Effect of the COVID-19 pandemic and the lockdown measures on the local stroke network

Autor:	Irene Scala, Jessica Marotta, Giacomo Della Marca, Riccardo Di Iorio, Maria Concetta Altavista, Alessandro Valenza, Anselmo Caricato, Martina Fanella, Cinzia Roberti, Alessandro Pedicelli, Valerio Brunetti, Roberta Morosetti, Giovanni Frisullo, Simone Bellavia, Mauro Monforte, Paolo Calabresi, Mariano Alberto Pennisi, Sabina Roncacci, Fabio Pilato, Miriam Tasillo, Aldobrando Broccolini, Emanuela Cecconi, Marisa Distefano, Carla Piano, Pietro Caliandro
Rok vydání:	2021
Předmět:	Male medicine.medical_specialty Neurology medicine.medical_treatment Clinical Neurology Hub Dermatology 03 medical and health sciences 0302 clinical medicine Settore MED/41 - ANESTESIOLOGIA Clinical endpoint Humans Medicine Thrombolytic Therapy 030212 general & internal medicine Cerebrovascular disease Pandemics Stroke Aged Ischemic Stroke Retrospective Studies Neuroradiology Aged 80 and over business.industry COVID-19 Outbreak Retrospective cohort study Pneumonia General Medicine Thrombolysis Length of Stay Middle Aged medicine.disease Hospitalization Settore MED/26 - NEUROLOGIA Psychiatry and Mental health Italy Ischemic Attack Transient Quarantine Emergency medicine Spoke Female Observational study Neurology (clinical) business 030217 neurology & neurosurgery
Zdroj:	Neurological Sciences
ISSN:	1590-3478 1590-1874
Popis:	Introduction The COVID-19 outbreak highly impacted the acute ischemic stroke care management. The primary end point of the study was to evaluate the impact of the COVID-19 outbreak and the following lockdown measures on our hub-and-spoke network; the secondary end point was to evaluate if the impact of the COVID-19 outbreak was different in hub-and-spoke centers. Methods This was a retrospective multicenter observational study conducted at the Stroke Units of Policlinico Gemelli, Ospedale San Filippo Neri, Ospedale di Belcolle, and Ospedale San Camillo de Lellis. We collected clinical reports of all consecutive patients admitted with diagnosis of acute ischemic stroke or transient ischemic attack (TIA) during the phase 1 of the lockdown period (11 March 2020–4 May 2020). As controls, we used all consecutive patients admitted for acute ischemic stroke or TIA in the same period of the previous year. Results A total of 156 and 142 clinical reports were collected in 2019 and 2020, respectively. During the COVID-19 outbreak, we observed a reduction of number of thrombolysis, a reduction of the length of hospitalization, and an increase of pneumonia. Regarding performance indicators, we observed an increase in onset-to-door time and in door-to-groin time. We did not observe any statistically significant interaction between year (2019 vs 2020) and facility of admission (hub vs spoke) on all variables analyzed. Discussion Our observational study, involving hub-and-spoke stroke network of a wide regional area, indicates that the COVID-19 outbreak impacted on the acute stroke management. This impact was equally observed in hub as well as in spoke centers.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8515ed5500ac89a34cc5bd30b67609d6 https://doi.org/10.1007/s10072-021-05045-0 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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