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Global impact of COVID-19 on stroke care

BACKGROUND: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. AIMS: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month pe...

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Autores principales: Nogueira, Raul G., Abdalkader, Mohamad, Qureshi, Muhammed M., Frankel, Michael R., Mansour, Ossama Yassin, Yamagami, Hiroshi, Qiu, Zhongming, Farhoudi, Mehdi, Siegler, James E., Yaghi, Shadi, Raz, Eytan, Sakai, Nobuyuki, Ohara, Nobuyuki, Piotin, Michel, Mechtouff, Laura, Eker, Omer, Chalumeau, Vanessa, Kleinig, Timothy J., Pop, Raoul, Liu, Jianmin, Winters, Hugh S., Shang, Xianjin, Vasquez, Alejandro Rodriguez, Blasco, Jordi, Arenillas, Juan F., Martinez-Galdamez, Mario, Brehm, Alex, Psychogios, Marios-Nikos, Lylyk, Pedro, Haussen, Diogo C., Al-Bayati, Alhamza R., Mohammaden, Mahmoud H., Fonseca, Luísa, Luís Silva, M, Montalverne, Francisco, Renieri, Leonardo, Mangiafico, Salvatore, Fischer, Urs, Gralla, Jan, Frei, ,Donald, Chugh, Chandril, Mehta, Brijesh P., Nagel, Simon, Mohlenbruch, Markus, Ortega-Gutierrez, Santiago, Farooqui, Mudassir, Hassan, Ameer E., Taylor, Allan, Lapergue, Bertrand, Consoli, Arturo, Campbell, Bruce CV, Sharma, Malveeka, Walker, Melanie, Van Horn, Noel, Fiehler, Jens, Nguyen, Huy Thang, Nguyen, Quoc T., Watanabe, Daisuke, Zhang, Hao, Le, Huynh V., Nguyen, Viet Q., Shah, Ruchir, Devlin, Thomas, Khandelwal, Priyank, Linfante, Italo, Izzath, Wazim, Lavados, Pablo M., Olavarría, Veronica V., Sampaio Silva, Gisele, de Carvalho Sousa, Anna Verena, Kirmani, Jawad, Bendszus, Martin, Amano, Tatsuo, Yamamoto, Ryoo, Doijiri, Ryosuke, Tokuda, Naoki, Yamada, Takehiro, Terasaki, Tadashi, Yazawa, Yukako, Morris, Jane G., Griffin, Emma, Thornton, John, Lavoie, Pascale, Matouk, Charles, Hill, Michael D., Demchuk, Andrew M., Killer-Oberpfalzer, Monika, Nahab, Fadi, Altschul, Dorothea, Ramos-Pachón, Anna, Pérez de la Ossa, Natalia, Kikano, Raghid, Boisseau, William, Walker, Gregory, Cordina, Steve M., Puri, Ajit, Luisa Kuhn, Anna, Gandhi, Dheeraj, Ramakrishnan, Pankajavalli, Novakovic-White, Roberta, Chebl, Alex, Kargiotis, Odysseas, Czap, Alexandra, Zha, Alicia, Masoud, Hesham E., Lopez, Carlos, Ozretic, David, Al-Mufti, Fawaz, Zie, Wenjie, Duan, Zhenhui, Yuan, Zhengzhou, Huang, Wenguo, Hao, Yonggang, Luo, Jun, Kalousek, Vladimir, Bourcier, Romain, Guile, Romain, Hetts, Steven, Al-Jehani, Hosam M., AlHazzani, Adel, Sadeghi-Hokmabadi, Elyar, Teleb, Mohamed, Payne, Jeremy, Lee, Jin Soo, Hong, Ji Man, Sohn, Sung-Il, Hwang, Yang-ha, Shin, Dong Hoon, Roh, Hong Gee, Edgell, Randy, Khatri, Rakesh, Smith, Ainsley, Malik, Amer, Liebeskind, David, Herial, Nabeel, Jabbour, Pascal, Magalhaes, Pedro, Ozdemir, Atilla