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Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis

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dc.contributor.author Nogueira, Raul G.
dc.contributor.author Qureshi, Muhammad M.
dc.contributor.author Abdalkader, Mohamad
dc.contributor.author Ouriques Martins, Sheila C.
dc.contributor.author Yamagami, Hiroshi
dc.contributor.author Qiu, Zhongming
dc.contributor.author Yassin Mansour, Ossama
dc.contributor.author Sathya, Anvitha
dc.contributor.author Czlonkowska, Anna
dc.contributor.author Tsivgoulis, Georgios
dc.contributor.author Aguiar de Sousa, Diana
dc.contributor.author Demeestere, Jelle
dc.contributor.author Mikulik, Robert
dc.contributor.author Vanacker, Peter
dc.contributor.author Siegler, James E.
dc.contributor.author Kõrv, Janika
dc.contributor.author Biller, Jose
dc.contributor.author Liang, Conrad W.
dc.contributor.author Sangha, Navdeep S.
dc.contributor.author Pujol Lereis, Virginia Andrea
dc.date.accessioned 2021-04-15T12:31:33Z
dc.date.available 2021-04-15T12:31:33Z
dc.date.issued 2021-03-25
dc.identifier.citation Nogueira RG, Qureshi MM, Abdalkader M. SVIN COVID-19 Global Stroke Registry. Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis. Neurology. 2021 Mar 25:10.1212/WNL.0000000000011885 es_ES
dc.identifier.uri https://doi.org/10.1212/WNL.0000000000011885
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/405
dc.description.abstract Objective: The objectives of this study were to measure the global impact of the pandemic on the volumes for intravenous thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with two control 4-month periods. Methods: We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases. Results: There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95%CI, -11.7 to - 11.3, p<0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95%CI, -13.8 to -12.7, p<0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95%CI, -13.7 to -10.3, p=0.001). Recovery of stroke hospitalization volume (9.5%, 95%CI 9.2-9.8, p<0.0001) was noted over the two later (May, June) versus the two earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions: The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months. es_ES
dc.language.iso eng es_ES
dc.publisher AAN es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Infecciones por Coronavirus
dc.subject Coronavirus Infections es_ES
dc.subject Stroke es_ES
dc.subject Accidente Cerebrovascular es_ES
dc.subject Intravenous Thrombolysis es_ES
dc.subject Trombolisis Intravenosa es_ES
dc.title Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Nogueira, Raul G. Boston University School of Medicine; Estados Unidos.
dc.description.fil Fil: Qureshi, Muhammed M. Boston Medical Center; Estados Unidos.
dc.description.fil Fil: Abdalkader, Mohamad. Boston Medical Center; Estados Unidos.
dc.description.fil Fil: Ouriques Martins, Sheila C. Osaka National Hospital; Japón.
dc.description.fil Fil: Yamagami, Hiroshi. Universidade de Lisboa; Portugal.
dc.description.fil Fil: Qiu, Zhongming. Leuven University Hospital; Belgica.
dc.description.fil Fil: Yassin Mansour, Ossama. Masaryk University; Republica Checa.
dc.description.fil Fil: Sathya, Anvitha. University of Antwerp; Belgica.
dc.description.fil Fil: Czlonkowska, Anna. Cooper University Hospital; Estados Unidos.
dc.description.fil Fil: Tsivgoulis, Georgios. Universidade de Lisboa; Portugal.
dc.description.fil Fil: Aguiar de Sousa, Diana. Leuven University Hospital; Belgica.
dc.description.fil Fil: Demeestere, Jelle. Masaryk University; Republica Checa.
dc.description.fil Fil: Mikulik, Robert. University of Antwerp; Belgica.
dc.description.fil Fil: Vanacker, Peter. Cooper University Hospital; Estados Unidos.
dc.description.fil Fil: Siegler, James E. University of Tartu; Estonia.
dc.description.fil Fil: Kõrv, Janika. Loyola University Chicago Stritch School of Medicine; Estados Unidos.
dc.description.fil Fil: Biller, Jose. Kaiser Permanente Fontana Medical Center; Estados Unidos.
dc.description.fil Fil: Liang, Conrad W. Kaiser Permanente Los Angeles Medical Center; Estados Unidos.
dc.description.fil Fil: Sangha, Navdeep S. UT Health McGovern Medical School; Estados Unidos.
dc.description.fil Fil: Pujol Lereis, Virginia Andrea. Fleni. Centro Integral de Neurología Vascular; Argentina.
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Hagerstown
dc.relation.ispartofTITLE Neurology
dc.relation.ispartofISSN 1526-632X
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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