Your browser doesn't support javascript.
Rapid Decline in Telestroke Consults in the Setting of COVID-19.
Shah, Syed Omar; Dharia, Robin; Stazi, Jaime; DePrince, Maureen; Rosenwasser, Robert H.
  • Shah SO; Department of Neurological Surgery and Vickie and Jack Farber Institute for Neuroscience, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Dharia R; Department of Neurology, Vickie and Jack Farber Institute for Neuroscience, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Stazi J; Department of Neurological Surgery and Vickie and Jack Farber Institute for Neuroscience, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • DePrince M; Department of Neurological Surgery and Vickie and Jack Farber Institute for Neuroscience, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Rosenwasser RH; Department of Neurological Surgery and Vickie and Jack Farber Institute for Neuroscience, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Telemed J E Health ; 27(2): 227-230, 2021 02.
Article in English | MEDLINE | ID: covidwho-671545
Semantic information from SemMedBD (by NLM)
1. Stroke Center LOCATION_OF Study
Subject
Stroke Center
Predicate
LOCATION_OF
Object
Study
2. alteplase ADMINISTERED_TO Patients
Subject
alteplase
Predicate
ADMINISTERED_TO
Object
Patients
3. Coronavirus Infections AFFECTS Severe (severity modifier)
Subject
Coronavirus Infections
Predicate
AFFECTS
Object
Severe (severity modifier)
4. Stroke Center LOCATION_OF Study
Subject
Stroke Center
Predicate
LOCATION_OF
Object
Study
5. alteplase ADMINISTERED_TO Patients
Subject
alteplase
Predicate
ADMINISTERED_TO
Object
Patients
6. Coronavirus Infections AFFECTS Severe (severity modifier)
Subject
Coronavirus Infections
Predicate
AFFECTS
Object
Severe (severity modifier)
ABSTRACT
Background and

Purpose:

As coronavirus disease 2019 (COVID-19) continues to be a global pandemic, there is a growing body of evidence suggesting that incidence of diseases that require emergent care, particularly myocardial infarction and ischemic stroke, has declined rapidly. The objective of this study is to quantify our experience of telestroke (TS) consults at a large tertiary comprehensive stroke center during the COVID-19 pandemic.

Methods:

We retrospectively reviewed TS consults of patients presenting to our neuroscience network. Those with a confirmed diagnosis of acute ischemic stroke or transient ischemia attack were included. Data were compared from April 1, 2019, to June 30, 2020, which include consults prepandemic and during the crisis.

Results:

A total of 1,982 TS consults were provided in 1 year. Prepandemic, the mean monthly consults were 148. In April 2020, only 59 patients were seen (49% decline). Mobile stroke unit consults decreased by 72% in the same month. The 30-day moving average of patients seen per day was between five and six prepandemic declined to between two and three in April, and then began to uptrend during May. The mean percentage of patients receiving intravenous tissue plasminogen activator was 16% from April 2019 to March 2020 and increased to 31% in April 2020. The mean percentage of patients receiving endovascular therapy was 10% from April 2019 to March 2020 and increased to 19% in April 2020.

Conclusions:

At our large tertiary comprehensive stroke center, we observed a significant and rapid decline in TS consults during the COVID-19 pandemic. We cannot be certain of the reasons for the decline, but a fear of contracting coronavirus, social distancing, and isolation likely played a major role. Further research must be done to elucidate the etiology of this decline.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Brain Ischemia / Telemedicine / Stroke / COVID-19 Type of study: Etiology study / Observational study Limits: Humans Language: English Journal: Telemed J E Health Journal subject: Medical Informatics / Health Services Year: 2021 Document Type: Article Affiliation country: Tmj.2020.0229

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Brain Ischemia / Telemedicine / Stroke / COVID-19 Type of study: Etiology study / Observational study Limits: Humans Language: English Journal: Telemed J E Health Journal subject: Medical Informatics / Health Services Year: 2021 Document Type: Article Affiliation country: Tmj.2020.0229