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Care Process of Recanalization Therapy for Acute Stroke during the COVID-19 Outbreak in South Korea

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Author(s)
Young Dae KimHyo Suk NamSung-Il SohnHyungjong ParkJeong-Ho HongGyu Sik KimKwon-Duk SeoJoonsang YooJang-Hyun BaekJung Hwa SeoJoonNyung HeoMinyoul BaikHye Sun LeeJi Hoe Heo
Keimyung Author(s)
Sohn, Sung IlPark, Hyoung Seob
Department
Dept. of Neurology (신경과학)
Dept. of Internal Medicine (내과학)
Journal Title
Journal of Clinical Neurology
Issued Date
2021
Volume
17
Issue
1
Keyword
reperfusion therapy stroke outcome coronavirus disease 2019
Abstract
Background and Purpose:
We aimed to determine whether the care process and outcomes in patients with acute stroke who received recanalization therapy changed during the outbreak of coronavirus disease 2019 (COVID-19) in South Korea.

Methods:
We used data from a prospective multicenter reperfusion therapy registry to compare the care process—including the time from symptom onset to treatment, number of treated patients, and discharge disposition—and treatment outcomes between before and during the COVID-19 outbreak in South Korea.

Results:
Upon the COVID-19 outbreak in South Korea, the number of patients receiving endovascular treatment to decrease temporarily but considerably. The use of emergency medical services by stroke patients increased from 91.5% before to 100.0% during the COVID-19 outbreak (p=0.025), as did the median time from symptom onset to hospital visit [median (interquartile range), 91.0 minutes (39.8–277.0) vs. 176.0 minutes (56.0–391.5), p=0.029]. Furthermore, more functionally dependent patients with disabilities were discharged home (59.5% vs. 26.1%, p=0.020) rather than staying in a regional or rehabilitation hospital. In contrast, there were no COVID-19-related changes in the times from the hospital visit to brain imaging and treatment or in the functional outcome, successful recanalization rate, or rate of symptomatic intracerebral hemorrhage.

Conclusions:
These findings suggest that a prehospital delay occurred during the COVID-19 outbreak, and that patients with acute stroke might have been reluctant to visit and stay in hospitals. Our findings indicate that attention should be paid to prehospital care and the behavior of patients with acute stroke during the COVID-19 outbreak.
Keimyung Author(s)(Kor)
손성일
박형섭
Publisher
School of Medicine (의과대학)
Citation
Young Dae Kim et al. (2021). Care Process of Recanalization Therapy for Acute Stroke during the COVID-19 Outbreak in South Korea. Journal of Clinical Neurology, 17(1), 63–69. doi: 10.3988/jcn.2021.17.1.63
Type
Article
ISSN
2005-5013
Source
https://www.thejcn.com/search.php?where=aview&id=10.3988/jcn.2021.17.1.63&code=0145JCN&vmode=FULL
DOI
10.3988/jcn.2021.17.1.63
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43349
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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