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Changes in Stroke Patients' Health-Seeking Behavior by COVID-19 Epidemic Regions: Data from the Korean Stroke Registry

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Author(s)
Jeong H.-Y.Lee E.-J.Kang M.K.Nam K.-W.Bae J.Jeon K.Jung K.-H.Ko S.-B.Oh M.S.Lee J.S.Hwang J.Jeong E.Lee J.Do J.-K.Sohn S.-I.Kwon S.U.Bae H.-J.Yoon B.-W.Park J.-M.
Keimyung Author(s)
Sohn, Sung Il
Department
Dept. of Neurology (신경과학)
Journal Title
Cerebrovasc Dis
Issued Date
2022
Volume
51
Keyword
StrokeTransient ischemic attackCoronavirus disease 2019Health-seeking behaviorStroke registry
Abstract
Introduction:
The coronavirus disease 2019 (COVID-19) pandemic has led to changes in stroke patients' healthcare use. This study evaluated changes in Korean stroke patients' health-seeking behaviors and stroke care services using data from the Korean Stroke Registry (KSR).

Methods:
We reviewed data from patients with acute stroke and transient ischemic attack (TIA) during 2019 (before COVID-19 period) and 2020 (COVID-19 period). Outcomes included patient characteristics, time from stroke onset to hospital arrival, and in-hospital stroke pathways. Subgroup analyses were performed for an epidemic region (Daegu city and Gyeongsangbuk-do region, the D-G region).

Results:
The study included 1,792 patients from the pre-COVID-19 period and 1,555 patients from the COVID-19 period who visited hospitals that contribute to the KSR. During the COVID-19 period, the D-G region had two-thirds the number of cases (vs. the pre-CO­VID-19 period) and a significant decrease in the proportion of patients with TIA (9.97%–2.91%). Unlike other regions, the median onset-to-door time increased significantly in the D-G region (361 min vs. 526.5 min, p = 0.016), and longer onset-to-door times were common for patients with mild symptoms and who were in their 60s or 70s. The number of patients who underwent intravenous thrombolysis also decreased during the COVID-19 period, although the treatment times were not significantly different between the 2 periods.

Discussion/Conclusion:
Korean stroke patients in a CO­VID-19 epidemic region exhibited distinct changes in health-seeking behaviors. Appropriate triage system and public education regarding the importance of early treatment are needed during the COVID-19 pandemic.
Keimyung Author(s)(Kor)
손성일
Publisher
School of Medicine (의과대학)
Citation
Jeong H.-Y. et al. (2022). Changes in Stroke Patients’ Health-Seeking Behavior by COVID-19 Epidemic Regions: Data from the Korean Stroke Registry. Cerebrovasc Dis, 51, 169–177. doi: 10.1159/000519093
Type
Article
ISSN
1421-9786
Source
https://www.karger.com/Article/FullText/519093
DOI
10.1159/000519093
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44021
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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