Evidence map›Paper›PMID 33672096›Full record

ArticleInternational journal of environmental research and public health2021

Changes in Prehospital Stroke Care and Stroke Mimic Patterns during the COVID-19 Lockdown.

Kazimieras Melaika, Lukas Sveikata, Adam Wiśniewski, Altynshash Jaxybayeva, Aleksandra Ekkert, Dalius Jatužis, Rytis Masiliūnas

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. The stroke meta-metric, Defect-Free Care, was maintained year-over-year within the Florida stroke registry during the COVID-19 pandemic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025
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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 at 4 institutions in 4 countries.

Kazimieras MelaikaFaculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania.ORCID 0000-0003-4413-0635
Lukas SveikataJ. Philip Kistler Stroke Research Center, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02109, USA.ORCID 0000-0001-8015-7929
Adam WiśniewskiDepartment of Neurology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 85-094 Bydgoszcz, Poland.ORCID 0000-0001-5839-0126
Altynshash JaxybayevaDepartment of Neurology, Astana Medical University, Nur-Sultan 010000, Kazakhstan.ORCID 0000-0002-8927-7377
Aleksandra EkkertCenter of Neurology, Vilnius University, 08661 Vilnius, Lithuania.ORCID 0000-0003-2069-8744
Dalius JatužisCenter of Neurology, Vilnius University, 08661 Vilnius, Lithuania.ORCID 0000-0001-6159-4795
Rytis MasiliūnasCenter of Neurology, Vilnius University, 08661 Vilnius, Lithuania.ORCID 0000-0002-8033-9682
Vilnius University · LTAstana Medical University · KZLithuanian University of Health Sciences · LTNicolaus Copernicus University · PL

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung P2GEP3_191584
6 · The paper itself

Abstract

The impact of COVID-19 lockdown on prehospital stroke care is largely unknown. We aimed to compare stroke care patterns before and during a state-wide lockdown. Thus, we analysed prospective data of stroke alerts referred to our stroke centre between 1 December 2019 and 16 June 2020, and compared them between two periods-15 weeks before and 13 weeks during the state-wide lockdown declared in Lithuania on 16 March 2020. Among 719 referrals for suspected stroke, there was a decrease in stroke alerts (rate ratio 0.61, 95% CI (0.52-0.71)), stroke admissions (0.63, 95% CI (0.52-0.76)), and decrease in prehospital stroke triage quality (positive predictive value 72.1% vs. 79.9%,

Indexed as

Brain IschemiaCOVID-19StrokeAgedAged, 80 and overCommunicable Disease ControlDiagnosis, DifferentialFemaleHospitalizationHumansLithuaniaMiddle AgedProspective StudiesRetrospective StudiesTriageCOVID-19emergency medical servicesmisdiagnosisstrokestroke mimictriage

Identifiers

PMID33672096
PMCPMC7926658
OpenAlexW3130269188

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.