{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T04:10:03Z","timestamp":1755835803327,"version":"3.44.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001078","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMSF\u2010008COV\u20102020\u2010CRILLY"],"award-info":[{"award-number":["EMSF\u2010008COV\u20102020\u2010CRILLY"]}],"id":[{"id":"10.13039\/501100001078","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To (i) describe and compare rates, demographics, ED characteristics and outcomes for cardiac\u2010related presentations to Queensland EDs before, during and after periods of government restrictions, (ii) determine if and which cardiac conditions were impacted by COVID\u201019 restrictions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study of all adult presentations in 105 Queensland public EDs who were diagnosed with a cardiac condition or chest pain. Four periods were compared: \u2018pre\u2010pandemic\u2019 (January 2018\u2013March 2020), \u2018statewide restrictions\u2019 (11 March\u201330 June 2020), \u2018easing of restrictions\u2019 (1 July 2020\u201312 December 2021) and \u2018outbreak\u2019 (13 December 2021\u201330 June 2022). ED presentation rates (per 10,000 person\u2010years) and incident rate ratios were calculated for chest pain, ischaemic heart disease, arrhythmias, heart failure, inflammatory conditions, cardiac arrest, and \u2018other\u2019 acute cardiac conditions. Proportions of presentations by demographic group, ED characteristics and outcomes were also compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 609,485 acute cardiac\u2010related presentations. All\u2010cause acute cardiac presentations decreased by 4% from \u2018pre\u2010pandemic\u2019 to \u2018statewide restrictions\u2019, then increased by 20% and 25% in the \u2018easing of restrictions\u2019 and \u2018outbreak\u2019 periods, respectively. Ischaemic heart disease presentation rates decreased during \u2018statewide restrictions\u2019. Weekly chest pain presentations dropped early during \u2018statewide restrictions\u2019 but increased in each consecutive period. Weekly heart failure presentations appeared to follow seasonal patterns. Compared to \u2018statewide restrictions\u2019, inflammatory presentations increased during \u2018easing of restrictions\u2019 and \u2018outbreak\u2019 periods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The COVID\u201019 pandemic impacted acute cardiac\u2010related ED presentations in Queensland in various ways. Public health messaging for people to seek timely medical care for urgent conditions and symptoms should be emphasised in future pandemics.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.70096","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T04:19:08Z","timestamp":1753417148000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of the <scp>COVID<\/scp>\u201019 Pandemic on Cardiac Related Emergency Department Presentations in Queensland: A Retrospective Cohort Study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7827-5344","authenticated-orcid":false,"given":"Emma J.","family":"Hall","sequence":"first","affiliation":[{"name":"School of Pharmacy and Medical Science Griffith University  Gold Coast Australia"},{"name":"Department of Emergency Medicine Gold Coast Hospital and Health Service  Southport 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