Observational studyEuropean journal of neurology2020
Impact of COVID-19 outbreak in reperfusion therapies of acute ischaemic stroke in northwest Spain.
Observational study 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 19 papers, 2 of them syntheses that pooled it.
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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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Global burden of the COVID-19 associated patient-related delay in emergency healthcare: a panel of systematic review and meta-analyses.Globalization and health · 2022Pooled it
- Changes in Stroke Hospital Care During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.Stroke · 2021Pooled it
- Effect of the COVID-19 pandemic on advanced life support units' prehospital management of the stroke code in four Spanish regions: an observational study.BMC emergency medicine · 2023Observational
- Mesenteric Infarction With Cerebral Thrombotic Relapses and Pulmonary Embolism Two and Four Months After COVID-19.Gastroenterology research · 2023Article
- Impact of the COVID-19 pandemic on head and neck cancer diagnosis: data from a single referral center, South Tyrol, northern Italy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Article
- Social Distancing, Stroke Admissions and Stroke Mortality During the COVID-19 Pandemic: A Multicenter, Longitudinal Study.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022Article
- Stroke admissions and revascularization treatments in Denmark during COVID-19.Acta neurologica Scandinavica · 2022Article
- Treat COVID-19, but Not Only COVID-19: Stroke Matters as Well.Cerebrovascular diseases (Basel, Switzerland) · 2022Article
- A plea for equitable global access to COVID-19 diagnostics, vaccination and therapy: The NeuroCOVID-19 Task Force of the European Academy of Neurology.European journal of neurology · 2021Article
- Impact of the COVID-19 pandemic and a national lockdown on hospitalizations for stroke and related 30-day mortality in France: A nationwide observational study.European journal of neurology · 2021Observational
- Article
- Impact on polytrauma patient prehospital care during the first wave of the COVID-19 pandemic: a cross-sectional study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Impact of COVID-19 on ischemic stroke care in Hungary.GeroScience · 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
- [Neurovascular manifestations of COVID‑19].Der Nervenarzt · 2021Review
- Changes in Prehospital Stroke Care and Stroke Mimic Patterns during the COVID-19 Lockdown.International journal of environmental research and public health · 2021Article
- Results of an International Questionnaire Investigating Changes in Acute Stroke Management between Before and During the COVID-19 Pandemic.Journal of neuroendovascular therapy · 2021Article
- Reductions in Hospital Admissions and Delays in Acute Stroke Care During the Pandemic of COVID-19.Frontiers in neurology · 2020Article
Corrections and comments
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Authors and funding
35 authors at 17 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeSpain has been one of the countries more heavily stricken by SARS-CoV-2, which has had huge implications for stroke care. The aim was to analyse the impact of the COVID-19 epidemic outbreak on reperfusion therapies for acute ischaemic stroke in the northwest of Spain.
methodsThis was a Spanish multicentre retrospective observational study based on data from tertiary hospitals of the NORDICTUS network. All patients receiving reperfusion therapy for ischaemic stroke between 30 December 2019 and 3 May 2020 were recorded, and their baseline, clinical and radiological characteristics, extra- and intra-hospital times of action, Code Stroke activation pathway, COVID-19 status, reperfusion rate, and short-term outcome before and after the setting of the emergency state were analysed.
resultsA total of 796 patients received reperfusion therapies for ischaemic stroke. There was a decrease in the number of patients treated per week (46.5 patients per week vs. 39.0 patients per week, P = 0.043) and a delay in out-of-hospital (95.0 vs. 110.0 min, P = 0.001) and door-to-needle times (51.0 vs. 55.0, P = 0.038). Patients receiving endovascular therapy obtained less successful reperfusion rates (92.9% vs. 86.6%, P = 0.016). COVID-19 patients had more in-hospital mortality.
conclusionA decrease in the number of patients benefiting from reperfusion therapies was found, with a delay in out-of-hospital and door-to-needle times and worse reperfusion rates in northwest Spain. COVID-19 patients had more in-hospital mortality.
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