Impact of COVID-19 on Hospital Admission of Acute Stroke patients in Bangladesh

Autor: Muhammad Sougatul Islam, Shajedur Rahman Shawon, Quazi Deen Mohammad, Subir Chandra Das, Mohaimen Mansur, A. T. M. Hasibul Hasan, Rashedul Hassan, Mohammad Shah Jahirul Hoque Chowdhury, Badrul Alam Mondal
Rok vydání: 2020
Předmět:
Male
Viral Diseases
Pediatrics
Epidemiology
Vascular Medicine
Geographical Locations
0302 clinical medicine
Patient Admission
Medical Conditions
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Stroke
Virus Testing
Bangladesh
Multidisciplinary
Middle Aged
Hospitals
Hemorrhagic Stroke
Infectious Diseases
Neurology
Hospital admission
symbols
Female
Research Article
Adult
medicine.medical_specialty
Asia
Subarachnoid hemorrhage
Coronavirus disease 2019 (COVID-19)
Science
Cerebrovascular Diseases
Venous Stroke
Hemorrhage
03 medical and health sciences
symbols.namesake
Signs and Symptoms
Diagnostic Medicine
Humans
Poisson regression
cardiovascular diseases
Pandemics
Retrospective Studies
Ischemic Stroke
Acute stroke
Intracerebral hemorrhage
business.industry
COVID-19
Retrospective cohort study
Covid 19
medicine.disease
Neurologic injury
People and Places
Clinical Medicine
business
030217 neurology & neurosurgery
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 1, p e0240385 (2021)
DOI: 10.1101/2020.09.28.316448
Popis: BackgroundWith the proposed pathophysiologic mechanism of neurologic injury by SARS COV-2 the frequency of stroke and henceforth the related hospital admissions were expected to rise. In this paper we investigate this presumption by comparing the frequency of admissions of stroke cases in Bangladesh before and during the pandemic.MethodsWe conducted a retrospective analysis of stroke admissions in a 100-bed stroke unit at the National Institute of Neurosciences and Hospital (NINS&H) which is considerably a large stroke unit. We considered all the admitted cases from the 1st January to the 30th June, 2020. We used Poisson regressions to determine whether statistically significant changes in admission counts can be found before and after 25 March since when there is a surge in COVID-19 infections.ResultsA total of 1394 stroke patients got admitted during the study period. Half of the patients were older than 60 years, whereas only 2.6% were 30 years old or younger with a male-female ratio of 1.06:1. From January to March, 2020 the mean rate of admission was 302.3 cases per month which dropped to 162.3 cases per month from April to June with an overall reduction of 46.3% in acute stroke admission per month. In those two periods, reductions in average admission per month for ischemic stroke (IST), intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH) and venous stroke (VS) were 45.5%, 37.2%, 71.4% and 39.0%, respectively. Based on weekly data, results of Poisson regressions confirm that the average number of admissions per week dropped significantly during the last three months of the sample period. Further, in the first three months, a total of 22 cases of hyperacute stroke management were done whereas in the last three months there was an 86.4% reduction in the number of hyperacute stroke patients getting reperfusion treatment. Only 38 patients (2.7%) were later found to be RT- PCR for SARS Cov-2 positive based on nasal swab testing.ConclusionOur study revealed more than fifty percent reduction in acute stroke admission during the COVID-19 pandemic. It is still elusive whether the reduction is related to the fear of getting infected by COVID-19 from hospitalization or the overall restriction on public movement and stay-home measures.
Databáze: OpenAIRE
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