The Impact of Covid-19 Lockdown on Stroke Admissions and Treatments in Campania.

Autor: Candelaresi P; Neurology and Stroke Unit, AORN Antonio Cardarelli, Naples, Italy. Electronic address: paolo.candelaresi@aocardarelli.it., Manzo V; Neurology and Stroke Unit, AORN Antonio Cardarelli, Naples, Italy., Servillo G; Neurology and Stroke Unit, AORN Antonio Cardarelli, Naples, Italy., Muto M; Diagnostic and Interventional Neuroradiology, AORN Antonio Cardarelli, Naples, Italy., Barone P; Neurology and Stroke Unit, AOU San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy., Napoletano R; Neurology and Stroke Unit, AOU San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy., Saponiero R; Diagnostic and Interventional Neuroradiology, AOU San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy., Andreone V; Neurology and Stroke Unit, AORN Sant'Anna e San Sebastiano, Caserta, Italy., Palma V; Neurology and Stroke Unit, ASL Napoli 1 Ospedale del Mare, Naples, Italy., Spitaleri D; Neurology and Stroke Unit, AORN San Giuseppe Moscati, Avellino, Italy., D'Onofrio F; Neurology and Stroke Unit, AORN San Giuseppe Moscati, Avellino, Italy., Maniscalco G; Neurology and Stroke Unit, AORN Antonio Cardarelli, Naples, Italy., Salvatore S; Neurology and Stroke Unit, AORN Antonio Cardarelli, Naples, Italy., Leone G; Diagnostic and Interventional Neuroradiology, AOU San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy., Capone E; Diagnostic and Interventional Neuroradiology, AOU San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy., Schettino C; Neurology and Stroke Unit, AOU San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy., Romano D; Diagnostic and Interventional Neuroradiology, AOU San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy., Martusciello G; Neurology and Stroke Unit, AORN Sant'Anna e San Sebastiano, Caserta, Italy., Miniello S; Neurology and Stroke Unit, AORN Sant'Anna e San Sebastiano, Caserta, Italy., Mazzaferro MP; Neurology and Stroke Unit, ASL Napoli 1 Ospedale del Mare, Naples, Italy., Ascione S; Neurology and Stroke Unit, ASL Napoli 1 Ospedale del Mare, Naples, Italy.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2021 Jan; Vol. 30 (1), pp. 105448. Date of Electronic Publication: 2020 Nov 04.
DOI: 10.1016/j.jstrokecerebrovasdis.2020.105448
Abstrakt: Objectives: The enforcement of complete lockdown with home confinement has been necessary to limit SARS-CoV-2 contagions in Italy, one the most affected countries worldwide. Simultaneously, in several Emergency Departments, a reduction in cardio- and cerebrovascular presentations was noticed. This study analyses the impact of Covid-19 pandemic and lockdown measures on the incidence of stroke, in Campania, the most densely-populated region in Italy.
Materials and Methods: We retrospectively analyzed data regarding acute stroke patients presenting at 5 Campania stroke hubs, before and after the issue of lockdown in Italy on March 9th, 2020.
Results: Compared to the pre-lockdown, we observed a significant reduction in the number of acute reperfusion treatments in stroke (P for interact 0.001); however the global number of patients presenting with acute stroke did not significantly differ. The time to reach medical attention was significantly longer in the lockdown phase (230 versus 154 min, P 0.016). For patients who underwent acute reperfusion treatment we also observed significantly longer time-to-imaging (30 versus 40 min, P 0.0005) and a trend to longer time-to-needle (75 versus 90 min P 0.23), but not time-to-groin.
Conclusions: This study showed the reduction in acute reperfusion treatments for acute ischemic stroke and the slowdown of stroke pathways, during the lockdown phase of Covid-19 pandemic, in Campania, the third-most-populous and the most-densely populated Italian Region. In the next future, the risk for high-grade disability and death, due to delayed or even avoided hospital presentation due to fear of contagion, may be high.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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