Ozcan, Aykac, Ozlem, Uwatoko, Takeshi, Dembo, Tomohisa, Shimizu, Hisao, Sugiura, Yuri, Miyashita, Fumio, Fukuda, Hiroki, Miyake, Kosuke, Shimbo, Junsuke, Sugimura, Yusuke, Beer-Furlan, Andre, Joshi, Krishna, Catanese, Luciana, Abud, Daniel Giansante, Neto, Octavio Giansante, Mehrpour, Masoud, Al Hashmi, Amal, Saqqur, Mahar, Mostafa, Abdulrahman, Fifi, Johanna T., Hussain, Syed, John, Seby, Gupta, Rishi, Sivan-Hoffmann, Rotem, Reznik, Anna, Sani, Achmad Fidaus, Geyik, Serdar, Akıl, Eşref, Churojana, Anchalee, Ghoreishi, Abdoreza, Saadatnia, Mohammad, Sharifipour, Ehsan, Ma, Alice, Faulder, Ken, Wu, Teddy, Leung, Lester, Malek, Adel, Voetsch, Barbara, Wakhloo, Ajay, Rivera, Rodrigo, Barrientos Iman, Danny Moises, Pikula, Aleksandra, Lioutas, Vasileios-Arsenios, Thomalla, Gotz, Birnbaum, Lee, Machi, Paolo, Bernava, Gianmarco, McDermott, Mollie, Kleindorfer, Dawn, Wong, Ken, Patterson, Mary S., Fiorot, Jose Antonio, Huded, Vikram, Mack, William, Tenser, Matthew, Eskey, Clifford, Multani, Sumeet, Kelly, Michael, Janardhan, Vallabh, Cornett, Oriana, Singh, Varsha, Murayama, Yuichi, Mokin, Maxim, Yang, Pengfei, Zhang, Xiaoxi, Yin, Congguo, Han, Hongxing, Peng, Ya, Chen, Wenhuo, Crosa, Roberto, Frudit, Michel Eli, Pandian, Jeyaraj D., Kulkarni, Anirudh, Yagita, Yoshiki, Takenobu, Yohei, Matsumaru, Yuji, Yamada, Satoshi, Kono, Ryuhei, Kanamaru, Takuya, Yamazaki, Hidekazu, Sakaguchi, Manabu, Todo, Kenichi, Yamamoto, Nobuaki, Sonoda, Kazutaka, Yoshida, Tomoko, Hashimoto, Hiroyuki, Nakahara, Ichiro, Cora, Elena, Volders, David, Ducroux, Celina, Shoamanesh, Ashkan, Ospel, Johanna, Kaliaev, Artem, Ahmed, Saima, Rashid, Umair, Rebello, Leticia C., Pereira, Vitor Mendes, Fahed, Robert, Chen, Michael, Sheth, Sunil A, Palaiodimou, Lina, Tsivgoulis, Georgios, Chandra, Ronil, Koyfman, Feliks, Leung, Thomas, Khosravani, Houman, Dharmadhikari, Sushrut, Frisullo, Giovanni, Calabresi, Paolo, Tsiskaridze, Alexander, Lobjanidze, Nino, Grigoryan, Mikayel, Czlonkowska, Anna, de Sousa, Diana Aguiar, Demeestere, Jelle, Liang, Conrad, Sangha, Navdeep, Lutsep, Helmi L., Ayo-Martín, Óscar, Cruz-Culebras, Antonio, Tran, Anh D., Young, Chang Y., Cordonnier, Charlotte, Caparros, Francois, De Lecinana, Maria Alonso, Fuentes, Blanca, Yavagal, Dileep, Jovin, Tudor, Spelle, Laurent, Moret, Jacques, Khatri, Pooja, Zaidat, Osama, Raymond, Jean, Martins, Sheila, Nguyen, Thanh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010375/
https://www.ncbi.nlm.nih.gov/pubmed/33459583
http://dx.doi.org/10.1177/1747493021991652
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author Nogueira, Raul G.
Abdalkader, Mohamad
Qureshi, Muhammed M.
Frankel, Michael R.
Mansour, Ossama Yassin
Yamagami, Hiroshi
Qiu, Zhongming
Farhoudi, Mehdi
Siegler, James E.
Yaghi, Shadi
Raz, Eytan
Sakai, Nobuyuki
Ohara, Nobuyuki
Piotin, Michel
Mechtouff, Laura
Eker, Omer
Chalumeau, Vanessa
Kleinig, Timothy J.
