Did COVID-19 impact stroke services? A multicenter study
Journal
Neurological Sciences
ISSN
1590-1874
1590-3478
Date Issued
2022
Author(s)
Hossam Shokri
Nevine El Nahas
Ahmed El Basiony
Thanh N. Nguyen
Mohamad Abdalkader
Piers Klein
Pablo M. Lavados
Pablo Amaya
Natalia Llanos-Leyton
Waldemar Brola
Lipowski Michał
Donoband Edson Dejesus Melgarejo Fariña
Analia Cardozo
Cesar David Caballero
Fatima Pedrozo
Aminur Rahman
Elyar Sadeghi Hokmabadi
Javad Jalili
Mehdi Farhoudi
Hany Aref
Tamer Roushdy
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:title>Abstract
</jats:title><jats:sec>
<jats:title>Background</jats:title>
<jats:p>It has been reported that acute stroke services were compromised during COVID-19 due to various pandemic-related issues. We aimed to investigate these changes by recruiting centers from different countries.</jats:p>
</jats:sec><jats:sec>
<jats:title>Methods</jats:title>
<jats:p>Eight countries participated in this cross-sectional, observational, retrospective study by providing data from their stroke data base. We compared 1 year before to 1 year during COVID-19 as regards onset to door (OTD), door to needle (DTN), door to groin (DTG), duration of hospital stay, National Institute of Health Stroke Scale (NIHSS) at baseline, 24 h, and at discharge as well as modified Rankin score (mRS) on discharge and at 3 months follow-up.</jats:p>
</jats:sec><jats:sec>
<jats:title>Results</jats:title>
<jats:p>During the pandemic year, there was a reduction in the number of patients, median age was significantly lower, admission NIHSS was higher, hemorrhagic stroke increased, and OTD and DTG showed no difference, while DTN time was longer, rtPA administration was decreased, thrombectomy was more frequent, and hospital stay was shorter. mRS was less favorable on discharge and at 3 months.</jats:p>
</jats:sec><jats:sec>
<jats:title>Conclusion</jats:title>
<jats:p>COVID-19 showed variable effects on stroke services. Some were negatively impacted as the number of patients presenting to hospitals, DTN time, and stroke outcome, while others were marginally affected as the type of management.</jats:p>
</jats:sec>
</jats:title><jats:sec>
<jats:title>Background</jats:title>
<jats:p>It has been reported that acute stroke services were compromised during COVID-19 due to various pandemic-related issues. We aimed to investigate these changes by recruiting centers from different countries.</jats:p>
</jats:sec><jats:sec>
<jats:title>Methods</jats:title>
<jats:p>Eight countries participated in this cross-sectional, observational, retrospective study by providing data from their stroke data base. We compared 1 year before to 1 year during COVID-19 as regards onset to door (OTD), door to needle (DTN), door to groin (DTG), duration of hospital stay, National Institute of Health Stroke Scale (NIHSS) at baseline, 24 h, and at discharge as well as modified Rankin score (mRS) on discharge and at 3 months follow-up.</jats:p>
</jats:sec><jats:sec>
<jats:title>Results</jats:title>
<jats:p>During the pandemic year, there was a reduction in the number of patients, median age was significantly lower, admission NIHSS was higher, hemorrhagic stroke increased, and OTD and DTG showed no difference, while DTN time was longer, rtPA administration was decreased, thrombectomy was more frequent, and hospital stay was shorter. mRS was less favorable on discharge and at 3 months.</jats:p>
</jats:sec><jats:sec>
<jats:title>Conclusion</jats:title>
<jats:p>COVID-19 showed variable effects on stroke services. Some were negatively impacted as the number of patients presenting to hospitals, DTN time, and stroke outcome, while others were marginally affected as the type of management.</jats:p>
</jats:sec>
Subjects
acute stroke services
;
hemorrhagic stroke
;
stroke data base
;
pandemic-related issues
;
covid-19
;
cross-sectional studies
;
humans
;
retrospective studies
;
stroke
;
thrombolytic therapy
;
time-to-treatment
;
treatment outcome
;
alteplase
;
adult
;
aged
;
article
;
bangladesh
;
brain hemorrhage
;
cerebrovascular accident
;
chile
;
clinical outcome
;
colombia
;
controlled study
;
coronavirus disease 2019
;
cross-sectional study
;
database management system
;
disease severity
;
door to groin time
;
door to needle time
;
egypt
;
female
;
follow up
;
general pathological parameters
;
health service
;
hospital admission
;
hospital discharge
;
hospitalization
;
human
;
iran
;
length of stay
;
major clinical study
;
male
;
middle aged
;
national institutes of health stroke scale
;
observational study
;
paraguay
;
patient volume
;
poland
;
rankin scale
;
retrospective study
;
thrombectomy
;
time to treatment
;
united states
;
cerebrovascular accident
;
clinical trial
;
fibrinolytic therapy
;
multicenter study
;
treatment outcome