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Did COVID-19 impact stroke services? A multicenter study.
Shokri, Hossam; Nahas, Nevine El; Basiony, Ahmed El; Nguyen, Thanh N; Abdalkader, Mohamad; Klein, Piers; Lavados, Pablo M; Olavarría, Verónica V; Amaya, Pablo; Llanos-Leyton, Natalia; Brola, Waldemar; Michal, Lipowski; Fariña, Donoband Edson Dejesus Melgarejo; Cardozo, Analia; Caballero, Cesar David; Pedrozo, Fatima; Rahman, Aminur; Hokmabadi, Elyar Sadeghi; Jalili, Javad; Farhoudi, Mehdi; Aref, Hany; Roushdy, Tamer.
  • Shokri H; Faculty of Medicine, Ain Shams University, Cairo, Egypt. hossam.shokri@med.asu.edu.eg.
  • Nahas NE; Faculty of Medicine, Ain Shams University, Cairo, Egypt.
  • Basiony AE; Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
  • Nguyen TN; Boston Medical Center, Boston University School of Medicine, Boston, USA.
  • Abdalkader M; Boston Medical Center, Boston University School of Medicine, Boston, USA.
  • Klein P; Boston Medical Center, Boston University School of Medicine, Boston, USA.
  • Lavados PM; Unidad de Neurología Vascular, Servicio de Neurología, Departamento de Neurología Y Psiquiatría Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
  • Olavarría VV; Unidad de Neurología Vascular, Servicio de Neurología, Departamento de Neurología Y Psiquiatría Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
  • Amaya P; Stroke Program, Neurology Department, Fundación Valle del Lili, Cali, Colombia.
  • Llanos-Leyton N; Clinical Research Center, Fundación Valle del Lili, Cali, Colombia.
  • Brola W; Department of Neurology, Specialist Hospital Konskie, Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
  • Michal L; Department of Neurology, Specialist Hospital Konskie, Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
  • Fariña DEDM; Stroke Unit of the Instituto de Previsión Social Central Hospital, Asunción, Paraguay.
  • Cardozo A; Stroke Unit of the Instituto de Previsión Social Central Hospital, Asunción, Paraguay.
  • Caballero CD; Stroke Unit of the Instituto de Previsión Social Central Hospital, Asunción, Paraguay.
  • Pedrozo F; Stroke Unit of the Instituto de Previsión Social Central Hospital, Asunción, Paraguay.
  • Rahman A; Sir Salimullah Medical College, Dhaka, Bangladesh.
  • Hokmabadi ES; Neurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.
  • Jalili J; Tabriz University of Medical Sciences, Tabriz, Iran.
  • Farhoudi M; Neurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.
  • Aref H; Faculty of Medicine, Ain Shams University, Cairo, Egypt.
  • Roushdy T; Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Neurol Sci ; 43(7): 4061-4068, 2022 Jul.
Article in English | MEDLINE | ID: covidwho-1763365
ABSTRACT

BACKGROUND:

It has been reported that acute stroke services were compromised during COVID-19 due to various pandemic-related issues. We aimed to investigate these changes by recruiting centers from different countries.

METHODS:

Eight countries participated in this cross-sectional, observational, retrospective study by providing data from their stroke data base. We compared 1 year before to 1 year during COVID-19 as regards onset to door (OTD), door to needle (DTN), door to groin (DTG), duration of hospital stay, National Institute of Health Stroke Scale (NIHSS) at baseline, 24 h, and at discharge as well as modified Rankin score (mRS) on discharge and at 3 months follow-up.

RESULTS:

During the pandemic year, there was a reduction in the number of patients, median age was significantly lower, admission NIHSS was higher, hemorrhagic stroke increased, and OTD and DTG showed no difference, while DTN time was longer, rtPA administration was decreased, thrombectomy was more frequent, and hospital stay was shorter. mRS was less favorable on discharge and at 3 months.

CONCLUSION:

COVID-19 showed variable effects on stroke services. Some were negatively impacted as the number of patients presenting to hospitals, DTN time, and stroke outcome, while others were marginally affected as the type of management.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Neurol Sci Journal subject: Neurology Year: 2022 Document Type: Article Affiliation country: S10072-022-06018-7

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Neurol Sci Journal subject: Neurology Year: 2022 Document Type: Article Affiliation country: S10072-022-06018-7