Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: regional analysis of the impact of COVID-19.

Autor:	Tejada Meza H; Sección de Neurovascular, Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, Spain; Unidad de Neurointervencionismo, Servicio de Radiología, Hospital Universitario Miguel Servet, Zaragoza, Spain. Electronic address: htmeza@gmail.com., Lambea Gil Á; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain; Servicio de Neurología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain., Villar Yus C; Sección de Neurovascular, Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain., Pérez Lázaro C; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain., Navarro Pérez MP; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain; Servicio de Neurología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain., Campello Morer I; Servicio de Neurología, Hospital Royo Villanova, Zaragoza, Spain., Giménez Muñoz Á; Servicio de Neurología, Hospital Royo Villanova, Zaragoza, Spain., Artal Roy J; Servicio de Neurología, Hospital San Jorge, Huesca, Spain., Alberti González O; Servicio de Neurología, Hospital San Jorge, Huesca, Spain., Hernando Quintana N; Servicio de Neurología, Hospital Obispo Polanco, Teruel, Spain., Ruiz Palomino P; Servicio de Neurología, Hospital Obispo Polanco, Teruel, Spain., Crespo Burillo JA; Servicio de Neurología, Hospital de Barbastro, Huesca, Spain., García Arguedas C; Servicio de Neurología, Hospital de Barbastro, Huesca, Spain., Ballester Marco L; Servicio de Neurología, Hospital de Alcañiz, Teruel, Spain., Palacin Larroy M; Servicio de Neurología, Hospital Ernest Lluch, Zaragoza, Spain., Seral Moral M; Servicio de Neurología, Hospital Ernest Lluch, Zaragoza, Spain., Marta Moreno J; Sección de Neurovascular, Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain.
Jazyk:	angličtina
Zdroj:	Neurologia (Barcelona, Spain) [Neurologia (Engl Ed)] 2021 Sep; Vol. 36 (7), pp. 531-536. Date of Electronic Publication: 2021 Jun 05.
DOI:	10.1016/j.nrleng.2021.02.001
Abstrakt:	Introduction: The COVID-19 pandemic has had an impact on ischaemic stroke management, with a reported decrease in hospital admissions, and even disruptions in healthcare and increased in-hospital mortality. However, there is a lack of evidence on the impact of the pandemic on functional prognosis. The aim of this study is to analyse the effect of the COVID-19 pandemic on the 3-month functional outcomes of patients hospitalised due to acute ischaemic stroke in Aragon (Spain). Methods: We reviewed the data of all patients admitted due to ischaemic stroke to any hospital in our regional healthcare system between 30 December 2019 and 3 May 2020. We compared modified Rankin Scale scores and mortality at 3 months in patients hospitalised before and after the declaration of a state of emergency due to the COVID-19 pandemic. Results: In total, 318 patients with acute ischaemic stroke met our inclusion criteria. No differences were observed between periods in global or specific characteristics, with the exception of a higher proportion of patients older than 80 years during the first period (42.2% vs 29.0%, P = .028). In the comparative analysis, we found no significant differences in mortality (12.3 vs 7.9, P = .465) or in the proportion of patients with modified Rankin Scale scores ≤ 2 (57.7% vs 57.1%, P = .425) at 3 months. Conclusion: To our knowledge, this is the first study to analyse the impact of COVID-19 pandemic on the 3-month functional outcomes of patients with ischaemic stroke. In our region, there has been no increase in rates of mortality or disability at 3 months in patients admitted due to ischaemic stroke during the pandemic. (Copyright © 2021 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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