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COVID-19 Lockdown Effects on Acute Stroke Care in Latin America.
Pujol-Lereis, Virginia A; Flores, Alan; Barboza, Miguel A; Abanto-Argomedo, Carlos; Amaya, Pablo; Bayona, Hernán; Bonardo, Pablo; Diaz-Escobar, Luis; Gomez-Schneider, Maia; Góngora-Rivera, Fernando; Lavados, Pablo M; Leon, Carolina; Luraschi, Adriana; Marquez-Romero, Juan Manuel; Ouriques-Martins, Sheila C; Navia, Víctor Hugo; Ruiz-Franco, Angélica; Vences, Miguel Ángel; Zurrú, María Cristina; Arauz, Antonio; Ameriso, Sebastián F.
  • Pujol-Lereis VA; Departamento de Neurología Vascular, Centro Integral de Neurología Vascular, Fleni, Ciudad Autónoma de Buenos Aires, Argentina. Electronic address: vpujol@fleni.org.ar.
  • Flores A; Stroke Unit. Neurology Department, Hospital Universitari Joan XXIII, Tarragon, Spain.
  • Barboza MA; Neurosciences Department, Hospital Dr. Rafael Calderón Guardia (CCSS), San José, Costa Rica.
  • Abanto-Argomedo C; Departamento de Enfermedades Neurovasculares, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
  • Amaya P; Stroke Program, Neurology Deparment, Fundación Valle del Lili, Cali, Colombia.
  • Bayona H; Centro de ACV, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.
  • Bonardo P; Servicio de Neurología, Hospital Británico de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
  • Diaz-Escobar L; Unidad de Ictus, Hospital de Clínicas, FCM UNA, San Lorenzo, Paraguay.
  • Gomez-Schneider M; Sanatorio de Los Arcos, Ciudad Autónoma de Buenos Aires, Instituto de Neurología y Neurocirugía, Argentina.
  • Góngora-Rivera F; Servicio de Neurología, Hospital Universitario José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, México; Centro de Investigación y Desarrollo en Ciencias de la Salud (CIDICS), Universidad Autónoma de Nuevo León, Monterrey, México.
  • Lavados PM; Unidad de Neurología Vascular, Servicio de Neurología, Departamento de Neurología y Psiquiatría, Clínica Alemana de Santiago, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Leon C; Departamento de Neurología, Hospital Regional del ISSSTE "Dr. Valentín Gómez Farías", Zapopan, México.
  • Luraschi A; Unidad de Stroke, Servicio de Neurología, Hospital "Dr. Ignacio Pirovano", Ciudad Autónoma de Buenos Aires, Argentina.
  • Marquez-Romero JM; Departamento de Neurología, Hospital General de Zona 2, Instituto Mexicano del Seguro Social, Aguascalientes, México.
  • Ouriques-Martins SC; Departamento de Neurología, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.
  • Navia VH; Hospital Padre Hurtado, SSMSO, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
  • Ruiz-Franco A; Servicio de Neurología, Hospital Juárez, Ciudad de México, México.
  • Vences MÁ; Departamento de Neurología, Hospital Nacional Edgardo Rebagliati Martins, Essalud, Lima, Perú.
  • Zurrú MC; Servicio de Neurología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
  • Arauz A; Clínica de Enfermedad Vascular Cerebral, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suarez, Ciudad de México, México.
  • Ameriso SF; Departamento de Neurología Vascular, Centro Integral de Neurología Vascular, Fleni, Ciudad Autónoma de Buenos Aires, Argentina.
J Stroke Cerebrovasc Dis ; 30(9): 105985, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-1294009
ABSTRACT

OBJECTIVES:

COVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially during peak periods. We assessed the impact of the pandemic and lockdowns in stroke admissions and care in Latin America. MATERIALS AND

METHODS:

A multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March-June 2020). Comparisons were made with the same period in 2019. Numbers of cases, stroke etiology and severity, acute care and hospitalization outcomes were assessed.

RESULTS:

Most countries reported mild decreases in stroke admissions compared to the same period of 2019 (1187 vs. 1166, p = 0.03). Among stroke subtypes, there was a reduction in ischemic strokes (IS) admissions (78.3% vs. 73.9%, p = 0.01) compared with 2019, especially in IS with NIHSS 0-5 (50.1% vs. 44.9%, p = 0.03). A substantial increase in the proportion of stroke admissions beyond 48 h from symptoms onset was observed (13.8% vs. 20.5%, p < 0.001). Nevertheless, no differences in total reperfusion treatment rates were observed, with similar door-to-needle, door-to-CT, and door-to-groin times in both periods. Other stroke outcomes, as all-type mortality during hospitalization (4.9% vs. 9.7%, p < 0.001), length of stay (IQR 1-5 days vs. 0-9 days, p < 0.001), and likelihood to be discharged home (91.6% vs. 83.0%, p < 0.001), were compromised during COVID-19 lockdown period.

CONCLUSIONS:

In this Latin America survey, there was a mild decrease in admissions of IS during the COVID-19 lockdown period, with a significant delay in time to consultations and worse hospitalization outcomes.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Practice Patterns, Physicians&apos; / Stroke / Endovascular Procedures / Time-to-Treatment / COVID-19 / Hospitalization Type of study: Diagnostic study / Etiology study / Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Practice Patterns, Physicians&apos; / Stroke / Endovascular Procedures / Time-to-Treatment / COVID-19 / Hospitalization Type of study: Diagnostic study / Etiology study / Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2021 Document Type: Article