Impact of COVID-19 pandemic on patients with intracranial aneurysm rupture.
Clin Neurol Neurosurg
; 201: 106425, 2021 02.
Article
in English
| MEDLINE | ID: covidwho-965057
ABSTRACT
BACKGROUND/OBJECTIVES:
The present study aimed at evaluating the impact on the early outcome of patients with ruptured intracranial aneurysms.METHODS:
Our study prospectively included 26 consecutive patients with ruptured intracranial aneurysm managed at our institution in context of COVID-19 pandemic between March 1st, 2020 and April, 26th, 2020 (2020 group). A group control included other 28 consecutive patients managed at the same institution for the same disease in 2019, during the same time frame (2019 group). On admission, poor neurological status was defined as WFNS score >3. Severe radiological status was defined by the presence of intracerebral hematoma, or/and acute hydrocephalus requiring further EVD or/and the presence of vasospasm on presentation. Statistical analysis was performed to compare the 2 distinct groups.RESULTS:
Rates of poor neurological presentation and severe radiological presentation on hospital admission were higher in the 2020 group (p = 0.01 and p = 0.02, respectively). The delayed hospital admission was 2.7 days in 2020 group and 0.75 days in 2019 group (p = 0.005). Therefore, vasospasm's rate on presentation was also higher in the 2020 group (p = 0.04).CONCLUSION:
To our knowledge, this is one of the first studies demonstrating influence of the COVID-19 pandemic on patients with urgent and severe intracranial aneurysmal disease. In case of recurrent COVID-19 pandemic, educating the population concerning specific symptoms such as sudden headache, neurological deficit or even sudden chest pain should be emphasized.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Intracranial Aneurysm
/
Aneurysm, Ruptured
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
English
Journal:
Clin Neurol Neurosurg
Year:
2021
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS