Impact of the COVID-19 outbreak on acute stroke care.

Journal of Neurology
L A RinkelJ M Coutinho

Abstract

There are concerns that the coronavirus disease 2019 (COVID-19) outbreak negatively affects the quality of care for acute cardiovascular conditions. We assessed the impact of the COVID-19 outbreak on trends in hospital admissions and workflow parameters of acute stroke care in Amsterdam, The Netherlands. We used data from the three hospitals that provide acute stroke care for the Amsterdam region. We compared two 7-week periods: one during the peak of the COVID-19 outbreak (March 16th-May 3th 2020) and one prior to the outbreak (October 21st-December 8th 2019). We included consecutive patients who presented to the emergency departments with a suspected stroke and assessed the change in number of patients as an incidence-rate ratio (IRR) using a Poisson regression analysis. Other outcomes were the IRR for stroke subtypes, change in use of reperfusion therapy, treatment times, and in-hospital complications. During the COVID-19 period, 309 patients presented with a suspected stroke compared to 407 patients in the pre-COVID-19 period (IRR 0.76 95%CI 0.65-0.88). The proportion of men was higher during the COVID-19 period (59% vs. 47%, p < 0.001). There was no change in the proportion of stroke patients treated with intravenous throm...Continue Reading

References

Sep 21, 2000·American Journal of Epidemiology·A L ObergR D Horner
Oct 29, 2005·Stroke; a Journal of Cerebral Circulation·Gregory A WelleniusMurray A Mittleman
Feb 13, 2009·Stroke; a Journal of Cerebral Circulation·Peter AppelrosAndreas Terént
Jun 3, 2014·The Lancet Infectious Diseases·Jennifer E FugateFarrah J Mateen
Dec 31, 2015·JAMA Neurology·Puck S S FransenUNKNOWN Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands Investigators
Jan 25, 2018·The New England Journal of Medicine·Gregory W AlbersUNKNOWN DEFUSE 3 Investigators
May 9, 2019·The New England Journal of Medicine·Henry MaUNKNOWN EXTEND Investigators
Mar 23, 2020·The Lancet. Public Health·Richard Armitage, Laura B Nellums
Apr 13, 2020·The Lancet Child & Adolescent Health·Marzia LazzeriniGianluca Trobia
Apr 29, 2020·The New England Journal of Medicine·Ovidio De FilippoGaetano M De Ferrari
Apr 29, 2020·The New England Journal of Medicine·Thomas J OxleyJohanna T Fifi
May 16, 2020·Frontiers in Public Health·Jian-Min JinJin-Kui Yang

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Citations

Nov 22, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Holger M NefUNKNOWN CoVCAD –Study Group
Jan 17, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Valerio BrunettiGiacomo Della Marca
Jan 17, 2021·Brain Sciences·José M Ramírez-MorenoLuis Fernández de Alarcón
Mar 5, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Paolo ManganottiPaolo Bovi
Feb 19, 2021·Journal of Medical Internet Research·Alaa Abd-AlrazaqZubair Shah
Mar 16, 2021·Frontiers in Neurology·Dominique A CadilhacUNKNOWN AuSCR COVID-19 Reporting Consortium Group
Jun 21, 2021·Acta neurologica Belgica·Vincent RaymaekersPeter Vanacker
Jul 6, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Dimitrios SagrisGeorge Ntaios
Aug 5, 2021·Stroke; a Journal of Cerebral Circulation·Aristeidis H KatsanosGeorgios Tsivgoulis
Jul 30, 2021·Stroke; a Journal of Cerebral Circulation·Quanhe YangRobert K Merritt
Nov 5, 2021·Stroke; a Journal of Cerebral Circulation·Wouter M SluisUNKNOWN CAPACITY-COVID Collaborative Consortium

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