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Impact of the COVID-19 outbreak on acute stroke care

BACKGROUND AND PURPOSE: There are concerns that the coronavirus disease 2019 (COVID-19) outbreak negatively affects the quality of care for acute cardiovascular conditions. We assessed the impact of the COVID-19 outbreak on trends in hospital admissions and workflow parameters of acute stroke care i...

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Autores principales: Rinkel, L. A., Prick, J. C. M., Slot, R. E. R., Sombroek, N. M. A., Burggraaff, J., Groot, A. E., Emmer, B. J., Roos, Y. B. W. E. M., Brouwer, M. C., van den Berg-Vos, R. M., Majoie, C. B. L. M., Beenen, L. F. M., van de Beek, D., Visser, M. C., van Schaik, S. M., Coutinho, J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370633/
https://www.ncbi.nlm.nih.gov/pubmed/32691235
http://dx.doi.org/10.1007/s00415-020-10069-1
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author Rinkel, L. A.
Prick, J. C. M.
Slot, R. E. R.
Sombroek, N. M. A.
Burggraaff, J.
Groot, A. E.
Emmer, B. J.
Roos, Y. B. W. E. M.
Brouwer, M. C.
van den Berg-Vos, R. M.
Majoie, C. B. L. M.
Beenen, L. F. M.
van de Beek, D.
Visser, M. C.
van Schaik, S. M.
Coutinho, J. M.
author_facet Rinkel, L. A.
Prick, J. C. M.
Slot, R. E. R.
Sombroek, N. M. A.
Burggraaff, J.
Groot, A. E.
Emmer, B. J.
Roos, Y. B. W. E. M.
Brouwer, M. C.
van den Berg-Vos, R. M.
Majoie, C. B. L. M.
Beenen, L. F. M.
van de Beek, D.
Visser, M. C.
van Schaik, S. M.
Coutinho, J. M.
author_sort Rinkel, L. A.
collection PubMed
description BACKGROUND AND PURPOSE: There are concerns that the coronavirus disease 2019 (COVID-19) outbreak negatively affects the quality of care for acute cardiovascular conditions. We assessed the impact of the COVID-19 outbreak on trends in hospital admissions and workflow parameters of acute stroke care in Amsterdam, The Netherlands. METHODS: We used data from the three hospitals that provide acute stroke care for the Amsterdam region. We compared two 7-week periods: one during the peak of the COVID-19 outbreak (March 16th–May 3th 2020) and one prior to the outbreak (October 21st–December 8th 2019). We included consecutive patients who presented to the emergency departments with a suspected stroke and assessed the change in number of patients as an incidence-rate ratio (IRR) using a Poisson regression analysis. Other outcomes were the IRR for stroke subtypes, change in use of reperfusion therapy, treatment times, and in-hospital complications. RESULTS: During the COVID-19 period, 309 patients presented with a suspected stroke compared to 407 patients in the pre-COVID-19 period (IRR 0.76 95%CI 0.65–0.88). The proportion of men was higher during the COVID-19 period (59% vs. 47%, p < 0.001). There was no change in the proportion of stroke patients treated with intravenous thrombolysis (28% vs. 30%, p = 0.58) or endovascular thrombectomy (11% vs 12%, p = 0.82) or associated treatment times. Seven patients (all ischemic strokes) were diagnosed with COVID-19. CONCLUSION: We observed a 24% decrease in suspected stroke presentations during the COVID-19 outbreak, but no evidence for a decrease in quality of acute stroke care.
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spelling pubmed-73706332020-07-20 Impact of the COVID-19 outbreak on acute stroke care Rinkel, L. A. Prick, J. C. M. Slot, R. E. R. Sombroek, N. M. A. Burggraaff, J. Groot, A. E. Emmer, B. J. Roos, Y. B. W. E. M. Brouwer, M. C. van den Berg-Vos, R. M. Majoie, C. B. L. M. Beenen, L. F. M. van de Beek, D. Visser, M. C. van Schaik, S. M. Coutinho, J. M. J Neurol Original Communication BACKGROUND AND PURPOSE: There are concerns that the coronavirus disease 2019 (COVID-19) outbreak negatively affects the quality of care for acute cardiovascular conditions. We assessed the impact of the COVID-19 outbreak on trends in hospital admissions and workflow parameters of acute stroke care in Amsterdam, The Netherlands. METHODS: We used data from the three hospitals that provide acute stroke care for the Amsterdam region. We compared two 7-week periods: one during the peak of the COVID-19 outbreak (March 16th–May 3th 2020) and one prior to the outbreak (October 21st–December 8th 2019). We included consecutive patients who presented to the emergency departments with a suspected stroke and assessed the change in number of patients as an incidence-rate ratio (IRR) using a Poisson regression analysis. Other outcomes were the IRR for stroke subtypes, change in use of reperfusion therapy, treatment times, and in-hospital complications. RESULTS: During the COVID-19 period, 309 patients presented with a suspected stroke compared to 407 patients in the pre-COVID-19 period (IRR 0.76 95%CI 0.65–0.88). The proportion of men was higher during the COVID-19 period (59% vs. 47%, p < 0.001). There was no change in the proportion of stroke patients treated with intravenous thrombolysis (28% vs. 30%, p = 0.58) or endovascular thrombectomy (11% vs 12%, p = 0.82) or associated treatment times. Seven patients (all ischemic strokes) were diagnosed with COVID-19. CONCLUSION: We observed a 24% decrease in suspected stroke presentations during the COVID-19 outbreak, but no evidence for a decrease in quality of acute stroke care. Springer Berlin Heidelberg 2020-07-20 2021 /pmc/articles/PMC7370633/ /pubmed/32691235 http://dx.doi.org/10.1007/s00415-020-10069-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Communication
Rinkel, L. A.
Prick, J. C. M.
Slot, R. E. R.
Sombroek, N. M. A.
Burggraaff, J.
Groot, A. E.
Emmer, B. J.
Roos, Y. B. W. E. M.
Brouwer, M. C.
van den Berg-Vos, R. M.
Majoie, C. B. L. M.
Beenen, L. F. M.
van de Beek, D.
Visser, M. C.
van Schaik, S. M.
Coutinho, J. M.
Impact of the COVID-19 outbreak on acute stroke care
title Impact of the COVID-19 outbreak on acute stroke care
title_full Impact of the COVID-19 outbreak on acute stroke care
title_fullStr Impact of the COVID-19 outbreak on acute stroke care
title_full_unstemmed Impact of the COVID-19 outbreak on acute stroke care
title_short Impact of the COVID-19 outbreak on acute stroke care
title_sort impact of the covid-19 outbreak on acute stroke care
topic Original Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370633/
https://www.ncbi.nlm.nih.gov/pubmed/32691235
http://dx.doi.org/10.1007/s00415-020-10069-1
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