Decline and Recurrence of Stroke Consultations during the COVID-19 Pandemic Lockdown Parallels Population Activity Levels
| Autor: | Roman L. Haberl, Ralf A. Linker, Andrea Wagner, Sibylle Wilfling, Nikolai Dominik Hubert, Gordian Jan Hubert, Felix Schlachetzki |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Population 610 Medizin 030204 cardiovascular system & hematology Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Lockdown Pandemic Humans Medicine Thrombolytic Therapy COVID-19 �� Stroke �� Telestroke �� Lockdown �� Thrombolysis education Clinical Research in Stroke Stroke Medical attention ddc:610 education.field_of_study SARS-CoV-2 business.industry COVID-19 Thrombolysis Working diagnosis medicine.disease Neurology Tissue Plasminogen Activator Telestroke Communicable Disease Control Emergency medicine Ischemic stroke Neurology (clinical) Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
| Zdroj: | Cerebrovascular Diseases (Basel, Switzerland) |
| ISSN: | 1421-9786 1015-9770 |
| DOI: | 10.1159/000514154 |
| Popis: | Background: The COVID-19 pandemic lockdown (CPL) lead to a significant decrease in emergency admissions worldwide. We performed a timely analysis of ischemic stroke (IS) and related consultations using the telestroke TEMPiS “working diagnosis” database prior (PL), within (WL), and after easing (EL) of CPL. Methods: Twelve hospitals were selected and data analyzed regarding IS (including intravenous thrombolysis [intravenous recombinant tissue plasminogen; IV rtPA] and endovascular thrombectomy [EVT]) and related events from February 1 to June 15 during 2017–2020. In addition, we aimed to correlate events to various mobile phone mobility data. Results: Following the significant reduction of IS, IV rtPA, and EVT cases during WL compared to PL in 2020 longitudinally (p values Conclusions: While the decrease in emergency admissions including stroke during CPL can only be in part attributed by patients not seeking medical attention, stroke awareness in the pandemic, and direct COVID-19 triggered stroke remains of high importance. The number of consultations in TEMPiS during the lockdown parallels best with mobility of public transportation. As a consequence, exposure to common viruses, well-known triggers for acute cerebrovascular events and other diseases, are reduced and may add to the decline in stroke consultations. Further studies comparing national responses toward the course of the COVID-19 pandemic and stroke incidences are needed. |
| Databáze: | OpenAIRE |
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