ArticleEuropean journal of neurology2020
Ischaemic stroke in the time of coronavirus disease 2019.
Article in European journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Association of the COVID-19 pandemic on stroke admissions and treatment globally: a systematic review.BMJ open · 2023Pooled it
- Stroke network performance during the first COVID-19 pandemic stage: A meta-analysis based on stroke network models.International journal of stroke : official journal of the International Stroke Society · 2021Pooled it
- COVID-19 and Cerebrovascular Diseases: A Systematic Review and Perspectives for Stroke Management.Frontiers in neurology · 2020Pooled it
- An Interrupted Time-Series Analysis of the Impact of COVID-19 on Hospitalizations for Vascular Events in 3 Canadian Provinces.CJC open · 2024Article
- Article
- Evaluation of Workflow Delays in Stroke Reperfusion Therapy: A Comparison between the Year-Long Pre-COVID-19 Period and the with-COVID-19 Period.Journal of atherosclerosis and thrombosis · 2022Article
- The impact of COVID-19 pandemic on treatment delay and short-term neurological functional prognosis for acute ischemic stroke during the lockdown period.Frontiers in neurology · 2022Article
- COVID-19 and ischemic stroke.European journal of neurology · 2021Review
- Impact of Coronavirus Disease 2019 on Time Delay and Functional Outcome of Mechanical Thrombectomy in Tokyo, Japan.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021Observational
- [Three-month functional prognosis of patients hospitalised due to acute ischaemic stroke in Aragon: Rregional analysis of the impact of COVID-19].Neurologia (Barcelona, Spain) · 2021Article
- Impact of the COVID-19 pandemic and post-epidemic periods on the process of endovascular treatment for acute anterior circulation ischaemic stroke.BMC neurology · 2021Article
- COVID-19 and stroke: A review.Brain hemorrhages · 2021Review
- Stroke care during the COVID-19 outbreak in Spain: the experience of Spanish stroke units.Stroke and vascular neurology · 2021Article
- Consequences of COVID-19 pandemic lockdown on emergency and stroke care in a German tertiary stroke center.Neurological research and practice · 2021Article
- Central nervous system as a target of novel coronavirus infections: Potential routes of entry and pathogenic mechanisms.Journal of biosciences · 2021Review
- Impact of the COVID-19 Lockdown on Ophthalmological Assistance in the Emergency Department at a Spanish Primary Level Hospital.Journal of ophthalmology · 2021Article
- Impact of COVID-19 outbreak in reperfusion therapies of acute ischaemic stroke in northwest Spain.European journal of neurology · 2020Observational
- Code Stroke Patient Referral by Emergency Medical Services During the Public COVID-19 Pandemic Lockdown.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020Article
- Impact of COVID-19 outbreak on ischemic stroke admissions and in-hospital mortality in North-West Spain.International journal of stroke : official journal of the International Stroke Society · 2020Observational
- Impact of the SARS-CoV-2 pandemic on stroke care: a warning message.European journal of neurology · 2020Article
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeStroke assistance is facing changes and new challenges since COVID-19 became pandemic. A variation on the patient influx might be one of the greater concerns, due to fewer people coming to emergency departments or coming too late. However, no data quantifying this have been published until now. The aim was to analyse the impact of the COVID-19 epidemic outbreak on hospital stroke admissions and their characteristics in our region.
methodsThe data of every patient admitted to any hospital of our healthcare system with a diagnosis of ischaemic stroke between 30 December 2019 and 19 April 2020 were reviewed. Demographic and clinical data were recorded and compared between periods before and after the setting of the state of emergency secondary to the COVID-19 outbreak.
resultsIn total, 354 patients with ischaemic stroke were admitted in our study period. There was a weekly average of 27.5 cases before the setting of the state of emergency against 12 afterwards (P < 0.001). This drop in stroke cases occurred progressively from week 11, persisting in time despite the decrease in confirmed cases of COVID-19. No differences in the proportion of intravenous thrombolysis (21.1% vs. 21.5%, P = 0.935) or endovascular therapy (12.4% vs. 15.2%, P = 0.510) were found, nor in other demographic or clinical characteristics except for median onset-to-door time (102 vs. 183 min, P = 0.015).
conclusionsThis observational study offers the perspective of a whole region in one of the countries more heavily stricken by the SARS-CoV-2 epidemic and shows that the decrease of stroke events, since the beginning of the COVID-19 outbreak, happened globally and without any specific patient distribution.
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