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Clinical profile and outcome of non-COVID strokes during pandemic and the pre pandemic period: COVID-Stroke Study Group (CSSG) India.
Bhatia, Rohit; Sylaja, P N; Srivastava, M V Padma; Komakula, Snigdha; Iype, Thomas; Parthasarathy, Rajsrinivas; Khurana, Dheeraj; Pardasani, Vibhor; Pamidimukkala, Vijaya; Kumaravelu, S; Pandian, Jeyaraj; Kushwaha, Suman; Chowdhury, Debashish; Gupta, Salil; Rajendran, Srijithesh P; Reddy, Rajshekar; Roy, Jayanta; Sharma, Arvind; Nambiar, Vivek; Rai, Nirendra Kumar; Upadhyay, Ashish Datt; Parkipandla, Sathish; Singh, Mamta Bhushan; Vibha, Deepti; Vishnu, Venugopalan Y; Rajan, Roopa; Gupta, Anu; Pandit, Awadh Kishore; Agarwal, Ayush; Gaikwad, Shailesh B; Garg, Ajay; Joseph, Leve; Sreedharan, Sapna Erat; Reddy, Sritheja; Sreela, Krishna; Ramachandran, Dileep; George, Githin Benoy; Panicker, Praveen; Suresh, M K; Gupta, Vipul; Ray, Sucharita; Suri, Vikas; Ahuja, Chirag; Kajal, Kamal; Lal, Vivek; Singh, Rakesh K; Oza, Harsh; Halani, Hiral; Sanivarapu, Srinivasareddy; Sahonta, Rajeshwar.
  • Bhatia R; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India. Electronic address: rohitbhatia71@yahoo.com.
  • Sylaja PN; Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.
  • Srivastava MVP; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Komakula S; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Iype T; Department of Neurology, Government Medical College, Thiruvananthapuram, India.
  • Parthasarathy R; Department of Neurology and Neurointerventional surgery, Artemis Hospital, Gurgaon, India.
  • Khurana D; Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Pardasani V; Department of Neurology, Bombay Hospital, Mumbai, India.
  • Pamidimukkala V; Department of Neurology, Lalitha Super Specialities Hospital Pvt. Ltd, Guntur, India.
  • Kumaravelu S; Department of Neurology, Ramesh Hospitals, Guntur, India.
  • Pandian J; Department of Neurology, Christian Medical College, Ludhiana, India.
  • Kushwaha S; Department of Neurology, Institute of Human Behavior and Allied Sciences (IBHAS), New Delhi, India.
  • Chowdhury D; Department of Neurology, Gobind Ballabh Pant Institute of Postgraduate Education and Research (GIPMER), New Delhi, India.
  • Gupta S; Department of Neurology, Command Hospital, Bengaluru, India.
  • Rajendran SP; Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), India.
  • Reddy R; Department of Neurology, Max Hospital Saket, New Delhi, India.
  • Roy J; Department of Neurology, Institute of Neurosciences, Kolkata, India.
  • Sharma A; Zydus Hospital, BJMC & Civil Hospital, Ahmedabad, India.
  • Nambiar V; Department of Neurology, Amrita Institute of Medical Sciences, Kochi, India.
  • Rai NK; Department of Neurology, All India Institute of Medical Sciences, Bhopal, India.
  • Upadhyay AD; Department of Biostatistics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Parkipandla S; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Singh MB; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Vibha D; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Vishnu VY; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Rajan R; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Gupta A; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Pandit AK; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Agarwal A; Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Gaikwad SB; Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Garg A; Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Joseph L; Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
  • Sreedharan SE; Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.
  • Reddy S; Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.
  • Sreela K; Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.
  • Ramachandran D; Department of Neurology, Government Medical College, Thiruvananthapuram, India.
  • George GB; Department of Neurology, Government Medical College, Thiruvananthapuram, India.
  • Panicker P; Department of Neurology, Government Medical College, Thiruvananthapuram, India.
  • Suresh MK; Department of Medicine, Government Medical College, Thiruvananthapuram, India.
  • Gupta V; Department of Neurointerventional Surgery, Artemis Hospital, Gurgaon, India.
  • Ray S; Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Suri V; Department of Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Ahuja C; Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Kajal K; Department of Anaesthesia, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Lal V; Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Singh RK; Department of Neurology, Bombay Hospital, Mumbai, India.
  • Oza H; Department of Neurology, Bombay Hospital, Mumbai, India.
  • Halani H; Department of Neurology, Bombay Hospital, Mumbai, India.
  • Sanivarapu S; Department of Neurology, Lalitha Super Specialities Hospital Pvt. Ltd, Guntur, India.
  • Sahonta R; Department of Neurology, Christian Medical College, Ludhiana, India.
J Neurol Sci ; 428: 117583, 2021 09 15.
Article in English | MEDLINE | ID: covidwho-1313266
ABSTRACT

BACKGROUND:

As the health systems around the world struggled to meet the challenges of COVID-19 pandemic, care of many non-COVID emergencies was affected.

AIMS:

The present study examined differences in the diagnosis, evaluation and management of stroke patients during a defined period in the ongoing pandemic in 2020 when compared to a similar epoch in year 2019.

METHODS:

The COVID stroke study group (CSSG) India, included 18 stroke centres spread across the country. Data was collected prospectively between February and July 2020 and retrospectively for the same period in 2019. Details of demographics, stroke evaluation, treatment, in-hospital and three months outcomes were collected and compared between these two time points.

RESULTS:

A total of 2549 patients were seen in both study periods; 1237 patients (48.53%) in 2019 and 1312 (51.47%) in 2020. Although the overall number of stroke patients and rates of thrombolysis were comparable, a significant decline was observed in the month of April 2020, during the initial period of the pandemic and lockdown. Endovascular treatment reduced significantly and longer door to needle and CT to needle times were observed in 2020. Although mortality was higher in 2020, proportion of patients with good outcome were similar in both the study periods.

CONCLUSIONS:

Although stroke admissions and rates of thrombolysis were comparable, some work flow metrics were delayed, endovascular stroke treatment rates declined and mortality was higher during the pandemic study period. Reorganization of stroke treatment pathways during the pandemic has likely improved the stroke care delivery across the globe.
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Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 Type of study: Observational study / Risk factors Limits: Humans Country/Region as subject: Asia Language: English Journal: J Neurol Sci Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 Type of study: Observational study / Risk factors Limits: Humans Country/Region as subject: Asia Language: English Journal: J Neurol Sci Year: 2021 Document Type: Article