계명대학교 의학도서관 Repository

Global Impact of COVID-19 on Stroke Care and IV Thrombolysis

Metadata Downloads
Author(s)
Raul G. NogueiraMuhammad M. QureshiMohamad AbdalkaderSheila Ouriques MartinsHiroshi Yamagami
Keimyung Author(s)
Park, Hyung JongSohn, Sung Il
Department
Dept. of Neurology (신경과학)
Journal Title
Neurology
Issued Date
2021
Volume
96
Issue
23
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.
Keimyung Author(s)(Kor)
박형종
손성일
Publisher
School of Medicine (의과대학)
Citation
Raul G. Nogueira et al. (2021). Global Impact of COVID-19 on Stroke Care and IV Thrombolysis. Neurology, 96(23), e2824–e2838. doi: 10.1212/WNL.0000000000011885
Type
Article
ISSN
1526-632X
Source
https://n.neurology.org/content/96/23/e2824.long
DOI
10.1212/WNL.0000000000011885
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43749
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록
  • 관련 파일이 존재하지 않습니다.

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.