Impact of the COVID-19 Pandemic on Acute Ischemic Stroke Presentation, Treatment, and Outcomes

Autor: Timothy G. White, Gabriela Martinez, Jason Wang, Michele Gribko, Artem Boltyenkov, Rohan Arora, Jeffrey M. Katz, Henry H. Woo, Pina C. Sanelli
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Stroke Research and Treatment, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 2090-8105
2042-0056
DOI: 10.1155/2021/8653396
Popis: Introduction. The World Health Organization declared COVID-19 a global pandemic last year. While a clear impact of COVID-19 on the declining stroke volume has been reported, its overall impact on stroke presentation and clinical outcomes has not been established. The purpose of this study was to assess the impact of COVID-19 on acute ischemic stroke volume, presentation, treatment, and outcomes at comprehensive stroke centers. Methods. A retrospective review of patients with a discharge diagnosis of acute ischemic stroke from the Get With The Guidelines database was performed from January 1, 2019, to July 1, 2020. The following time periods were defined: Pre-COVID (January/February), Peak-COVID (March/April), and Post-COVID (May/June). Bivariate analyses were performed comparing the 2020 and 2019 time periods to determine differences in stroke volume, presentation, treatment, and outcomes. Results. Stroke volumes were significantly lower during the Peak-COVID period in 2020 compared to that in 2019, with an absolute decline of 49.5% (P
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