Pop, Raoul
Liu, Jianmin
Winters, Hugh S.
Shang, Xianjin
Vasquez, Alejandro Rodriguez
Blasco, Jordi
Arenillas, Juan F.
Martinez-Galdamez, Mario
Brehm, Alex
Psychogios, Marios-Nikos
Lylyk, Pedro
Haussen, Diogo C.
Al-Bayati, Alhamza R.
Mohammaden, Mahmoud H.
Fonseca, Luísa
Luís Silva, M
Montalverne, Francisco
Renieri, Leonardo
Mangiafico, Salvatore
Fischer, Urs
Gralla, Jan
Frei, ,Donald
Chugh, Chandril
Mehta, Brijesh P.
Nagel, Simon
Mohlenbruch, Markus
Ortega-Gutierrez, Santiago
Farooqui, Mudassir
Hassan, Ameer E.
Taylor, Allan
Lapergue, Bertrand
Consoli, Arturo
Campbell, Bruce CV
Sharma, Malveeka
Walker, Melanie
Van Horn, Noel
Fiehler, Jens
Nguyen, Huy Thang
Nguyen, Quoc T.
Watanabe, Daisuke
Zhang, Hao
Le, Huynh V.
Nguyen, Viet Q.
Shah, Ruchir
Devlin, Thomas
Khandelwal, Priyank
Linfante, Italo
Izzath, Wazim
Lavados, Pablo M.
Olavarría, Veronica V.
Sampaio Silva, Gisele
de Carvalho Sousa, Anna Verena
Kirmani, Jawad
Bendszus, Martin
Amano, Tatsuo
Yamamoto, Ryoo
Doijiri, Ryosuke
Tokuda, Naoki
Yamada, Takehiro
Terasaki, Tadashi
Yazawa, Yukako
Morris, Jane G.
Griffin, Emma
Thornton, John
Lavoie, Pascale
Matouk, Charles
Hill, Michael D.
Demchuk, Andrew M.
Killer-Oberpfalzer, Monika
Nahab, Fadi
Altschul, Dorothea
Ramos-Pachón, Anna
Pérez de la Ossa, Natalia
Kikano, Raghid
Boisseau, William
Walker, Gregory
Cordina, Steve M.
Puri, Ajit
Luisa Kuhn, Anna
Gandhi, Dheeraj
Ramakrishnan, Pankajavalli
Novakovic-White, Roberta
Chebl, Alex
Kargiotis, Odysseas
Czap, Alexandra
Zha, Alicia
Masoud, Hesham E.
Lopez, Carlos
Ozretic, David
Al-Mufti, Fawaz
Zie, Wenjie
Duan, Zhenhui
Yuan, Zhengzhou
Huang, Wenguo
Hao, Yonggang
Luo, Jun
Kalousek, Vladimir
Bourcier, Romain
Guile, Romain
Hetts, Steven
Al-Jehani, Hosam M.
AlHazzani, Adel
Sadeghi-Hokmabadi, Elyar
Teleb, Mohamed
Payne, Jeremy
Lee, Jin Soo
Hong, Ji Man
Sohn, Sung-Il
Hwang, Yang-ha
Shin, Dong Hoon
Roh, Hong Gee
Edgell, Randy
Khatri, Rakesh
Smith, Ainsley
Malik, Amer
Liebeskind, David
Herial, Nabeel
Jabbour, Pascal
Magalhaes, Pedro
Ozdemir, Atilla Ozcan
Aykac, Ozlem
Uwatoko, Takeshi
Dembo, Tomohisa
Shimizu, Hisao
Sugiura, Yuri
Miyashita, Fumio
Fukuda, Hiroki
Miyake, Kosuke
Shimbo, Junsuke
Sugimura, Yusuke
Beer-Furlan, Andre
Joshi, Krishna
Catanese, Luciana
Abud, Daniel Giansante
Neto, Octavio Giansante
Mehrpour, Masoud
Al Hashmi, Amal
Saqqur, Mahar
Mostafa, Abdulrahman
Fifi, Johanna T.
