Trends in interventional stroke device utilization during the COVID-19 pandemic.

Autor: Adapa AR; School of Medicine, University of Michigan, Ann Arbor, MI, USA., Jumaa MA; ProMedica Neurosciences Institute, Toledo, OH, USA; Department of Neurology, University of Toledo, Toledo, OH, USA., Siddiqui FM; Metro Health, University of Michigan, Wyoming, MI, USA., Dawod G; College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA., Zaidat OO; Neuroscience Department, Bon Secours Mercy Health St. Vincent Medical Center, Toledo, OH, USA., Gurm HS; Division of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, MI, USA., Pandey AS; Department of Neurosurgery, University of Michigan, Ann Arbor, MI, USA. Electronic address: adityap@med.umich.edu.
Jazyk: angličtina
Zdroj: Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2021 Oct; Vol. 209, pp. 106931. Date of Electronic Publication: 2021 Sep 02.
DOI: 10.1016/j.clineuro.2021.106931
Abstrakt: Objectives: The collateral effect of the COVID-19 pandemic on interventional stroke care is not well described. We studied this effect by utilizing stroke device sales data as markers of interventional stroke case volume in the United States.
Methods: Using a real-time healthcare device sales registry, this observational study examined trends in the sales of thrombectomy devices and cerebral aneurysm coiling from the same 945 reporting hospitals in the U.S. between January 22 and June 31, 2020, and for the same months in 2018 and 2019 to allow for comparison. We simultaneously reviewed daily reports of new COVID-19 cases. The strength of association between the cumulative incidence of COVID-19 and procedural device sales was measured using Spearman rank correlation coefficient (CC).
Results: Device sales decreased for thrombectomy (- 3.7%) and cerebral aneurysm coiling (- 8.5%) when comparing 2019-2020. In 2020, thrombectomy device sales were negatively associated with the cumulative incidence of COVID-19 (CC - 0.56, p < 0.0001), with stronger negative correlation during April (CC - 0.97, p < 0.0001). The same negative correlation was observed with aneurysm treatment devices (CC - 0.60, p < 0.001), with stronger correlation in April (CC - 0.97, p < 0.0001).
Conclusions: The decline in sales of stroke interventional equipment underscores a decline in associated case volumes. Future pandemic responses should consider strategies to mitigate such negative collateral effects.
(Copyright © 2021 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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