Changes in Stroke Patients' Health-Seeking Behavior by COVID-19 Epidemic Regions: Data from the Korean Stroke Registry
| Autor: | Ji Sung Lee, Jaechun Hwang, Keun-Hwa Jung, Jeonghoon Bae, Byung-Woo Yoon, Eung-Joon Lee, Sung Il Sohn, Sun U. Kwon, Eunhwan Jeong, Min Kyoung Kang, Jun Lee, Kipyoung Jeon, Sang-Bae Ko, Jong-Moo Park, Han-Yeong Jeong, Hee-Joon Bae, Mi Sun Oh, Jin-Kuk Do, Ki Woong Nam |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Stroke registry
medicine.medical_specialty Health-seeking behavior Coronavirus disease 2019 (COVID-19) Stroke patient medicine.medical_treatment Internal medicine Pandemic Republic of Korea medicine Humans Registries Transient ischemic attack Stroke Clinical Research in Stroke Pandemics Retrospective Studies Health seeking Coronavirus disease 2019 business.industry COVID-19 Thrombolysis Patient Acceptance of Health Care medicine.disease Triage Neurology Neurology (clinical) Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cerebrovascular Diseases (Basel, Switzerland) |
| ISSN: | 1421-9786 1015-9770 |
| Popis: | Introduction: The coronavirus disease 2019 (COVID-19) pandemic has led to changes in stroke patients’ healthcare use. This study evaluated changes in Korean stroke patients’ health-seeking behaviors and stroke care services using data from the Korean Stroke Registry (KSR). Methods: We reviewed data from patients with acute stroke and transient ischemic attack (TIA) during 2019 (before COVID-19 period) and 2020 (COVID-19 period). Outcomes included patient characteristics, time from stroke onset to hospital arrival, and in-hospital stroke pathways. Subgroup analyses were performed for an epidemic region (Daegu city and Gyeongsangbuk-do region, the D-G region). Results: The study included 1,792 patients from the pre-COVID-19 period and 1,555 patients from the COVID-19 period who visited hospitals that contribute to the KSR. During the COVID-19 period, the D-G region had two-thirds the number of cases (vs. the pre-COVID-19 period) and a significant decrease in the proportion of patients with TIA (9.97%–2.91%). Unlike other regions, the median onset-to-door time increased significantly in the D-G region (361 min vs. 526.5 min, p = 0.016), and longer onset-to-door times were common for patients with mild symptoms and who were in their 60s or 70s. The number of patients who underwent intravenous thrombolysis also decreased during the COVID-19 period, although the treatment times were not significantly different between the 2 periods. Discussion/Conclusion: Korean stroke patients in a COVID-19 epidemic region exhibited distinct changes in health-seeking behaviors. Appropriate triage system and public education regarding the importance of early treatment are needed during the COVID-19 pandemic. |
| Databáze: | OpenAIRE |
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