Impact of the COVID-19 pandemic on intracranial aneurysm treatment and associated Outcomes: A nationwide US-based study

Autor: Abdul Karim Ghaith, Victor Gabriel El-Hajj, Jorge Rios-Zermeno, Elena Greco, David A. Miller, Erik H. Middlebrooks, William D. Freeman, Adrian Elmi-Terander, Sukhwinder S. Sandhu, Rabih G. Tawk
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 36, Iss , Pp 101967- (2024)
Druh dokumentu: article
ISSN: 2214-7519
DOI: 10.1016/j.inat.2024.101967
Popis: Objective: Limited data on the treatment and outcomes of patients with intracranial aneurysms (ICAs) in the (coronavirus disease 2019) COVID-19 era is available. Our objective was hence to investigate the impact of the pandemic on the overall complication rate and postprocedural ischemic strokes specifically, in patients treated for ICAs. Methods: The National Inpatient sample database was used. The main outcomes were the occurrence of postprocedural ischemic strokes, as well as death, non-routine discharge, total charges (US dollars), and length of stay (days). Propensity score matching was applied to compare the pre- and COVID-19 periods. Trends were assessed using piecewise joinpoint regression with the Mann-Kendall test. Results: A total of 57,715 patients were included in the study. The mean age was 65 years, with most of the patients (69.9 %) being females. After matching, no differences in length of stay (p = 0.266), non-home discharge (p = 0.475), and in-hospital mortality rates (p = 0.305) between the two periods were found. However, the overall complication rate was significantly higher during the pandemic (31.1 % vs. 28.3 %; p
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