Acute ischemic stroke and COVID-19 pandemic in Brazil: a comparative study of frequency and risk factors before and during SARS-CoV-2 era.

Autor: Benevides ML; Neurology Department, Hospital Governador Celso Ramos (HGCR), Florianópolis, SC, Brazil.; Neuropediatrics Department, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil., Elias S; Universidade Do Sul de Santa Catarina (UNISUL), Palhoça, SC, Brazil., Costa PB; Internal Medicine Department, Hospital Regional de São José Doutor Homero de Miranda Gomes, São José, SC, Brazil., Martins ALP; Universidade Do Sul de Santa Catarina (UNISUL), Palhoça, SC, Brazil., Martins GL; Neurology Department, Hospital Governador Celso Ramos (HGCR), Florianópolis, SC, Brazil., Freitas FC; Neurology Department, Hospital Governador Celso Ramos (HGCR), Florianópolis, SC, Brazil., Nunes JC; Department of Pathology, Hospital Polydoro Ernani de São Thiago, Universidade Federal de Santa Catarina (UFSC), Professora Maria Flora Pausewang Street, Trindade, SC, CEP 88040-000, Florianópolis, Brazil. jeanmedic@hotmail.com.; Neurodiagnostic Brasil - Diagnósticos em Neuropatologia, Florianópolis, SC, Brazil. jeanmedic@hotmail.com.
Jazyk: angličtina
Zdroj: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [Neurol Sci] 2022 Aug; Vol. 43 (8), pp. 4611-4617. Date of Electronic Publication: 2022 Feb 09.
DOI: 10.1007/s10072-022-05873-8
Abstrakt: Background: COVID-19 pandemic directly impacted the request for hospital care and medical assistance for several diseases worldwide, as occurred with acute ischemic stroke. The present study sought to compare the incidence and severity of acute ischemic stroke (AIS), in addition to sociodemographic, clinical, and radiological characteristics of patients hospitalized in the prepandemic (2018-2019) and pandemic (2020-2021) eras.
Methods: An incidence case-control, observational, and analytical research was carried out in the Stroke Unit of Hospital Governador Celso Ramos, Florianopolis, Santa Catarina, Brazil, including 171 patients admitted with acute ischemic stroke from April 2018 to April 2019 (prepandemic era) and 148 patients between January 2020 and January 2021 (during pandemic).
Results: The mean incidence of AIS hospital admissions was significantly lower in the pandemic period (CI 95%, 0.2 to 5.6; p = 0.04), being lower in the lockdown periods and when the incidence of new COVID-19 cases increased. Besides, referring to AIS severity, the mean areas of AIS were larger during the pandemic period (p < 0.01), especially in August, September, December, and January (p < 0.05). Sociodemographic and clinical variables did not show any difference between the two periods of the study.
Conclusions: Hospital admissions for AIS decreased in the COVID-19 pandemic, mostly during months of higher incidences of new COVID-19 cases. When the incidence of admissions diminished, an increase in the severity of AIS was observed, characterized by larger areas. These findings might contribute to other similar referral centers in managing public policies related to stroke.
(© 2022. Fondazione Società Italiana di Neurologia.)
Databáze: MEDLINE
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