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Global impact of COVID-19 on stroke care.
Nogueira, Raul G; Abdalkader, Mohamad; Qureshi, Muhammed M; Frankel, Michael R; Mansour, Ossama Yassin; Yamagami, Hiroshi; Qiu, Zhongming; Farhoudi, Mehdi; Siegler, James E; Yaghi, Shadi; Raz, Eytan; Sakai, Nobuyuki; Ohara, Nobuyuki; Piotin, Michel; Mechtouff, Laura; Eker, Omer; Chalumeau, Vanessa; Kleinig, Timothy J; Pop, Raoul; Liu, Jianmin; Winters, Hugh S; Shang, Xianjin; Vasquez, Alejandro Rodriguez; Blasco, Jordi; Arenillas, Juan F; Martinez-Galdamez, Mario; Brehm, Alex; Psychogios, Marios-Nikos; Lylyk, Pedro; Haussen, Diogo C; Al-Bayati, Alhamza R; Mohammaden, Mahmoud H; Fonseca, Luísa; Luís Silva, M; Montalverne, Francisco; Renieri, Leonardo; Mangiafico, Salvatore; Fischer, Urs; Gralla, Jan; Frei, Donald; Chugh, Chandril; Mehta, Brijesh P; Nagel, Simon; Mohlenbruch, Markus; Ortega-Gutierrez, Santiago; Farooqui, Mudassir; Hassan, Ameer E; Taylor, Allan; Lapergue, Bertrand; Consoli, Arturo.
  • Nogueira RG; Neurology, Grady Memorial Hospital, Emory University, Atlanta, Georgia, USA.
  • Abdalkader M; Radiology, Boston Medical Center, Boston University School of Medicine, Boston, USA.
  • Qureshi MM; Radiology, Radiation Oncology, Boston Medical Center, Boston University School of Medicine, Boston, USA.
  • Frankel MR; Neurology, Grady Memorial Hospital, Emory University, Atlanta, Georgia, USA.
  • Mansour OY; Neurology Department, Stroke and Neurointervention Division, Alexandria University Hospital, Alexandria University, Egypt.
  • Yamagami H; Stroke Neurology, National Hospital Organization, Osaka National Hospital, Japan.
  • Qiu Z; Neurology, Xinqiao Hospital of the Army Medical University, Chongqing, China.
  • Farhoudi M; Tabriz University, Iran.
  • Siegler JE; Neurology, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey, USA.
  • Yaghi S; Neurology, Radiology, New York University School of Medicine, New York, USA.
  • Raz E; Radiology, Neurology, New York University School of Medicine, New York, USA.
  • Sakai N; Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan.
  • Ohara N; Neurology, Kobe City Medical Center General Hospital, Kobe, Japan.
  • Piotin M; Fondation Ophtalmologique Adolphe de Rothschild, France.
  • Mechtouff L; Neurologie, Hospices Civils de Lyon, France.
  • Eker O; Neuroradiologie, Hospices Civils de Lyon, France.
  • Chalumeau V; Hôpital Bicetre, Paris, France.
  • Kleinig TJ; Royal Adelaide Hospital, Australia.
  • Pop R; Hôpitaux Universitaires de Strasbourg, France.
  • Liu J; Changhai Hospital, Shanghai, China.
  • Winters HS; Royal Prince Alfred Hospital, Sydney, Australia.
  • Shang X; Yijishan Hospital of Wannan Medical College, China.
  • Vasquez AR; Neurology, Hospital Clinic de Barcelona, Spain.
  • Blasco J; Interventional Neuroradiology, Hospital Clinic de Barcelona, Spain.
  • Arenillas JF; Neurology, Hospital Clínico Universitario, Valladolid, Spain.
  • Martinez-Galdamez M; Interventional Neuroradiology, Hospital Clínico Universitario, Valladolid, Spain.
  • Brehm A; University Hospital Basel, Switzerland.
  • Psychogios MN; University Hospital Basel, Switzerland.
  • Lylyk P; Clínica Sagrada Familia, Buenos Aires, Argentina.
  • Haussen DC; Neurology, Grady Memorial Hospital, Emory University, Atlanta, Georgia, USA.
  • Al-Bayati AR; Neurology, Grady Memorial Hospital, Emory University, Atlanta, Georgia, USA.
  • Mohammaden MH; Neurology, Grady Memorial Hospital, Emory University, Atlanta, Georgia, USA.
  • Fonseca L; Stroke, Centro Hospitalar Universitário de São João, Portugal.
