| Autor: |
Mayer-Suess, Lukas, ter Telgte, Annemieke, Praxmarer, Silvia, Willeit, Johann, Wöll, Ewald, Geley, Theresa, Rinner, Heinrich, Knoflach, Michael, Kiechl, Stefan, The Tyrolean Stroke Pathway Group, Maurer, Andreas, Schinnerl, Adolf, Rauter-Rzehak, Alexandra, Tür, Andreas, Oberwinkler, Bernhard, Dengg, Christian, Loidl, Patrick, Schoenherr, Gudrun, Seiwald, Gudrun, Kreuzer, Hans |
| Předmět: |
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| Zdroj: |
Scientific Reports; 4/5/2023, Vol. 13 Issue 1, p1-6, 6p |
| Abstrakt: |
The aim of our study was to assess whether a well-established federal state-wide Stroke Care Pathway delivering high quality stroke care can cope with the COVID-19 pandemic and associated measures to contain the virus spread. The retrospective analysis is based on a prospective, quality-controlled, population-based registry of all stroke patients in the Tyrol, a federal state of Austria and one of the early hot-spots of COVID-19 in Europe. Patient characteristics, pre-hospital management, intra-hospital management and post-hospital were analysed. All residents of the Tyrol suffering ischemic stroke in 2020 (n = 1160) and four pre-COVID-19 years (n = 4321) were evaluated. In 2020, the annual number of stroke patients was the highest in this population-based registry. When local hospitals were overwhelmed with SARS-CoV-2-patients, stroke subjects were temporarily allocated to the comprehensive stroke centre. Stroke severity, quality metrics of stroke management, serious complications, and post-stroke mortality did not differ between 2020 and the four comparator years. Notably, iv. thrombolysis-rate was similar (19.9% versus 17.4%, P = 0.25) and endovascular stroke treatment even better (5.9% versus 3.9%, P = 0.003) but resources for in-patient rehabilitation were limited (25.8% versus 29.8%, P = 0.009). Concluding, a well-established Stroke Care Pathway was able to maintain high-quality acute stroke care even when challenged by a global pandemic. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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