Persistent decline of hospitalizations for acute stroke and acute coronary syndrome during the second wave of the COVID-19 pandemic in Greece: collateral damage unaffected

Autor: Christos Katsouras, Georgios Tsivgoulis, Michail Papafaklis, Theodore Karapanayiotides, Dimitrios Alexopoulos, Evangelos Ntais, Georgia Papagiannopoulou, Ioanna Koutroulou, Antonios Ziakas, Georgios Sianos, Antonios Kouparanis, Paraskevi Trivilou, Christos Ballas, Ioanna Samara, Maria Kosmidou, Lina Palaiodimou, Nikolaos Grigoriadis, Lampros K. Michalis, Sotirios Giannopoulos
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Therapeutic Advances in Neurological Disorders, Vol 14 (2021)
Druh dokumentu: article
ISSN: 1756-2864
17562864
DOI: 10.1177/17562864211029540
Popis: Background: An alarming cerebro/cardiovascular collateral damage, reflected by a decline in admissions for acute stroke (AS) and acute coronary syndrome (ACS), was observed during the initial phase of the COVID-19 pandemic, thereby leading to a re-design of public campaigns. However, there are limited data regarding the AS and ACS hospitalization rates during the second wave of the pandemic, which was followed by re-imposition of lockdowns. Methods: We calculated the rate of AS and ACS hospitalizations from three representative tertiary care hospitals in Greece during a 2-month period (November–December 2020) of the second wave of the COVID-19 pandemic compared with the corresponding control period in 2019 from three representative tertiary care hospitals in Greece. This was a follow-up study with identical design to our previous report evaluating AS and ACS hospitalizations during the first wave of the pandemic (March–April 2020). Results: Compared with 2019, there was a 34% relative reduction of AS hospitalizations [incidence rate ratio (IRR): 0.66, 95% confidence interval (CI): 0.48–0.92, p = 0.013] and 33% relative reduction of ACS hospitalizations (IRR: 0.67, 95% CI: 0.54–0.83, p
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