Impact of COVID-19 on Stroke Caseload in a Major Hyperacute Stroke Unit
| Autor: | Fionn Mag Uidhir, Raj Bathula, David Cohen, Aravinth Sivagnanaratnam, Mudhar Abdul-Saheb, Joseph Devine |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Time Factors Coronavirus disease 2019 (COVID-19) Clinical Neurology Intracranial hemorrhage Article Unit (housing) 03 medical and health sciences 0302 clinical medicine Patient Admission Pandemic London Resource utilization Medicine Humans Thrombolytic Therapy Suspected stroke Stroke Thrombectomy Health Services Needs and Demand Ischemic stroke business.industry Delivery of Health Care Integrated Rehabilitation Epidemiology access to care Stroke units COVID-19 medicine.disease Health services Hyperacute stroke Emergency medicine Surgery Neurology (clinical) Cardiology and Cardiovascular Medicine business Hospital Units 030217 neurology & neurosurgery |
| Zdroj: | Journal of Stroke and Cerebrovascular Diseases |
| ISSN: | 1532-8511 |
| Popis: | Northwick Park Hospital in London, United Kingdom (UK) is one of the busiest stroke units in the country and is located in one of the areas most heavily affected by the COVID-19 pandemic in the first half of 2020. Admissions to the stroke unit and changes during the peak of COVID-19 were reviewed. Compared with the previous year, mean 96 patients were admitted with suspected stroke during April and May 2020 compared with mean 116 per month in non-COVID periods, ratio 0.82, P = 0.01. This reduction involved both strokes and mimics and was unlikely to have occurred by chance. Numbers of patients thrombolysed and of patients referred for thrombectomy decreased dramatically during this time. Mechanisms by which the COVID-19 pandemic and the March lockdown may have affected admissions to the unit are discussed. Reduced admissions to the stroke unit allowed it to contribute its resources to the care of patients with COVID-19 during the peak of admissions. |
| Databáze: | OpenAIRE |
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