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Telestroke in the Time of COVID-19: The Mayo Clinic Experience
On March 11, 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) a pandemic, and in the weeks following, public health organizations, medical associations, and governing bodies throughout the world recommended limiting contact with others to “flatten the curve” of CO...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mayo Foundation for Medical Education and Research
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293444/ https://www.ncbi.nlm.nih.gov/pubmed/32753143 http://dx.doi.org/10.1016/j.mayocp.2020.06.007 |
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author | Huang, Josephine F. Greenway, Melanie R.F. Nasr, Deena M. Chukwudelunzu, Felix E. Demaerschalk, Bart M. O’Carroll, Cumara B. Nord, Charisse A. Pahl, Emily A. Barrett, Kevin M. Williams, Lindsy N. |
author_facet | Huang, Josephine F. Greenway, Melanie R.F. Nasr, Deena M. Chukwudelunzu, Felix E. Demaerschalk, Bart M. O’Carroll, Cumara B. Nord, Charisse A. Pahl, Emily A. Barrett, Kevin M. Williams, Lindsy N. |
author_sort | Huang, Josephine F. |
collection | PubMed |
description | On March 11, 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) a pandemic, and in the weeks following, public health organizations, medical associations, and governing bodies throughout the world recommended limiting contact with others to “flatten the curve” of COVID-19. Although both ischemic and hemorrhagic strokes have been reported with COVID-19, there has been anecdotal suggestion of an overall decrease in stroke admissions. To date, the effects of any pandemic on telestroke service lines have not been described. The purpose of this cross-sectional analysis of telestroke activations in the 30 days before and after the declaration of the COVID-19 pandemic is to describe the difference in case volumes of telestroke activations, the characteristics of patients, and treatment recommendations between the 2 time frames. We found a 50.0% reduction in total telestroke activations between the predeclaration group (142 patients) and the postdeclaration group (71 patients). There were no statistically significant differences in age (P=.95), sex (P=.10), diagnosis (P=.26), or regional variations (P=.08) in activation volumes. The percentage of patients for whom we recommended urgent stroke treatment with intravenous alteplase, mechanical thrombectomy, or both decreased from 44.4% (28 of 63) to 33.3% (11 of 33). The reasons for the sunstantial decrease in telestroke activations and urgent stroke treatment recommendations are likely multifactorial but nevertheless underscore the importance of continued public health measures to encourage patients and families to seek emergency medical care at the time of symptom onset. |
format | Online Article Text |
id | pubmed-7293444 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Mayo Foundation for Medical Education and Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-72934442020-06-14 Telestroke in the Time of COVID-19: The Mayo Clinic Experience Huang, Josephine F. Greenway, Melanie R.F. Nasr, Deena M. Chukwudelunzu, Felix E. Demaerschalk, Bart M. O’Carroll, Cumara B. Nord, Charisse A. Pahl, Emily A. Barrett, Kevin M. Williams, Lindsy N. Mayo Clin Proc Article On March 11, 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) a pandemic, and in the weeks following, public health organizations, medical associations, and governing bodies throughout the world recommended limiting contact with others to “flatten the curve” of COVID-19. Although both ischemic and hemorrhagic strokes have been reported with COVID-19, there has been anecdotal suggestion of an overall decrease in stroke admissions. To date, the effects of any pandemic on telestroke service lines have not been described. The purpose of this cross-sectional analysis of telestroke activations in the 30 days before and after the declaration of the COVID-19 pandemic is to describe the difference in case volumes of telestroke activations, the characteristics of patients, and treatment recommendations between the 2 time frames. We found a 50.0% reduction in total telestroke activations between the predeclaration group (142 patients) and the postdeclaration group (71 patients). There were no statistically significant differences in age (P=.95), sex (P=.10), diagnosis (P=.26), or regional variations (P=.08) in activation volumes. The percentage of patients for whom we recommended urgent stroke treatment with intravenous alteplase, mechanical thrombectomy, or both decreased from 44.4% (28 of 63) to 33.3% (11 of 33). The reasons for the sunstantial decrease in telestroke activations and urgent stroke treatment recommendations are likely multifactorial but nevertheless underscore the importance of continued public health measures to encourage patients and families to seek emergency medical care at the time of symptom onset. Mayo Foundation for Medical Education and Research 2020-08 2020-06-13 /pmc/articles/PMC7293444/ /pubmed/32753143 http://dx.doi.org/10.1016/j.mayocp.2020.06.007 Text en © 2020 Mayo Foundation for Medical Education and Research. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Huang, Josephine F. Greenway, Melanie R.F. Nasr, Deena M. Chukwudelunzu, Felix E. Demaerschalk, Bart M. O’Carroll, Cumara B. Nord, Charisse A. Pahl, Emily A. Barrett, Kevin M. Williams, Lindsy N. Telestroke in the Time of COVID-19: The Mayo Clinic Experience |
title | Telestroke in the Time of COVID-19: The Mayo Clinic Experience |
title_full | Telestroke in the Time of COVID-19: The Mayo Clinic Experience |
title_fullStr | Telestroke in the Time of COVID-19: The Mayo Clinic Experience |
title_full_unstemmed | Telestroke in the Time of COVID-19: The Mayo Clinic Experience |
title_short | Telestroke in the Time of COVID-19: The Mayo Clinic Experience |
title_sort | telestroke in the time of covid-19: the mayo clinic experience |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293444/ https://www.ncbi.nlm.nih.gov/pubmed/32753143 http://dx.doi.org/10.1016/j.mayocp.2020.06.007 |
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