Hussain, Syed
John, Seby
Gupta, Rishi
Sivan-Hoffmann, Rotem
Reznik, Anna
Sani, Achmad Fidaus
Geyik, Serdar
Akıl, Eşref
Churojana, Anchalee
Ghoreishi, Abdoreza
Saadatnia, Mohammad
Sharifipour, Ehsan
Ma, Alice
Faulder, Ken
Wu, Teddy
Leung, Lester
Malek, Adel
Voetsch, Barbara
Wakhloo, Ajay
Rivera, Rodrigo
Barrientos Iman, Danny Moises
Pikula, Aleksandra
Lioutas, Vasileios-Arsenios
Thomalla, Gotz
Birnbaum, Lee
Machi, Paolo
Bernava, Gianmarco
McDermott, Mollie
Kleindorfer, Dawn
Wong, Ken
Patterson, Mary S.
Fiorot, Jose Antonio
Huded, Vikram
Mack, William
Tenser, Matthew
Eskey, Clifford
Multani, Sumeet
Kelly, Michael
Janardhan, Vallabh
Cornett, Oriana
Singh, Varsha
Murayama, Yuichi
Mokin, Maxim
Yang, Pengfei
Zhang, Xiaoxi
Yin, Congguo
Han, Hongxing
Peng, Ya
Chen, Wenhuo
Crosa, Roberto
Frudit, Michel Eli
Pandian, Jeyaraj D.
Kulkarni, Anirudh
Yagita, Yoshiki
Takenobu, Yohei
Matsumaru, Yuji
Yamada, Satoshi
Kono, Ryuhei
Kanamaru, Takuya
Yamazaki, Hidekazu
Sakaguchi, Manabu
Todo, Kenichi
Yamamoto, Nobuaki
Sonoda, Kazutaka
Yoshida, Tomoko
Hashimoto, Hiroyuki
Nakahara, Ichiro
Cora, Elena
Volders, David
Ducroux, Celina
Shoamanesh, Ashkan
Ospel, Johanna
Kaliaev, Artem
Ahmed, Saima
Rashid, Umair
Rebello, Leticia C.
Pereira, Vitor Mendes
Fahed, Robert
Chen, Michael
Sheth, Sunil A
Palaiodimou, Lina
Tsivgoulis, Georgios
Chandra, Ronil
Koyfman, Feliks
Leung, Thomas
Khosravani, Houman
Dharmadhikari, Sushrut
Frisullo, Giovanni
Calabresi, Paolo
Tsiskaridze, Alexander
Lobjanidze, Nino
Grigoryan, Mikayel
Czlonkowska, Anna
de Sousa, Diana Aguiar
Demeestere, Jelle
Liang, Conrad
Sangha, Navdeep
Lutsep, Helmi L.
Ayo-Martín, Óscar
Cruz-Culebras, Antonio
Tran, Anh D.
Young, Chang Y.
Cordonnier, Charlotte
Caparros, Francois
De Lecinana, Maria Alonso
Fuentes, Blanca
Yavagal, Dileep
Jovin, Tudor
Spelle, Laurent
Moret, Jacques
Khatri, Pooja
Zaidat, Osama
Raymond, Jean
Martins, Sheila
Nguyen, Thanh
author_facet Nogueira, Raul G.
Abdalkader, Mohamad
Qureshi, Muhammed M.
Frankel, Michael R.
Mansour, Ossama Yassin
Yamagami, Hiroshi
Qiu, Zhongming
Farhoudi, Mehdi
Siegler, James E.
Yaghi, Shadi
Raz, Eytan
Sakai, Nobuyuki
Ohara, Nobuyuki
Piotin, Michel
Mechtouff, Laura
Eker, Omer
Chalumeau, Vanessa
Kleinig, Timothy J.
Pop, Raoul
Liu, Jianmin
Winters, Hugh S.
Shang, Xianjin
Vasquez, Alejandro Rodriguez
Blasco, Jordi
Arenillas, Juan F.
Martinez-Galdamez, Mario
Brehm, Alex
Psychogios, Marios-Nikos
Lylyk, Pedro
Haussen, Diogo C.
Al-Bayati, Alhamza R.
Mohammaden, Mahmoud H.
Fonseca, Luísa
Luís Silva, M
Montalverne, Francisco
Renieri, Leonardo
Mangiafico, Salvatore
Fischer, Urs
Gralla, Jan
Frei, ,Donald
Chugh, Chandril
Mehta, Brijesh P.
