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Request of hospital care dropped for TIA but remained stable for stroke during COVID-19 pandemic at a large Italian university hospital.
Balestrino, Maurizio; Coccia, Alberto; Boffa, Alessandra Silvia; Furgani, Andrea; Bermano, Francesco; Finocchi, Cinzia; Bandettini di Poggio, Monica Laura; Malfatto, Laura; Farinini, Daniele; Schenone, Angelo.
  • Balestrino M; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Mother and Child Sciences (DINOGMI), University of Genoa, Genoa, Italy. mbalestrino@neurologia.unige.it.
  • Coccia A; IRCCS Ospedale Policlinico San Martino, Genoa, Italy. mbalestrino@neurologia.unige.it.
  • Boffa AS; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Mother and Child Sciences (DINOGMI), University of Genoa, Genoa, Italy.
  • Furgani A; IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Bermano F; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Mother and Child Sciences (DINOGMI), University of Genoa, Genoa, Italy.
  • Finocchi C; Dipartimento Regionale di Emergenza Sanitaria Territoriale 118, Genoa, Italy.
  • Bandettini di Poggio ML; Dipartimento Regionale di Emergenza Sanitaria Territoriale 118, Genoa, Italy.
  • Malfatto L; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Mother and Child Sciences (DINOGMI), University of Genoa, Genoa, Italy.
  • Farinini D; IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Schenone A; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Mother and Child Sciences (DINOGMI), University of Genoa, Genoa, Italy.
Intern Emerg Med ; 16(3): 735-739, 2021 04.
Article in English | MEDLINE | ID: covidwho-871550
Semantic information from SemMedBD (by NLM)
1. Cerebrovascular accident COEXISTS_WITH COVID-19
Subject
Cerebrovascular accident
Predicate
COEXISTS_WITH
Object
COVID-19
2. Neurologic Symptoms PROCESS_OF Patients
Subject
Neurologic Symptoms
Predicate
PROCESS_OF
Object
Patients
3. Cerebrovascular accident COEXISTS_WITH COVID-19
Subject
Cerebrovascular accident
Predicate
COEXISTS_WITH
Object
COVID-19
4. Neurologic Symptoms PROCESS_OF Patients
Subject
Neurologic Symptoms
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
Reduced incidence of stroke during COVID-19 pandemic was sometimes reported. While decrease in stroke incidence and fear of patients to go to the hospitals were sometimes invoked to explain this decrease, reduction in urban pollution was also hypothesized as a possible cause. We investigated statistically the incidence of ischemic and hemorrhagic stroke, and of transient ischemic attacks, at a large Italian tertiary stroke center during the pandemic. We analyzed statistically the number of transient ischemic attacks (TIA), ischemic strokes (IS) and hemorrhagic strokes (HS) between March 8 and May 2, 2020, the peak of the COVID-19 epidemic in Italy, and compared them with the identical period of 2019. We also analyzed the concentration of small particulate matter (PM10) in 2019 and 2020, to see if it could account for modified incidence of strokes or TIA. We found a large, significant drop in TIA (- 51%) during the pandemic compared to the same period of 2019. By contrast, the number of HS was identical, and IS showed a not significant - 24% decrease. PM10 concentration, already low in 2019, did not further decrease in 2020. Patients kept seeking hospital care when experiencing permanent neurological symptoms (stroke), but they tended not go to the hospital when their symptoms were transient (TIA). The fact that we did not observe a significant decrease in strokes may be explained by the fact that in our city the concentration of small particulate matter did not change compared to 2019.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Ischemic Attack, Transient / Stroke / Particulate Matter / COVID-19 / Hospitalization Type of study: Observational study Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Intern Emerg Med Journal subject: Emergency Medicine / Internal Medicine Year: 2021 Document Type: Article Affiliation country: S11739-020-02522-w

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ischemic Attack, Transient / Stroke / Particulate Matter / COVID-19 / Hospitalization Type of study: Observational study Limits: Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Intern Emerg Med Journal subject: Emergency Medicine / Internal Medicine Year: 2021 Document Type: Article Affiliation country: S11739-020-02522-w