scott C. Sheridan ◽  
Andrew E. Mercer ◽  
Kathleen Sherman-Morris
Keyword(s):  
Emergency Department ◽  
North Carolina ◽  
Weather Type ◽  
Emergency Department Visits ◽  
Synoptic Weather ◽  
Different Types

scholarly journals Incidence of Emergency Department Visits for ST-Elevation Myocardial Infarction in a Recent Six-Year Period in the United States

2015 ◽  
Vol 115 (2) ◽  
pp. 167-170 ◽  
Author(s):  
Michael J. Ward ◽  
Sunil Kripalani ◽  
Yuwei Zhu ◽  
Alan B. Storrow ◽  
Robert S. Dittus ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Emergency Department ◽  
The United States ◽  
Emergency Department Visits ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

scholarly journals Notes from the Field: Hurricane Florence–Related Emergency Department Visits — North Carolina, 2018

2019 ◽  
Vol 68 (28) ◽  
pp. 631-632 ◽  
Author(s):  
Lauren J. Tanz ◽  
Molly N. Hoffman ◽  
Dana Dandeneau ◽  
Zachary Faigen ◽  
Zack Moore ◽  
...  
Keyword(s):  
Emergency Department ◽  
North Carolina ◽  
Emergency Department Visits

scholarly journals Emergency Department Visits Attributable to Asthma in North Carolina, 2008

2013 ◽  
Vol 74 (1) ◽  
pp. 9-17
Author(s):  
Kristen Hassmiller Lich ◽  
Debbie Travers ◽  
Wayne Psek ◽  
Morris Weinberger ◽  
Karin Yeatts ◽  
...  
Keyword(s):  
Emergency Department ◽  
North Carolina ◽  
Emergency Department Visits
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