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Stroke admission rates before, during and after the first phase of the COVID-19 pandemic
BACKGROUND: There was a significant decrease in stroke admissions during the first phase of the COVID-19 pandemic. There are concerns that stroke patients have not sought medical attention and in the months after the lockdown suffer recurrent severe strokes. The aims of this study were to investigat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799168/ https://www.ncbi.nlm.nih.gov/pubmed/33428057 http://dx.doi.org/10.1007/s10072-021-05039-y |
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author | Kristoffersen, Espen Saxhaug Jahr, Silje Holt Faiz, Kashif Waqar Thommessen, Bente Rønning, Ole Morten |
author_facet | Kristoffersen, Espen Saxhaug Jahr, Silje Holt Faiz, Kashif Waqar Thommessen, Bente Rønning, Ole Morten |
author_sort | Kristoffersen, Espen Saxhaug |
collection | PubMed |
description | BACKGROUND: There was a significant decrease in stroke admissions during the first phase of the COVID-19 pandemic. There are concerns that stroke patients have not sought medical attention and in the months after the lockdown suffer recurrent severe strokes. The aims of this study were to investigate how stroke admission rates and distributions of severity varied before, during and after the lockdown in a representative Norwegian hospital population. METHODS: All patients discharged from Akershus University Hospital with a diagnosis of transient ischemic attack (TIA) or acute stroke from January to September 2020 were identified by hospital chart review. RESULTS: We observed a transient decrease in weekly stroke admissions during lockdown from an average of 21.4 (SD 4.7) before to 15.0 (SD 4.2) during and 17.2 (SD 3.3) after (p < 0.011). The proportion of mild ischemic and haemorrhagic strokes was also lower during lockdown with 66% before, 57% during and 68% after (p = 0.011). CONCLUSION: The period of COVID-19 lockdown was associated with a temporary reduction in total admissions of strokes. In particular, there were fewer with TIA and mild stroke. Given the need to prevent the worsening of symptoms and risk of recurrence, it is necessary to emphasise the importance to seek medical care even in states of emergency. |
format | Online Article Text |
id | pubmed-7799168 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-77991682021-01-12 Stroke admission rates before, during and after the first phase of the COVID-19 pandemic Kristoffersen, Espen Saxhaug Jahr, Silje Holt Faiz, Kashif Waqar Thommessen, Bente Rønning, Ole Morten Neurol Sci Covid-19 BACKGROUND: There was a significant decrease in stroke admissions during the first phase of the COVID-19 pandemic. There are concerns that stroke patients have not sought medical attention and in the months after the lockdown suffer recurrent severe strokes. The aims of this study were to investigate how stroke admission rates and distributions of severity varied before, during and after the lockdown in a representative Norwegian hospital population. METHODS: All patients discharged from Akershus University Hospital with a diagnosis of transient ischemic attack (TIA) or acute stroke from January to September 2020 were identified by hospital chart review. RESULTS: We observed a transient decrease in weekly stroke admissions during lockdown from an average of 21.4 (SD 4.7) before to 15.0 (SD 4.2) during and 17.2 (SD 3.3) after (p < 0.011). The proportion of mild ischemic and haemorrhagic strokes was also lower during lockdown with 66% before, 57% during and 68% after (p = 0.011). CONCLUSION: The period of COVID-19 lockdown was associated with a temporary reduction in total admissions of strokes. In particular, there were fewer with TIA and mild stroke. Given the need to prevent the worsening of symptoms and risk of recurrence, it is necessary to emphasise the importance to seek medical care even in states of emergency. Springer International Publishing 2021-01-11 2021 /pmc/articles/PMC7799168/ /pubmed/33428057 http://dx.doi.org/10.1007/s10072-021-05039-y Text en © The Author(s) 2021 Open Access This 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 | Covid-19 Kristoffersen, Espen Saxhaug Jahr, Silje Holt Faiz, Kashif Waqar Thommessen, Bente Rønning, Ole Morten Stroke admission rates before, during and after the first phase of the COVID-19 pandemic |
title | Stroke admission rates before, during and after the first phase of the COVID-19 pandemic |
title_full | Stroke admission rates before, during and after the first phase of the COVID-19 pandemic |
title_fullStr | Stroke admission rates before, during and after the first phase of the COVID-19 pandemic |
title_full_unstemmed | Stroke admission rates before, during and after the first phase of the COVID-19 pandemic |
title_short | Stroke admission rates before, during and after the first phase of the COVID-19 pandemic |
title_sort | stroke admission rates before, during and after the first phase of the covid-19 pandemic |
topic | Covid-19 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799168/ https://www.ncbi.nlm.nih.gov/pubmed/33428057 http://dx.doi.org/10.1007/s10072-021-05039-y |
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