Clinical characteristics and admission patterns of stroke patients during the COVID 19 pandemic: A single center retrospective, observational study from the Abu Dhabi, United Arab Emirates
| Autor: | Seby John, Syed I. Hussain, Praveen Kesav, Victoria Ann Mifsud, Jamil Dibu, Terrence Lee St John, Ahmad Bayrlee, Bartlomiej Piechowski-Jozwiak, Florian Roser, Hussam Elkambergy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Stroke patient Coronavirus disease 2019 (COVID-19) Clinical Neurology United Arab Emirates Single Center Article Brain Ischemia 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Pandemic Ischemic medicine Humans cardiovascular diseases Stroke Hemorrhagic Admissions Aged Retrospective Studies Thrombectomy Groin Clinical characteristics business.industry SARS-CoV-2 Endovascular Procedures COVID-19 Retrospective cohort study General Medicine Middle Aged medicine.disease Hospitalization Survival Rate medicine.anatomical_structure 030220 oncology & carcinogenesis Cardiology Observational study Female Surgery Neurology (clinical) business Intracranial Hemorrhages 030217 neurology & neurosurgery |
| Zdroj: | Clinical Neurology and Neurosurgery |
| ISSN: | 0303-8467 |
| DOI: | 10.1016/j.clineuro.2020.106227 |
| Popis: | Highlights • When comparing stroke admissions from March 1st-May 10th in 2019 and 2020 at a single comprehensive stroke center in Middle East, there was a 41.9% increase in stroke admissions in 2020. A higher rate of large vessel occlusion (LVO) and significant delay in initiation of mechanical thrombectomy after hospital arrival was observed in 2020. • Among all COVID-19 admissions in 2020, 5.24% patients suffered stroke including 3.21% with ischemic and 2% with hemorrhagic stroke. • Patients with COVID-19 and ischemic stroke were significantly younger, predominantly male, had fewer vascular risk factors, had more severe clinical presentation, and higher rate of LVO ccompared to ischemic stroke patients without COVID-19 • For hemorrhagic stroke, COVID-19 patients did not differ from non-COVID-19 patients. Objective: To compare ischemic and hemorrhagic stroke patients with COVID-19 to non-COVID-19 controls, and to describe changes in stroke admission patterns during the pandemic. Methods:This is a single center, retrospective, observational study. All consecutive patients admitted with primary diagnosis of ischemic/ hemorrhagic stroke between March1st -May10th 2020 were included and compared with the same time period in 2019. Results: There was a 41.9% increase in stroke admissions in 2020 (148 vs 210,P = .001). When comparing all ischemic strokes, higher rate of large vessel occlusion (LVO) (18.3% vs 33.8%,P = .008) and significant delay in initiation of mechanical thrombectomy after hospital arrival (67.75 vs 104.30 minutes,P = .001) was observed in 2020. When comparing all hemorrhagic strokes, there were no differences between the two years. Among 591 COVID-19 admissions, 31 (5.24%) patients with stroke including 19 with ischemic (3.21%) and 12 with hemorrhagic stroke (2.03%) were identified. Patients with COVID-19 and ischemic stroke were significantly younger (58.74 vs 48.11 years,P = .002), predominantly male (68.18% vs 94.74%,P = .016), had lesser vascular risk factors, had more severe clinical presentation (NIHSS 7.01 vs 17.05,P |
| Databáze: | OpenAIRE |
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