Vulnerability, COVID-19 and quality of acute neuro-cardiovascular care
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Bordeaux University Hospital, Bordeaux Univesity France
CIC-EC, Bordeaux University Hospital
CIC-EC 14-01, Bordeaux University hospital France
CIC-EC 1401 - Bordeaux University Hospital France
CIC-EC 14-01, Bordeaux University hospital France The AVICOVID Group Bordeaux University France
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A418
Background and Objective:
Myocardial infarction and stroke are two highly time-sensitive emergencies, which require standardized guidelines of timed care pathway to reduce treatment times. Covid-19 profoundly modified use and organization of care, as well as its access in a backdrop of pre-existing health disparities in neuro-cardiovascular diseases. Our aim was to evaluate if the first wave of Covid-19 had deteriorated quality of care for socially or clinically vulnerable stroke and myocardial infarction patients.

We included myocardial infarction and stroke patients from two French regional cohorts between January 2019 and August 2020. Associations between vulnerabilities (clinical: age over 65 years, neuro-cardiovascular history; socioeconomic: deprivation index) and care management times were analyzed through multivariate linear mixed models, with an interaction on the time period (pre, per, post-wave).

218 patients were included (6436 strokes, 2782 myocardial infarctions). The first medical contact-to-procedure time was longer for the elderlies (p

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