Nagel, Simon
Mohlenbruch, Markus
Ortega-Gutierrez, Santiago
Farooqui, Mudassir
Hassan, Ameer E.
Taylor, Allan
Lapergue, Bertrand
Consoli, Arturo
Campbell, Bruce CV
Sharma, Malveeka
Walker, Melanie
Van Horn, Noel
Fiehler, Jens
Nguyen, Huy Thang
Nguyen, Quoc T.
Watanabe, Daisuke
Zhang, Hao
Le, Huynh V.
Nguyen, Viet Q.
Shah, Ruchir
Devlin, Thomas
Khandelwal, Priyank
Linfante, Italo
Izzath, Wazim
Lavados, Pablo M.
Olavarría, Veronica V.
Sampaio Silva, Gisele
de Carvalho Sousa, Anna Verena
Kirmani, Jawad
Bendszus, Martin
Amano, Tatsuo
Yamamoto, Ryoo
Doijiri, Ryosuke
Tokuda, Naoki
Yamada, Takehiro
Terasaki, Tadashi
Yazawa, Yukako
Morris, Jane G.
Griffin, Emma
Thornton, John
Lavoie, Pascale
Matouk, Charles
Hill, Michael D.
Demchuk, Andrew M.
Killer-Oberpfalzer, Monika
Nahab, Fadi
Altschul, Dorothea
Ramos-Pachón, Anna
Pérez de la Ossa, Natalia
Kikano, Raghid
Boisseau, William
Walker, Gregory
Cordina, Steve M.
Puri, Ajit
Luisa Kuhn, Anna
Gandhi, Dheeraj
Ramakrishnan, Pankajavalli
Novakovic-White, Roberta
Chebl, Alex
Kargiotis, Odysseas
Czap, Alexandra
Zha, Alicia
Masoud, Hesham E.
Lopez, Carlos
Ozretic, David
Al-Mufti, Fawaz
Zie, Wenjie
Duan, Zhenhui
Yuan, Zhengzhou
Huang, Wenguo
Hao, Yonggang
Luo, Jun
Kalousek, Vladimir
Bourcier, Romain
Guile, Romain
Hetts, Steven
Al-Jehani, Hosam M.
AlHazzani, Adel
Sadeghi-Hokmabadi, Elyar
Teleb, Mohamed
Payne, Jeremy
Lee, Jin Soo
Hong, Ji Man
Sohn, Sung-Il
Hwang, Yang-ha
Shin, Dong Hoon
Roh, Hong Gee
Edgell, Randy
Khatri, Rakesh
Smith, Ainsley
Malik, Amer
Liebeskind, David
Herial, Nabeel
Jabbour, Pascal
Magalhaes, Pedro
Ozdemir, Atilla Ozcan
Aykac, Ozlem
Uwatoko, Takeshi
Dembo, Tomohisa
Shimizu, Hisao
Sugiura, Yuri
Miyashita, Fumio
Fukuda, Hiroki
Miyake, Kosuke
Shimbo, Junsuke
Sugimura, Yusuke
Beer-Furlan, Andre
Joshi, Krishna
Catanese, Luciana
Abud, Daniel Giansante
Neto, Octavio Giansante
Mehrpour, Masoud
Al Hashmi, Amal
Saqqur, Mahar
Mostafa, Abdulrahman
Fifi, Johanna T.
Hussain, Syed
John, Seby
Gupta, Rishi
Sivan-Hoffmann, Rotem
Reznik, Anna
Sani, Achmad Fidaus
Geyik, Serdar
Akıl, Eşref
Churojana, Anchalee
Ghoreishi, Abdoreza
Saadatnia, Mohammad
Sharifipour, Ehsan
Ma, Alice
Faulder, Ken
Wu, Teddy
Leung, Lester
Malek, Adel
Voetsch, Barbara
Wakhloo, Ajay
Rivera, Rodrigo
Barrientos Iman, Danny Moises
Pikula, Aleksandra
Lioutas, Vasileios-Arsenios
Thomalla, Gotz
Birnbaum, Lee
Machi, Paolo
Bernava, Gianmarco
McDermott, Mollie
Kleindorfer, Dawn
Wong, Ken
Patterson, Mary S.
