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http://hdl.handle.net/11054/1783
Title: | Global Impact of COVID-19 on Stroke Care and IV Thrombolysis. |
Author: | Nogueira, R. Qureshi, M. Abdalkader, M. Martins, S. Yamagami, H. Qiu, Z. Mansour, O. Sathya, A. Czlonkowska, A. Tsivgoulis, G. de Sousa, D. Demeestere, J. Mikulik, R. Vanacker, P. Siegler, J. Korv, J. Biller, J. Liang, C. Sangha, N. Zha, A. Czap, A. Holmstedt, C. Turan, T. Ntaios, G. Malhotra, K. Tayal, A. Loochtan, A. Ranta, A. Mistry, E. Alexandrov, A. Huang, D. Yaghi, S. Raz, E. Sheth, S. Mohammaden, M. Frankel, M. Lamou, E. Aref, H. Elbassiouny, A. Hassan, F. Menecie, T. Mustafa, W. Shokri, H. Roushdy, T. Sarfo, F. Alabi, T. Arabambi, B. Nwazor, E. Sunmonu, T. Wahab, K. Yaria, J. Mohammed, H. Adebayo, P. Riahi, A. Sassi, S. Sahathevan, Ramesh |
Institutional Author: | SVIN COVID-19 Global Stroke Registry |
Issue Date: | 2021 |
Publication Title: | Neurology |
Volume: | 96 |
Issue: | 23 |
Start Page: | e2824 |
End Page: | e2838 |
Abstract: | Objective: To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. Methods: We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results: There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] -11.7 to -11.3, p < 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI -13.8 to -12.7, p < 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI -13.7 to -10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2-9.8, p < 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions: The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months. |
Description: | Many Lau & Thomas Kraemer listed as co-investigators |
URI: | http://hdl.handle.net/11054/1783 |
DOI: | https://doi.org/10.1212/WNL.0000000000011885 |
Internal ID Number: | 01737 |
Health Subject: | COVID-19 CORONAVIRUS STROKE THROMBOLYSIS |
Type: | Journal Article Article |
Appears in Collections: | Research Output |
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