Impact of the SARS-COV-2 Pandemic on the Endovascular Treatment of Acute Stroke – an Italian Single-Center Experience

Autor: Luca Quilici, Antonio Macera, Mariangela Piano, Guglielmo Pero, Amedeo Cervo, Hugo Mota Dória, Matteo Giavarini
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Emergency Medical Services
Time Factors
Databases
Factual
Single Center
Patient Admission
ASPECTS
Alberta Stroke Programme Early CT Score
Pandemic
Neuroradiology
Thrombectomy
Aged
80 and over
Health Care Rationing
ER-NCGH
Emergency Room of Niguarda Ca’ Granda Hospital
Endovascular
Delivery of Health Care
Integrated
Rehabilitation
Endovascular Procedures
NIHSS
National Institutes of Health Stroke Scale
Middle Aged
Stroke
medicine.anatomical_structure
Treatment Outcome
Italy
Female
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
NCGH
Niguarda Ca’ Granda Hospital
Article
Time-to-Treatment
Internal medicine
medicine
Humans
ER
Emergency Room
Acute stroke
Aged
Retrospective Studies
Health Services Needs and Demand
SC
Spoke center
Groin
business.industry
SARS-CoV-2
COVID-19
Retrospective cohort study
IQR
Interquartile range
Surgery
Observational study
Neurology (clinical)
business
Zdroj: Journal of Stroke and Cerebrovascular Diseases
ISSN: 1532-8511
1052-3057
Popis: OBJECTIVES: The SARS-CoV-2 pandemic greatly influenced the overall quality of healthcare. The purpose of this study was to compare the time variables for acute stroke treatment and evaluate differences in the pre-hospital and in-hospital care before and during the SARS-CoV-2 pandemic, as well as between the first and second waves. MATERIALS AND METHODS: Observational and retrospective study from an Italian hospital, including patients who underwent thrombectomy between January 1st 2019 and December 31st 2020. RESULTS: Out of a total of 594 patients, 301 were treated in 2019 and 293 in 2020. The majority observed in 2019 came from spoke centers (67,1%), while in 2020 more than half (52%, p < 0.01) were evaluated at the hospital's emergency room directly (ER-NCGH). When compared to 2019, time metrics were globally increased in 2020, particularly in the ER-NCGH groups during the period of the first wave (N = 24 and N = 56, respectively): "Onset-to-door":50,5 vs 88,5, p
Databáze: OpenAIRE
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