Did the severity of the COVID-19 outbreak affect the quality of acute stroke care? (Data from across the country).
Eur Stroke J
; 7(2): 175-179, 2022 Jun.
Article
in English
| MEDLINE | ID: covidwho-1785137
ABSTRACT
Introduction:
The aim of our study was to determine whether the severity of the COVID-19 pandemic affected the quality of acute care of stroke.Methods:
Data from the stroke register at the National Health Information Centre were analysed. Clinical data from two time periods (the first wave March-April 2020; the second wave October-November 2020) were compared using an independent sample t-test and the Wilcoxon-Mann-Whitney two sample rank-sum test.Results:
The total number of patients admitted with stroke during the second wave of COVID-19 was 1848, versus 1698 in the first wave. The proportion of patients treated by IVT was similar in both waves (275 (20.7%) vs 333 (22.1%), p = 1, difference in location -0,0003, 95% CI -5.0 to 5.95). We found no difference in time from the onset of symptoms to treatment (median = 130 min in both waves, p = 0.52, difference in location 3.99, 95% CI -6.0 to 14.0), nor in the door-to-needle time (median = 29 vs 30 min, p = 0.08, difference in location -2.99, 95% CI -5.0 to 0.008) between the first and the second waves of the pandemic. We found no difference in NIHSS (median = 3 vs 4, p = 0.51, difference in location 0.00007, 95% CI -0.9 to 0.000006) and mRS (median = 3 in both waves, p = 0.60, difference in location -0.00004, 95% CI -0.00004 to 0.00003) at discharge from hospital between the two periods.Conclusion:
The severity of the COVID-19 outbreak did not affect the quality of acute stroke care in Slovakia.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Prognostic study
Language:
English
Journal:
Eur Stroke J
Year:
2022
Document Type:
Article
Affiliation country:
23969873221089426
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