Evidence map›Paper›PMID 34406562›Full record

Observational studyGeroScience2021

Impact of COVID-19 on ischemic stroke care in Hungary.

Péter Pál Böjti, Géza Szilágyi, Balázs Dobi, Rita Stang, István Szikora, Balázs Kis, Ákos Kornfeld, Csaba Óváry, Lóránd Erőss, Péter Banczerowski and 2 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in GeroScience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Quality of Care and Outcomes for Patients with Acute Ischemic Stroke and Transient Ischemic Attack During the COVID-19 Pandemic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  8. Article
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

12 authors at 3 institutions in 3 countries.

Péter Pál BöjtiJános Szentágothai Doctoral School of Neurosciences, Semmelweis University, Balassa utca 6., Budapest, 1083, Hungary. bojtipeterpal@gmail.com.ORCID http://orcid.org/0000-0002-3065-5775
Géza SzilágyiJános Szentágothai Doctoral School of Neurosciences, Semmelweis University, Balassa utca 6., Budapest, 1083, Hungary.
Balázs DobiDepartment of Probability Theory and Statistics, Eötvös Loránd University, Budapest, Hungary.ORCID http://orcid.org/0000-0002-1187-4104
Rita StangJános Szentágothai Doctoral School of Neurosciences, Semmelweis University, Balassa utca 6., Budapest, 1083, Hungary.ORCID http://orcid.org/0000-0003-3093-9484
István SzikoraJános Szentágothai Doctoral School of Neurosciences, Semmelweis University, Balassa utca 6., Budapest, 1083, Hungary.ORCID http://orcid.org/0000-0003-3730-3278
Balázs KisNational Institute of Mental Health, Neurology and Neurosurgery, Budapest, Hungary.
Ákos KornfeldNational Institute of Mental Health, Neurology and Neurosurgery, Budapest, Hungary.
Csaba ÓváryNational Institute of Mental Health, Neurology and Neurosurgery, Budapest, Hungary.
Lóránd ErőssJános Szentágothai Doctoral School of Neurosciences, Semmelweis University, Balassa utca 6., Budapest, 1083, Hungary.ORCID http://orcid.org/0000-0002-5796-5546
Péter BanczerowskiJános Szentágothai Doctoral School of Neurosciences, Semmelweis University, Balassa utca 6., Budapest, 1083, Hungary.ORCID http://orcid.org/0000-0003-2144-5298
Wojciech KuczyńskiDepartment of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Lodz, Poland.ORCID http://orcid.org/0000-0001-6187-0833
Dániel BereczkiJános Szentágothai Doctoral School of Neurosciences, Semmelweis University, Balassa utca 6., Budapest, 1083, Hungary.ORCID http://orcid.org/0000-0002-8374-0500
Semmelweis University · HUEötvös Loránd University · HUMedical University of Lodz · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data about the coronavirus disease 2019 (COVID-19) pandemic's collateral damage on ischemic stroke (IS) care during the second epidemic wave in Central Europe are limited. We sought to evaluate the impact of the COVID-19 outbreak on Hungarian IS care during the two epidemic waves. This retrospective observational study was based on a nationwide reimbursement database that encompasses all IS admissions and all reperfusion interventions, i.e., intravenous thrombolysis (IVT) and endovascular therapy (EVT) from 2 January 2017 to 31 December 2020 in Hungary. COVID-19 pandemic's effect on the number of IS admissions and reperfusion interventions were analyzed using different statistics: means, medians, trends, relative rates, and linear relationships. The mean and median values of IS admissions and reperfusion interventions decreased only in some measure during the COVID-periods. However, trend analysis demonstrated a significant decline from the trends. The decline's dynamic and amplitude have differed for each variable. In contrast to IVT, the number of IS admissions and EVTs negatively correlated with the epidemic waves' amplitude. Besides, the decrease in the number of IS admissions was more pronounced than the decrease in the number of reperfusion interventions. Our study demonstrated a significant disruption in IS care during the COVID-19 epidemic in Hungary, in which multiple different factors might play a role. The disproportionate reduction of IS admission numbers could partially be explained by the effect of health emergency operative measures and changes in patients' social behavior. Further studies are needed to evaluate the causes of our observations.

Indexed as

Brain IschemiaCOVID-19Ischemic StrokeStrokeHumansHungaryPandemicsSARS-CoV-2COVID-19EpidemiologyHungaryStrokeThrombectomyThrombolysis

Identifiers

PMID34406562
PMCPMC8371604
OpenAlexW3195353121

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.