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ACUTE REPERFUSION TREATMENT DURING THE COVID-19 PANDEMIC: FINDINGS FROM SHANGHAI STROKE SERVICE SYSTEM
European Stroke Journal ; 7(1 SUPPL):124, 2022.
Article in English | EMBASE | ID: covidwho-1928084
ABSTRACT
Background and

aims:

COVID-19 pandemic is affecting triage of strokes in emergency. We aimed to find whether COVID-19 delayed the reperfusion treatment in acute ischemic stroke (AIS) patients.

Methods:

The Shanghai Stroke Service System (4S) is a regional network that prospectively registries AIS patients within 7 days. Data with COVID- 19 negetive was extracted from January 2018 to December 2020. Compared to quality measures in 2018-2019, the performance during COVID- 19 outbreak (mainly during 1st quarter of 2020) and post were analyzed. The primary outcome was door to needle time (DTN). The secondary outcomes included the rate of reperfusion treatment and hospitalization cost.

Results:

Our study included 69,258 patients from 64 stroke centers. During 1st quarter 2018 to 4th quarter 2019, there was an overall downward trend of DTN (P trend=0.006). However, during 1st and 2nd quarters 2020, there was a significant delay of DTN. After outbreak in China, the average DTN plus mandatory COVID-19 PCR test dropped back to <60 minutes. The drop of reperfusion rate was also associated to COVID-19 outbreak (57.92% pre vs 51.74% during, P<0.001), while improved after, compared to those of previous(57.92% pre vs 62.32% post, P<0.001). The cost was slightly declined in 1st quarter 2020 (-$125 USD), which reflected changes in reperfusion rates.

Conclusions:

In 2020, COVID-19 pandemic prolonged the DTN during COVID-19 outbreak but improved after in Shanghai. Although the prevention protocol and PCR test are still in place, acute stroke care in Shanghai has back to normal post pandemic. (Figure Presented).
Keywords

Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: European Stroke Journal Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: European Stroke Journal Year: 2022 Document Type: Article