Evidence map›Paper›PMID 33356382›Full record

ArticleStroke2021

Analysis of Nationwide Stroke Patient Care in Times of COVID-19 Pandemic in Germany.

Daniel Richter, Jens Eyding, Ralph Weber, Dirk Bartig, Armin Grau, Werner Hacke, Christos Krogias

Abstract read
In one paragraph

Article in Stroke, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. COVID-19 pandemic affects STEMI numbers and in-hospital mortality: results of a nationwide analysis in Germany.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Daniel RichterDepartment of Neurology, St Josef-Hospital Bochum (D.R., D.B., C.K.), Ruhr University Bochum, Germany.
Jens EydingMedical Faculty (J.E., R.W., C.K.), Ruhr University Bochum, Germany.
Ralph WeberMedical Faculty (J.E., R.W., C.K.), Ruhr University Bochum, Germany.
Dirk BartigDepartment of Neurology, St Josef-Hospital Bochum (D.R., D.B., C.K.), Ruhr University Bochum, Germany.
Armin GrauDepartment of Neurology, Klinikum der Stadt Ludwigshafen, Germany (A.G.).
Werner HackeDepartment of Neurology, University of Heidelberg, Germany (W.H.).
Christos KrogiasDepartment of Neurology, St Josef-Hospital Bochum (D.R., D.B., C.K.), Ruhr University Bochum, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSince the beginning of the coronavirus disease 2019 (COVID-19) pandemic, many countries have introduced strict hygiene measures of social distancing to prevent further spreading of the disease. This may have led to a decreased presentation to hospital of patients with acute medical conditions and time-dependent management, such as stroke.

methodsWe conducted a nationwide cohort study using administrative database of all hospitalized patients with main diagnosis of acute ischemic stroke (AIS), transient ischemic attack, or intracerebral hemorrhage. Data from a total of 1463 hospitals in Germany were included. We compared case numbers and treatment characteristics of pandemic (March 16 to May 15, 2020) and prepandemic (January 16 to March 15, 2020) cases and also with corresponding time period in 2019.

resultsWe identified a strong decline for hospitalization of AIS (-17.4%), transient ischemic attack (-22.9%), and intracerebral hemorrhage (-15.8%) patients during the pandemic compared with prepandemic period. IVT rate in patients with AIS was comparable (prepandemic versus pandemic: 16.4% versus 16.6%,

conclusionsBesides a massive decrease in absolute case numbers, our data suggest that patients with AIS who did seek acute care during the pandemic, continued to receive acute recanalization treatment in Germany.

Indexed as

Aged, 80 and overBrain IschemiaCOVID-19FemaleGermanyHumansIschemic Attack, TransientMaleMiddle AgedPatient CareSARS-CoV-2StrokecoronavirusdiagnosisGermanyhygienethrombectomy

Identifiers

PMID33356382
PMCPMC7834653

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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.