Fiorot, Jose Antonio
Huded, Vikram
Mack, William
Tenser, Matthew
Eskey, Clifford
Multani, Sumeet
Kelly, Michael
Janardhan, Vallabh
Cornett, Oriana
Singh, Varsha
Murayama, Yuichi
Mokin, Maxim
Yang, Pengfei
Zhang, Xiaoxi
Yin, Congguo
Han, Hongxing
Peng, Ya
Chen, Wenhuo
Crosa, Roberto
Frudit, Michel Eli
Pandian, Jeyaraj D.
Kulkarni, Anirudh
Yagita, Yoshiki
Takenobu, Yohei
Matsumaru, Yuji
Yamada, Satoshi
Kono, Ryuhei
Kanamaru, Takuya
Yamazaki, Hidekazu
Sakaguchi, Manabu
Todo, Kenichi
Yamamoto, Nobuaki
Sonoda, Kazutaka
Yoshida, Tomoko
Hashimoto, Hiroyuki
Nakahara, Ichiro
Cora, Elena
Volders, David
Ducroux, Celina
Shoamanesh, Ashkan
Ospel, Johanna
Kaliaev, Artem
Ahmed, Saima
Rashid, Umair
Rebello, Leticia C.
Pereira, Vitor Mendes
Fahed, Robert
Chen, Michael
Sheth, Sunil A
Palaiodimou, Lina
Tsivgoulis, Georgios
Chandra, Ronil
Koyfman, Feliks
Leung, Thomas
Khosravani, Houman
Dharmadhikari, Sushrut
Frisullo, Giovanni
Calabresi, Paolo
Tsiskaridze, Alexander
Lobjanidze, Nino
Grigoryan, Mikayel
Czlonkowska, Anna
de Sousa, Diana Aguiar
Demeestere, Jelle
Liang, Conrad
Sangha, Navdeep
Lutsep, Helmi L.
Ayo-Martín, Óscar
Cruz-Culebras, Antonio
Tran, Anh D.
Young, Chang Y.
Cordonnier, Charlotte
Caparros, Francois
De Lecinana, Maria Alonso
Fuentes, Blanca
Yavagal, Dileep
Jovin, Tudor
Spelle, Laurent
Moret, Jacques
Khatri, Pooja
Zaidat, Osama
Raymond, Jean
Martins, Sheila
Nguyen, Thanh
author_sort Nogueira, Raul G.
collection PubMed
description BACKGROUND: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. AIMS: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March–31 May 2020) compared with two control three-month periods (immediately preceding and one year prior). METHODS: Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers. RESULTS: The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, −19.7 to −18.7), 11.5% (95%CI, −12.6 to −10.6), and 12.7% (95%CI, −13.6 to −11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (−20.5%) had greater declines in mechanical thrombectomy volumes than mid- (−10.1%) and low-volume (−8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions. CONCLUSION: The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes.
