Impact of the lockdown on acute stroke treatments during the first surge of the COVID-19 outbreak in the Netherlands

Autor: Faysal Benali, Lotte J. Stolze, Anouk D. Rozeman, Wouter Dinkelaar, Jonathan M. Coutinho, Bart J. Emmer, Rob A. R. Gons, Lonneke F. S. Yo, Julia H. van Tuijl, Issam Boukrab, Dianne H. K. van Dam-Nolen, Ido R. van den Wijngaard, Geert J. Lycklama à Nijeholt, Karlijn F. de Laat, Lukas C. van Dijk, Heleen M. den Hertog, H. Zwenneke Flach, Marieke J. H. Wermer, Marianne A. A. van Walderveen, Paul J. A. M. Brouwers, Tomas Bulut, Sarah E. Vermeer, Marie Louise E. Bernsen, Maarten Uyttenboogaart, Reinoud P. H. Bokkers, Jeroen D. Boogaarts, Frank-Erik de Leeuw, H. Bart van der Worp, Irene C. van der Schaaf, Wouter J. Schonewille, Jan A. Vos, Michel J. M. Remmers, Farshad Imani, Diederik W. J. Dippel, Wim H. van Zwam, Paul J. Nederkoorn, Robert J. van Oostenbrugge
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Neurology, Vol 22, Iss 1, Pp 1-7 (2022)
Druh dokumentu: article
ISSN: 1471-2377
DOI: 10.1186/s12883-021-02539-4
Popis: Abstract Introduction We investigated the impact of the Corona Virus Disease 2019 (COVID-19) pandemic and the resulting lockdown on reperfusion treatments and door-to-treatment times during the first surge in Dutch comprehensive stroke centers. Furthermore, we studied the association between COVID-19-status and treatment times. Methods We included all patients receiving reperfusion treatment in 17 Dutch stroke centers from May 11th, 2017, until May 11th, 2020. We collected baseline characteristics, National Institutes of Health Stroke Scale (NIHSS) at admission, onset-to-door time (ODT), door-to-needle time (DNT), door-to-groin time (DGT) and COVID-19-status at admission. Parameters during the lockdown (March 15th, 2020 until May 11th, 2020) were compared with those in the same period in 2019, and between groups stratified by COVID-19-status. We used nationwide data and extrapolated our findings to the increasing trend of EVT numbers since May 2017. Results A decline of 14% was seen in reperfusion treatments during lockdown, with a decline in both IVT and EVT delivery. DGT increased by 12 min (50 to 62 min, p-value of
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