Hospital admissions of acute cerebrovascular diseases during and after the first wave of the COVID-19 pandemic: a state-wide experience from Austria.

Autor: Gattringer T; Department of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8042, Graz, Austria.; Division of Neuroradiology, Vascular and Interventional Radiology, Department of Radiology, Medical University of Graz, Graz, Austria., Fandler-Höfler S; Department of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8042, Graz, Austria., Kneihsl M; Department of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8042, Graz, Austria., Hofer E; Department of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8042, Graz, Austria.; Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria., Köle W; Medical Directorate, University Hospital Graz, Graz, Austria., Schmidt R; Department of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8042, Graz, Austria., Tscheliessnigg KH; Steiermärkische Krankenanstaltengesellschaft m.b.h, Graz, Austria., Frank AM; Steiermärkische Krankenanstaltengesellschaft m.b.h, Graz, Austria., Enzinger C; Department of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8042, Graz, Austria. chris.enzinger@medunigraz.at.; Division of Neuroradiology, Vascular and Interventional Radiology, Department of Radiology, Medical University of Graz, Graz, Austria. chris.enzinger@medunigraz.at.
Jazyk: angličtina
Zdroj: Journal of neurology [J Neurol] 2021 Oct; Vol. 268 (10), pp. 3584-3588. Date of Electronic Publication: 2021 Feb 27.
DOI: 10.1007/s00415-021-10488-8
Abstrakt: We investigated hospital admission rates for the entire spectrum of acute cerebrovascular diseases and of recanalization treatments for ischaemic stroke (IS) in the Austrian federal state of Styria during and also after the first coronavirus disease 2019 (COVID-19) wave. We retrospectively identified all patients with transient ischaemic attack (TIA), IS and non-traumatic intracranial haemorrhage (ICH; including intracerebral, subdural and subarachnoid bleeding types) admitted to one of the 11 public hospitals in Styria (covering > 95% of inhospital cerebrovascular events in this region). Information was extracted from the electronic medical documentation network connecting all public Styrian hospitals. We analysed two periods of interest: (1) three peak months of the first COVID-19 wave (March-May 2020), and (2) three recovery months thereafter (June-August 2020), compared to respective periods 4 years prior (2016-2019) using Poisson regression. In the three peak months of the first COVID-19 wave, there was an overall decline in hospital admissions for acute cerebrovascular diseases (RR = 0.83, 95% CI 0.78-0.89, p < 0.001), which was significant for TIA (RR = 0.61, 95% CI 0.52-0.72, p < 0.001) and ICH (0.78, 95% CI 0.67-0.91, p = 0.02), but not for IS (RR = 0.93, 95% CI 0.85-1, p = 0.08). Thrombolysis and thrombectomy numbers were not different compared to respective months 4 years prior. In the recovery period after the first COVID-19 wave, TIA (RR = 0.82, 95% CI 0.71-0.96, p = 0.011) and ICH (RR = 0.86, 95% CI 0.74-0.99, p = 0.045) hospitalizations remained lower, while the frequency of IS and recanalization treatments was unchanged. In this state-wide analysis covering all types of acute cerebrovascular diseases, hospital admissions for TIA and ICH were reduced during and also after the first wave of the COVID-19 pandemic, but hospitalizations and recanalization treatments for IS were not affected in these two periods.
(© 2021. The Author(s).)
Databáze: MEDLINE
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