Changes in Stroke Patients' Health-Seeking Behavior by COVID-19 Epidemic Regions: Data from the Korean Stroke Registry
- 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
- Stroke; Transient ischemic attack; Coronavirus disease 2019; Health-seeking behavior; Stroke 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.
- 공개 및 라이선스
-
- 파일 목록
-
Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.