ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2020
Collateral damage - Impact of a pandemic on stroke emergency services.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Changes in Stroke Hospital Care During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.Stroke · 2021Pooled it
- Italy's Post-COVID-19 Stroke Network: Has It Returned to Pre-Pandemic Standards?Epidemiologia (Basel, Switzerland) · 2024Article
- Changing the stroke network during pandemic scenarios does not affect the management of patients with a positive Cincinnati prehospital stroke scale.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Trends in the Incidence of Cardiovascular Diagnoses and Procedures over the Years 2012-2021 in Israel: The Impact of the COVID-19 Pandemic.Journal of clinical medicine · 2024Article
- Effects of the COVID-19 pandemic on healthcare utilization among older adults with cardiovascular diseases and multimorbidity in Indonesia: an interrupted time-series analysis.BMC public health · 2024Article
- Changes in Acute ED Visits by Race/Ethnicity During the Early COVID-19 Pandemic.Journal of immigrant and minority health · 2023Article
- Impact of free hypertension pharmacy program and social distancing policy on stroke: A longitudinal study.Frontiers in public health · 2023Article
- Changes to the Major Trauma Pre-Hospital Emergency Medical System Network before and during the 2019 COVID-19 Pandemic.Journal of clinical medicine · 2022Article
- The Impact of COVID-19 on Lombardy Region ST-Elevation Myocardial Infarction Emergency Medical System Network-A Three-Year Study.Journal of clinical medicine · 2022Article
- Lessons learned in stroke care during COVID-19 pandemic and preparing for future pandemics in the MENA+ region: A consensus statement from the MENA+-SINO.Journal of the neurological sciences · 2022Article
- Trends in Stroke Presentations before and during the COVID-19 Pandemic: A Meta-Analysis.Journal of stroke · 2022Article
- Effect of the Coronavirus Disease 2019 Pandemic on the Quality of Stroke Care in Stroke Units and Alternative Wards: A National Comparative Analysis.Journal of stroke · 2022Article
- COVID-19 and ischemic stroke.European journal of neurology · 2021Review
- The impact of COVID-19 on acute stroke care in Belgium.Acta neurologica Belgica · 2021Article
- Effect of the COVID-19 pandemic on CT scans ordered from the emergency department for abdominal complaints.Emergency radiology · 2021Observational
- EMS responses and non-transports during the COVID-19 pandemic.The American journal of emergency medicine · 2021Article
- Impact of COVID-19 on the rate of stroke cases at a tertiary hospital in Makkah, Saudi Arabia.Neurosciences (Riyadh, Saudi Arabia) · 2021Article
- Trends in Healthcare Access in Japan during the First Wave of the COVID-19 Pandemic, up to June 2020.International journal of environmental research and public health · 2021Observational
- Article
- Making the case for strong health information systems during a pandemic and beyond.Archives of public health = Archives belges de sante publique · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic's impact on stroke care is two-fold direct impact of the infection and indirect impact on non-COVID-19 diseases. Anecdotal evidence and clinical observation suggest that there is a decrease in the number of patients presenting with stroke during the pandemic. We aim to understand the impact of the COVID-19 pandemic on the utilization of stroke emergency services on a single comprehensive stroke center (CSC).
methodsWe performed a retrospective analysis of a prospectively maintained database and compared all emergency department (ED) encounters, acute stroke admissions (including TIA), and thrombectomy cases admitted in March 2017-2019 to patients admitted in March 2020 at a comprehensive stroke center.
resultsNumber of total ED encounters (22%, p=0.005), acute ischemic strokes (40%, p=0.001), and TIAs (60%, p=0.163) decreased between March of 2017-2019 compared to March of 2020. The number of patients undergoing EVT in March 2020 was comparable to March 2017-2019 (p=0.430).
conclusionA pandemic-related stay-at-home policy reduces the utilization of stroke emergency services at a CSC. This effect appears to be more prominent for ED encounters, all stroke admissions and TIAs, and less impactful for severe strokes. Given the relatively low prevalence of COVID-19 cases in our region, this decrement is likely related to healthcare seeking behavior rather than capacity saturation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.