ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2021
COVID-19 Lockdown Effects on Acute Stroke Care in Latin America.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ischemic stroke in Peru: a scoping review of trends, outcomes, and evidence gaps.Frontiers in epidemiology · 2026Pooled it
- Impact of the COVID-19 Pandemic on Coronary Heart Disease Admissions and Mortality in Mexico: An Ecological Study.Health science reports · 2026Article
- Trends in Stroke Mortality Among Adults in Southern Brazil: A Time Series Study (2000-2021).International journal of preventive medicine · 2026Article
- Influence of the Covid-19 pandemic on cerebrovascular diseases in the Sao Paulo region of Brazil.Communications medicine · 2025Article
- Economic burden, mortality, and incidence of hospital admissions for cerebrovascular diseases in Brazil from 2017 to 2022: a perspective of the Brazilian Unified Health System.Revista de saude publica · 2025Article
- Sex Disparity in Stroke Mortality among Adults: A Time Series Analysis in the Greater Vitoria Region, Brazil (2000-2021).Epidemiologia (Basel, Switzerland) · 2024Article
- 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
- The Impact of COVID-19 Pandemic on Ischemic Stroke Patients in a Comprehensive Hospital.Risk management and healthcare policy · 2022Article
- Control of Vascular Risk Factors and Response to Stroke Symptoms in Argentina During the COVID-19 Quarantine. The SIFHON-COVID Population Survey.Frontiers in neurology · 2022Article
- Article
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22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesCOVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially during peak periods. We assessed the impact of the pandemic and lockdowns in stroke admissions and care in Latin America. MATERIALS AND
methodsA multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March-June 2020). Comparisons were made with the same period in 2019. Numbers of cases, stroke etiology and severity, acute care and hospitalization outcomes were assessed.
resultsMost countries reported mild decreases in stroke admissions compared to the same period of 2019 (1187 vs. 1166, p = 0.03). Among stroke subtypes, there was a reduction in ischemic strokes (IS) admissions (78.3% vs. 73.9%, p = 0.01) compared with 2019, especially in IS with NIHSS 0-5 (50.1% vs. 44.9%, p = 0.03). A substantial increase in the proportion of stroke admissions beyond 48 h from symptoms onset was observed (13.8% vs. 20.5%, p < 0.001). Nevertheless, no differences in total reperfusion treatment rates were observed, with similar door-to-needle, door-to-CT, and door-to-groin times in both periods. Other stroke outcomes, as all-type mortality during hospitalization (4.9% vs. 9.7%, p < 0.001), length of stay (IQR 1-5 days vs. 0-9 days, p < 0.001), and likelihood to be discharged home (91.6% vs. 83.0%, p < 0.001), were compromised during COVID-19 lockdown period.
conclusionsIn this Latin America survey, there was a mild decrease in admissions of IS during the COVID-19 lockdown period, with a significant delay in time to consultations and worse hospitalization outcomes.
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