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17 September 2020: Clinical Research

Comparison of Clinical Outcomes in Patients with ST Elevation Myocardial Infarction with Percutaneous Coronary Intervention and the Use of a Telemedicine App Before and After the COVID-19 Pandemic at a Center in Beijing, China, from August 2019 to March 2020

Jing Nan 1ABCDEG* , Shuai Meng 1BCE* , Hongyu Hu 1CDE , Ruofei Jia 1DEF , Wei Chen 1DEF , Qun Li 1DE , Tong Zhang 1DEF , Ke Song 1DEF , Yang Wang 2ACDE* , Zening Jin 1ABDEF*

DOI: 10.12659/MSM.927061

Med Sci Monit 2020; 26:e927061

Table 4 Comparison of the incidence of adverse events between the app user group and non-app user group before and after the COVID-19 pandemic.

Patients before the pandemic(n=183)*p valuePatients after the pandemic(n=60)**p value***p value
App user group (n=25)Non-App user group (n=158)App user group (n=8)Non-App user group (n=52)
In-hospital adverse event
All-cause of death0 (0%)4 (2.5%)1.0001 (12.5%)8 (15.4%)1.0000.001
Cardiac death0 (0%)4 (2.5%)1.0001 (12.5%)8 (15.4%)1.0000.001
MACE0 (0%)5 (3.2%)1.0001 (12.5%)10 (19.2%)1.0000.000
Non-fatal myocardial infarction0 (0%)1 (0.6%)1.0000 (0%)4 (7.7%)1.0000.014
Stroke0 (0%)0 (0%)1.0000 (0%)1 (1.9%)1.0000.247
Any revascularization0 (0%)1 (0.6%)1.0000 (0%)0 (0%)1.0001.000
Definite or probable stent thrombosis0 (0%)1 (0.6%)1.0000 (0%)0 (0%)1.0001.000
New renal replacement therapy0 (0%)9 (5.7%)0.6130 (0%)11 (21.2%)0.3300.002
30-day adverse event
All-cause of death0 (0%)5 (3.2%)1.0001 (12.5%)8 (15.4%)1.0000.001
Cardiac death0 (0%)5 (3.2%)1.0001 (12.5%)8 (15.4%)1.0000.001
MACE0 (0%)10 (6.3%)0.3622 (25%)15 (28.8%)1.0000.000
Non-fatal myocardial infarction0 (0%)3 (1.9%)1.0000 (0%)8 (15.4%)0.5820.001
Stroke0 (0%)2 (1.3%)1.0000 (0%)3 (5.8%)1.0000.098
Any revascularization0 (0%)1 (0.6%)1.0000 (0%)2 (3.8%)1.0000.152
Definite or probable stent thrombosis0 (0%)1 (0.6%)1.0000 (0%)1 (1.9%)1.0000.434
New renal replacement therapy0 (0%)9 (5.7%)0.6132 (25%)13 (25%)1.0000.000
Frequencies are reported as n/total (%), unless otherwise specified. MACE – major cardiovascular event.
* Comparison between App user and non-App user group after the pandemic;
** comparison between App user and non-App user group after the pandemic;
*** comparison between patients before and after the pandemic.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750