作者
Thanh Nguyen, Muhammad Qureshi, Sheila Martins, Hiroshi Yamagami, Zhongming Qiu, Ossama Mansour, Anna Czlonkowska, Mohamad Abdalkader, Anvitha Sathya, DA Sousa, J Demeester, Robert Mikulik, Peter Vanacker, James Siegler, Janika Korv, Jose Biller, Conrad Liang, Navdeep Sangha, Alicia Zha, Alexandra Czap, Christine Holmstedt, Tanya Turan, Cheryl Grant, George Ntaios, Konard Malhotra, Ashis Tayal, Aaron Loochtan, Eva Mistry, Anne Alexandrov, David Huang, Shadi Yaghi, Eytan Raz, Sunil Sheth, Michael Frankel, Eric Gueumekane Bila Lamou, Hany Aref, Ahmed Elbassiouny, Farouk Hassan, Wessam Mustafa, Tarek Menecie, Hossam Shokri, Tamer Roushdy, Fred Stephen Sarfo, Tolulope Alabi, Babawale Arabambi, Ernest Nwazor, Taofiki Ajao Sunmonu, Kolawole W Wahab, Haythem Hussein Mohammed, Philip B Adebayo, Anis Riahi, Samia Ben Sassi, Lenon Gwaunza, Aminur Rahman, Zhibing Ai, Fanghui Bai, Zhenhui Duan, Yonggang Hao, Wenguo Huang, Guangwen Li, Wei Li, Ganzhe Liu, Jun Luo, Xianjin Shang, Yi Sui, Ling Tian, Hongbin Wen, Bo Wu, Yuying Yan, Zhengzhou Yuan, Hao Zhang, Jun Zhang, Wenlong Zhao, Wenjie Zi, Thomas K Leung, David Sahakyan, Chandril Chugh, Vikram Huded, Bindu Menon, Jeyaraj Pandian, PN Sylaja, Fritz Sumantri Usman, Mehdi Farhoudi, Elyar Sadeghi-Hokmabadi, Anna Reznik, Rotem Sivan-Hoffman, Anat Horev, Nobuyuki Ohara, Nobuyuki Sakai, Daisuke Watanabe, Ryoo Yamamoto, Ryosuke Doijiri, N Kuda, Takehiro Yamada, Tadashi Terasaki, Yukako Yazawa, Takeshi Uwatoko, Tomohisa Dembo, Hisao Shimizu, Yuri Sugiura, Fumio Miyashita, Hiroki Fukuda, Kosuke Miyake, Junsuke Shimbo, Yusuke Sugimura, Yoshika Yagita, Yohei Takenobu, Yuji Matsumaru, Satoshi Yamada, Ryuhei Kono, Takuya Kanamaru, Hidekazu Yamazaki, Manabu Sakaguchi, Kenichi Todo, Nobuaki Yamamoto, Kazutaka Sonodda, Tomoko Yoshida, Hiroyuki Hashimoto, Ichiro Nakahara, Kamila Faizullina, Saltanat Kamenova, A Kondybayev, Murat Zhanuzakov, Jang-Hyun Baek, Yangha Hwang, Si Baek Lee, Jusun Moon, Hyungjong Park, Jung Hwa Seo, Kwon-Duk Seo, Chang Jun Young, Rechdi Ahdab, Zariah Abdul Aziz, Wan Asyraf Wan Zaidi, HB Basr, Law Wan Chung, Mazlina Husin, Aznita Binti Ibrahim, Khairul Azmi Ibrahim, Irene Looi, Wee Yong Tan, WNW Yahya, Stanislav Groppa, Pavel Leahu, AA Hashmi, Yehai Z Imam, Naveed Akhtar, Christian Oliver, Dmitriy Kandyba, Adel Alhazzani
发表日期
2021
期刊
Neurology
简介
Objective:
The objectives of this study were to measure the global impact of the pandemic on the volumes for intravenous thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with two control 4-month periods.
Background:
The COVID-19 pandemic led to widespread repercussions on the delivery of health care worldwide. Design/
Methods:
We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by ICD-10 codes and/or classifications in stroke center databases.
Results:
There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5%(95% CI,-11.7 to-11.3, p< 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2%(95% CI,-13.8 to-12.7, p< 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI,-13.7 to-10.3, p= 0.001). There were greater declines in primary compared to comprehensive stroke centers (CSC) for stroke hospitalizations (-17.3% vs-10.3%, p< 0.0001) and IVT (-15.5% vs-12.6%, p= 0.0001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2-9.8, p< 0.0001) was noted over the two later (May, June) versus the two earlier (March, April) months of the pandemic, with greater recovery in hospitals with lower COVID-19 hospitalization volume, high volume stroke center, and CSC. There was a 1.48% stroke rate …
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T Nguyen, M Qureshi, S Martins, H Yamagami, Z Qiu… - Neurology, 2021