Evidence map›Paper›PMID 34419835›Full record

Observational studyJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2021

Impact of Coronavirus Disease 2019 on Time Delay and Functional Outcome of Mechanical Thrombectomy in Tokyo, Japan.

Masahiro Katsumata, Takahiro Ota, Junya Kaneko, Hiroyuki Jimbo, Rie Aoki, Shigeta Fujitani, Masahiko Ichijo, Masato Inoue, Keigo Shigeta, Yoshifumi Miyauchi and 8 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study 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. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Masahiro KatsumataDepartment of Neurology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. Electronic address: ktmasahiro@gmail.com.
Takahiro OtaDepartment of Neurosurgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Junya KanekoDepartment of Emergency and Critical Care Medicine, Nippon Medical School Tama Nagayama Hospital, Tokyo, Japan.
Hiroyuki JimboDepartment of Neurosurgery, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan.
Rie AokiDepartment of Neurosurgery, Tokai University Hachioji Hospital, Tokyo, Japan.
Shigeta FujitaniDepartment of Endovascular Neurosurgery, Toranomon Hospital, Tokyo, Japan.
Masahiko IchijoDepartment of Neurology, Musashino Red Cross Hospital, Tokyo, Japan.
Masato InoueDepartment of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan.
Keigo ShigetaDepartment of Neurosurgery, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
Yoshifumi MiyauchiDepartment of Neurology, Showa University Koto Toyosu Hospital, Tokyo, Japan.
Yu SakaiDepartment of Neurosurgery, Showa General Hospital, Tokyo, Japan.
Hideki ArakawaDepartment of Neurosurgery, Omori Red Cross Hospital, Tokyo, Japan.
Yoshinobu OtsukaDepartment of Neurology, Machida Municipal Hospital, Tokyo, Japan.
Kenichi AriyadaDepartment of Neurosurgery, Tokyo Metropolitan Bokuto Hospital, Tokyo, Japan.
Yoshiaki KuroshimaDepartment of Neurosurgery, Hino Municipal Hospital, Tokyo, Japan.
Takahisa FuseDepartment of Neurosurgery, Public Fussa Hospital, Tokyo, Japan.
Yoshiaki ShiokawaDepartment of Neurosurgery, Kyorin University, Tokyo, Japan.
Teruyuki HiranoDepartment of Stroke and Cerebrovascular Medicine, Kyorin University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAn association has been reported between delays in the onset-to-door (O2D) time for mechanical thrombectomy (MT) and outbreaks of coronavirus disease 2019 (COVID-19). However, the association between other MT time courses or functional outcomes and COVID-19 outbreaks remains unclear. We compared the time courses of stroke pathways or functional outcomes in 2020 (the COVID-19 era) with those in 2019 (the pre-COVID-19 era) in Tokyo, Japan. MATERIALS AND

methodsThis retrospective observational study used data from the Tokyo-tama-REgistry of Acute endovascular Thrombectomy (TREAT), a multicenter registry of MT for acute large vessel occlusion in the Tokyo Metropolitan Area. Patients who had undergone acute MT from January 2019 to December 2020 were included. Patients were classified by the year they had undergone MT (2019 or 2020).

resultsIn total, 477 patients were analyzed. O2D time was significantly longer in 2020 (146.0 min) than in 2019 (105.0 min; p = 0.034). No significant difference in door-to-puncture time (D2P) time or modified Rankin Scale (mRS) score 0-2 at 90 days was seen between 2019 and 2020. In the subgroup analysis, O2D time was significantly longer in the first half of 2020 compared with 2019. Multivariable logistic regression analysis revealed that the year 2020 was a independent predictor of longer O2D time, but not for mRS score 0-2 at 90 days.

conclusionsAlthough O2D time was significantly longer in the COVID-19 compared with the pre-COVID-19 era, D2P may not be significantly delayed and functional outcomes may not be different, despite the COVID-19 pandemic.

Indexed as

COVID-19Health Care RationingHealth Services Needs and DemandHumansPractice Patterns, Physicians'RegistriesRetrospective StudiesStrokeThrombectomyTime FactorsTime-to-TreatmentTokyoTreatment OutcomeAcute ischemic strokeCOVID-19EpidemiologyThrombectomy

Identifiers

PMID34419835
PMCPMC8361142

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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.