Your browser doesn't support javascript.
Fewer COVID-19-associated strokes and reduced severity during the second COVID-19 wave: The Madrid Stroke Network.
Fuentes, Blanca; Alonso de Leciñana, María; Rigual, Ricardo; García-Madrona, Sebastián; Díaz-Otero, Fernando; Aguirre, Clara; Calleja, Patricia; Egido-Herrero, José A; Carneado-Ruiz, Joaquín; Ruiz-Ares, Gerardo; Rodríguez-Pardo, Jorge; Rodríguez-López, Ángela; Ximénez-Carrillo, Álvaro; de Felipe, Alicia; Ostos, Fernando; González-Ortega, Guillermo; Simal, Patricia; Gómez Escalonilla, Carlos I; Gómez-Porro-Sánchez, Pablo; Cabal-Paz, Borja; Reig, Gemma; Gil-Núñez, Antonio; Masjuán, Jaime; Díez Tejedor, Exuperio.
  • Fuentes B; Department of Neurology and Stroke Center, La Paz University Hospital, Madrid, Spain.
  • Alonso de Leciñana M; Department of Neurology and Stroke Center, La Paz University Hospital, Madrid, Spain.
  • Rigual R; Department of Neurology and Stroke Center, La Paz University Hospital, Madrid, Spain.
  • García-Madrona S; Department of Neurology and Stroke Center, University Hospital Ramón y Cajal, Madrid, Spain.
  • Díaz-Otero F; Department of Neurology and Stroke Center, University Hospital Gregorio Marañón, Madrid, Spain.
  • Aguirre C; Department of Neurology and Stroke Center, University Hospital La Princesa, Madrid, Spain.
  • Calleja P; Department of Neurology, University Hospital 12 de octubre, Madrid, Spain.
  • Egido-Herrero JA; Department of Neurology, University Hospital Clinic San Carlos, Madrid, Spain.
  • Carneado-Ruiz J; Department of Neurology, University Hospital Puerta de Hierro, Madrid, Spain.
  • Ruiz-Ares G; Department of Neurology and Stroke Center, La Paz University Hospital, Madrid, Spain.
  • Rodríguez-Pardo J; Department of Neurology and Stroke Center, La Paz University Hospital, Madrid, Spain.
  • Rodríguez-López Á; Department of Neurology and Stroke Center, University Hospital Gregorio Marañón, Madrid, Spain.
  • Ximénez-Carrillo Á; Department of Neurology and Stroke Center, University Hospital La Princesa, Madrid, Spain.
  • de Felipe A; Department of Neurology and Stroke Center, University Hospital Ramón y Cajal, Madrid, Spain.
  • Ostos F; Department of Neurology, University Hospital 12 de octubre, Madrid, Spain.
  • González-Ortega G; Department of Neurology, University Hospital 12 de octubre, Madrid, Spain.
  • Simal P; Department of Neurology, University Hospital Clinic San Carlos, Madrid, Spain.
  • Gómez Escalonilla CI; Department of Neurology, University Hospital Clinic San Carlos, Madrid, Spain.
  • Gómez-Porro-Sánchez P; Department of Neurology, University Hospital Puerta de Hierro, Madrid, Spain.
  • Cabal-Paz B; Department of Neurology, University Hospital Puerta de Hierro, Madrid, Spain.
  • Reig G; Department of Neurology and Stroke Center, University Hospital La Princesa, Madrid, Spain.
  • Gil-Núñez A; Department of Neurology and Stroke Center, University Hospital Gregorio Marañón, Madrid, Spain.
  • Masjuán J; Department of Neurology and Stroke Center, University Hospital Ramón y Cajal, Madrid, Spain.
  • Díez Tejedor E; Department of Neurology and Stroke Center, La Paz University Hospital, Madrid, Spain.
Eur J Neurol ; 28(12): 4078-4089, 2021 12.
Article in English | MEDLINE | ID: covidwho-1440745
ABSTRACT
BACKGROUND AND

PURPOSE:

The experience gained during the first COVID-19 wave could have mitigated the negative impact on stroke care in the following waves. Our aims were to analyze the characteristics and outcomes of patients with stroke admitted during the second COVID-19 wave and to evaluate the differences in the stroke care provision compared with the first wave.

METHODS:

This retrospective multicenter cohort study included consecutive stroke patients admitted to any of the seven hospitals with stroke units (SUs) and endovascular treatment facilities in the Madrid Health Region. The characteristics of the stroke patients with or without a COVID-19 diagnosis were compared and the organizational changes in stroke care between the first wave (25 February to 25 April 2020) and second wave (21 July to 21 November 2020) were analyzed.

RESULTS:

A total of 550 and 1191 stroke patients were admitted during the first and second COVID-19 waves, respectively, with an average daily admission rate of nine patients in both waves. During the second wave, there was a decrease in stroke severity (median National Institutes of Health Stroke Scale 5 vs. 6; p = 0.000), in-hospital strokes (3% vs. 8.1%) and in-hospital mortality (9.9% vs. 15.9%). Furthermore, fewer patients experienced concurrent COVID-19 (6.8% vs. 19.1%), and they presented milder COVID-19 and less severe strokes. Fewer hospitals reported a reduction in the number of SU beds or deployment of SU personnel to COVID-19 dedicated wards during the second wave.

CONCLUSIONS:

During the second COVID-19 wave, fewer stroke patients were diagnosed with COVID-19, and they had less stroke severity and milder COVID-19.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Eur J Neurol Journal subject: Neurology Year: 2021 Document Type: Article Affiliation country: Ene.15112

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Eur J Neurol Journal subject: Neurology Year: 2021 Document Type: Article Affiliation country: Ene.15112