  • Luís Silva M; Neuroradiology, Centro Hospitalar Universitário de São João, Portugal.
  • Montalverne F; Hospital Geral de Fortaleza, Brazil.
  • Renieri L; Careggi University Hospital, Florence, Italy.
  • Mangiafico S; Careggi University Hospital, Florence, Italy.
  • Fischer U; Neurology, University Hospital Bern, Switzerland.
  • Gralla J; Interventional Neuroradiology, University Hospital Bern, Switzerland.
  • Frei D; Swedish Medical Center, USA.
  • Chugh C; MAX Superspecialty Hospital, India.
  • Mehta BP; Memorial Neuroscience Institute, Florida.
  • Nagel S; Neurology, University Hospital Heidelberg, Germany.
  • Mohlenbruch M; Neuroradiology, University Hospital Heidelberg, Germany.
  • Ortega-Gutierrez S; Neurology, University of Iowa, USA.
  • Farooqui M; Neurology, University of Iowa, USA.
  • Hassan AE; Neurosciences, Valley Baptist Medical Center, Harlingen, Texas, USA.
  • Taylor A; Neurosurgery, University of Cape Town, South Africa.
  • Lapergue B; Neurology, Hôpital Foch, France.
  • Consoli A; Interventional Neuroradiology, Hôpital Foch, France.
Int J Stroke ; 16(5): 573-584, 2021 07.
Article in English | MEDLINE | ID: covidwho-1156042
Semantic information from SemMedBD (by NLM)
1. COVID-19 AFFECTS Cerebrovascular accident
Subject
COVID-19
Predicate
AFFECTS
Object
Cerebrovascular accident
2. Cerebrovascular accident AFFECTS COVID-19
Subject
Cerebrovascular accident
Predicate
AFFECTS
Object
COVID-19
3. Intracranial Hemorrhage AFFECTS COVID-19
Subject
Intracranial Hemorrhage
Predicate
AFFECTS
Object
COVID-19
4. COVID-19 COEXISTS_WITH 3/9
Subject
COVID-19
Predicate
COEXISTS_WITH
Object
3/9
5. COVID-19 AFFECTS Cerebrovascular accident
Subject
COVID-19
Predicate
AFFECTS
Object
Cerebrovascular accident
6. Cerebrovascular accident AFFECTS COVID-19
Subject
Cerebrovascular accident
Predicate
AFFECTS
Object
COVID-19
7. Intracranial Hemorrhage AFFECTS COVID-19
Subject
Intracranial Hemorrhage
Predicate
AFFECTS
Object
COVID-19
8. COVID-19 COEXISTS_WITH 3/9
Subject
COVID-19
Predicate
COEXISTS_WITH
Object
3/9
ABSTRACT

BACKGROUND:

The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide.

AIMS:

We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March-31 May 2020) compared with two control three-month periods (immediately preceding and one year prior).

METHODS:

Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers.

RESULTS:

The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, -19.7 to -18.7), 11.5% (95%CI, -12.6 to -10.6), and 12.7% (95%CI, -13.6 to -11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (-20.5%) had greater declines in mechanical thrombectomy volumes than mid- (-10.1%) and low-volume (-8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions.

CONCLUSION:

The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Global Health / Thrombectomy / Stroke / Intracranial Hemorrhages / COVID-19 / Hospitalization Type of study: Controlled clinical trial / Diagnostic study / Observational study / Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Humans Language: English Journal: Int J Stroke Year: 2021 Document Type: Article Affiliation country: 1747493021991652

Full text: Available Collection: International databases Database: MEDLINE Main subject: Global Health / Thrombectomy / Stroke / Intracranial Hemorrhages / COVID-19 / Hospitalization Type of study: Controlled clinical trial / Diagnostic study / Observational study / Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Humans Language: English Journal: Int J Stroke Year: 2021 Document Type: Article Affiliation country: 1747493021991652