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Abstract P385: Stroke-Related Hospital Admissions During Covid-19 Pandemic in the Latin American Stroke Registry (LASE)

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dc.contributor.author Pujol Lereis, Virginia Andrea
dc.contributor.author Flores, Alan
dc.contributor.author Arauz-Gongora, Antonio
dc.contributor.author Abanto Argomedo, Carlos
dc.contributor.author Amaya, Pablo
dc.contributor.author Bayona, Hernán
dc.contributor.author Bonardo, Pablo
dc.contributor.author Diaz-Escobar, Luis
dc.contributor.author Gomez Schneider, Maia Macarena
dc.contributor.author Góngora Rivera, Fernando
dc.contributor.author Lavados, Pablo M.
dc.contributor.author León, Carolina
dc.contributor.author Luraschi, Adriana
dc.contributor.author Márquez Romero, Juan Manuel
dc.contributor.author Martins, Sheila C.
dc.contributor.author Navia, Víctor Hugo
dc.contributor.author Ruiz Franco, Angélica
dc.contributor.author Vences, Miguel Ángel
dc.contributor.author Ameriso, Sebastián Francisco
dc.contributor.author LASE/COVID-19 Collaborators
dc.date.accessioned 2021-03-31T16:20:02Z
dc.date.available 2021-03-31T16:20:02Z
dc.date.issued 2021-03-11
dc.identifier.citation Pujol-Lereis Virginia, Flores Alan, Arauz Antonio, Abanto-Argomedo Carlos, Amaya Pablo, Bayona Hernán, Bonardo Pablo, Diaz-Escobar Luis, Gomez-Schneider Maia, Góngora-Rivera Fernando, Lavados Pablo M, León Carolina, Luraschi Adriana, Márquez-Romero Juan Manuel, Martins Sheila C, Navia Victor Hugo, Ruiz-Franco Angelica, Vences Miguel Angel, Zurrú María Cristina, Barboza Miguel A, Ameriso Sebastián F, 2021a. Abstract P385: Stroke-Related Hospital Admissions During Covid-19 Pandemic in the Latin American Stroke Registry (LASE). Stroke 52, AP385–AP385. https://doi.org/10.1161/str.52.suppl_1.P385 es_ES
dc.identifier.uri https://doi.org/10.1161/str.52.suppl_1.P385
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/401
dc.description.abstract Background: COVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially acute admissions and ancillary tests availability. We assessed the impact of the pandemic and the lockdowns imposed in stroke admissions in Latin America. Methods: A multinational study (7 countries, 18 centers) of patients admitted since the pandemic outbreak (January - June 2020). These cases were compared with the same period in 2019. We also assessed patterns during the strictest lockdown period (March-June 2020). Number of cases, stroke etiology and severity, acute care and functional outcomes were compared per periods, months, centers and countries. Results: There were 1863 stroke cases in 2019 and 1781 cases in 2020 (p=0.02). We found a significant increase in strokes of undetermined etiology due to incomplete studies in 2020 [16.8% vs 27.6%, p<0.001]). Most countries reported decreases in all-type stroke admissions, except México and Brasil (16% and 36% increases in admissions, respectively). There were no significant differences among months. All-type mortality increased (6.2% vs. 12.6%, p<0.001), and poor functional outcome (mRs 3-6) increased from 32.2% to 38.8% (p=0.007) in 2020. During the period of strict lockdown (March-June 2020), ischemic stroke admissions during the first 24 hours of onset (68.3% vs. 64.4%, p=0.1) and in-hospital stroke code activation (35.1% vs. 27.6%, p=0.005) diminished compared to 2019 period. No differences in total reperfusion treatment rates were observed, with similar door-to-needle and door-to-groin times in both periods. Conclusions: All-type stroke admissions diminished only slightly during the first months of the COVID-19 pandemic. However, in this region, we found substantial deficiencies in stroke work-up, poor short-term outcome and increased mortality. es_ES
dc.language.iso eng es_ES
dc.publisher Lippincott Williams & Wilkins es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Stroke es_ES
dc.subject Accidente Cerebrovascular es_ES
dc.subject COVID-19 es_ES
dc.subject Latin America es_ES
dc.subject América Latina es_ES
dc.title Abstract P385: Stroke-Related Hospital Admissions During Covid-19 Pandemic in the Latin American Stroke Registry (LASE) es_ES
dc.type info:eu-repo/semantics/other es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Pujol Lereis, Virginia Andrea. Fleni. Centro Integral de Neurología Vascular; Argentina.
dc.description.fil Fil: Flores, Alan. Hospital Joan XXIII; España.
dc.description.fil Fil: AArauz Gongora, Antonio. Instituto Nacional de Neurologia; México.
dc.description.fil Fil: Abanto Argomedo, Carlos. Instituto Nacional de Ciencias Neurológicas; Perú.
dc.description.fil Fil: Amaya, Pablo. Fundación Clínica Valle del Lili; Colombia.
dc.description.fil Fil: Bayona, Hernán. Hospital Universitario Fundación Santa Fe de Bogotá; Colombia.
dc.description.fil Fil: Bonardo, Pablo. Hospital Británico de Buenos Aires; Argentina.
dc.description.fil Fil: Diaz Escobar, Luis. Hospital de Clínicas; Paraguay.
dc.description.fil Fil: Gomez Schneider, Maia Macarena. Sanatorio de los Arcos; Argentina.
dc.description.fil Fil: Góngora Rivera, Fernando. Hospital Universitario José Eleuterio González; México.
dc.description.fil Fil: Lavados, Pablo M. Clínica Alemana de Santiago; Chile.
dc.description.fil Fil: León, Carolina. ISSSTE; México.
dc.description.fil Fil: Luraschi, Adriana. Hospital Pirovano; Argentina.
dc.description.fil Fil: Márquez-Romero, Juan Manuel. Instituto Mexicano del Seguro Social; México.
dc.description.fil Fil: Martins, Sheila C. Hospital de Clínicas de Porto Alegre; Brasil.
dc.description.fil Fil: Navia, Víctor Hugo. Hospital Padre Hurtado; Chile.
dc.description.fil Fil: Ruiz Franco, Angelica. Hospital Juárez; México.
dc.description.fil Fil: Vences, Miguel Ángel. Hospital Nacional Edgardo Rebagliati Martins; Perú.
dc.description.fil Fil: Ameriso, Sebastián Francisco. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.relation.ispartofVOLUME 52
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Baltimore
dc.relation.ispartofTITLE Stroke
dc.relation.ispartofISSN 1524-4628
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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