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spelling pubmed-80103752021-03-31 Global impact of COVID-19 on stroke care Nogueira, Raul G. Abdalkader, Mohamad Qureshi, Muhammed M. Frankel, Michael R. Mansour, Ossama Yassin Yamagami, Hiroshi Qiu, Zhongming Farhoudi, Mehdi Siegler, James E. Yaghi, Shadi Raz, Eytan Sakai, Nobuyuki Ohara, Nobuyuki Piotin, Michel Mechtouff, Laura Eker, Omer Chalumeau, Vanessa Kleinig, Timothy J. Pop, Raoul Liu, Jianmin Winters, Hugh S. Shang, Xianjin Vasquez, Alejandro Rodriguez Blasco, Jordi Arenillas, Juan F. Martinez-Galdamez, Mario Brehm, Alex Psychogios, Marios-Nikos Lylyk, Pedro Haussen, Diogo C. Al-Bayati, Alhamza R. Mohammaden, Mahmoud H. Fonseca, Luísa Luís Silva, M Montalverne, Francisco Renieri, Leonardo Mangiafico, Salvatore Fischer, Urs Gralla, Jan Frei, ,Donald Chugh, Chandril Mehta, Brijesh P. Nagel, Simon Mohlenbruch, Markus Ortega-Gutierrez, Santiago Farooqui, Mudassir Hassan, Ameer E. Taylor, Allan Lapergue, Bertrand Consoli, Arturo Campbell, Bruce CV Sharma, Malveeka Walker, Melanie Van Horn, Noel Fiehler, Jens Nguyen, Huy Thang Nguyen, Quoc T. Watanabe, Daisuke Zhang, Hao Le, Huynh V. Nguyen, Viet Q. Shah, Ruchir Devlin, Thomas Khandelwal, Priyank Linfante, Italo Izzath, Wazim Lavados, Pablo M. Olavarría, Veronica V. Sampaio Silva, Gisele de Carvalho Sousa, Anna Verena Kirmani, Jawad Bendszus, Martin Amano, Tatsuo Yamamoto, Ryoo Doijiri, Ryosuke Tokuda, Naoki Yamada, Takehiro Terasaki, Tadashi Yazawa, Yukako Morris, Jane G. Griffin, Emma Thornton, John Lavoie, Pascale Matouk, Charles Hill, Michael D. Demchuk, Andrew M. Killer-Oberpfalzer, Monika Nahab, Fadi Altschul, Dorothea Ramos-Pachón, Anna Pérez de la Ossa, Natalia Kikano, Raghid Boisseau, William Walker, Gregory Cordina, Steve M. Puri, Ajit Luisa Kuhn, Anna Gandhi, Dheeraj Ramakrishnan, Pankajavalli Novakovic-White, Roberta Chebl, Alex Kargiotis, Odysseas Czap, Alexandra Zha, Alicia Masoud, Hesham E. Lopez, Carlos Ozretic, David Al-Mufti, Fawaz Zie, Wenjie Duan, Zhenhui Yuan, Zhengzhou Huang, Wenguo Hao, Yonggang Luo, Jun Kalousek, Vladimir Bourcier, Romain Guile, Romain Hetts, Steven Al-Jehani, Hosam M. AlHazzani, Adel Sadeghi-Hokmabadi, Elyar Teleb, Mohamed Payne, Jeremy Lee, Jin Soo Hong, Ji Man Sohn, Sung-Il Hwang, Yang-ha Shin, Dong Hoon Roh, Hong Gee Edgell, Randy Khatri, Rakesh Smith, Ainsley Malik, Amer Liebeskind, David Herial, Nabeel Jabbour, Pascal Magalhaes, Pedro Ozdemir, Atilla Ozcan Aykac, Ozlem Uwatoko, Takeshi Dembo, Tomohisa Shimizu, Hisao Sugiura, Yuri Miyashita, Fumio Fukuda, Hiroki Miyake, Kosuke Shimbo, Junsuke Sugimura, Yusuke Beer-Furlan, Andre Joshi, Krishna Catanese, Luciana Abud, Daniel Giansante Neto, Octavio Giansante Mehrpour, Masoud Al Hashmi, Amal Saqqur, Mahar Mostafa, Abdulrahman Fifi, Johanna T. Hussain, Syed John, Seby Gupta, Rishi Sivan-Hoffmann, Rotem Reznik, Anna Sani, Achmad Fidaus Geyik, Serdar Akıl, Eşref Churojana, Anchalee Ghoreishi, Abdoreza Saadatnia, Mohammad Sharifipour, Ehsan Ma, Alice Faulder, Ken Wu, Teddy Leung, Lester Malek, Adel Voetsch, Barbara Wakhloo, Ajay Rivera, Rodrigo Barrientos Iman, Danny Moises Pikula, Aleksandra Lioutas, Vasileios-Arsenios Thomalla, Gotz Birnbaum, Lee Machi, Paolo Bernava, Gianmarco McDermott, Mollie Kleindorfer, Dawn Wong, Ken Patterson, Mary S. Fiorot, Jose Antonio Huded, Vikram Mack, William Tenser, Matthew Eskey, Clifford Multani, Sumeet Kelly, Michael Janardhan, Vallabh Cornett, Oriana Singh, Varsha Murayama, Yuichi Mokin, Maxim Yang, Pengfei Zhang, Xiaoxi Yin, Congguo Han, Hongxing Peng, Ya Chen, Wenhuo Crosa, Roberto Frudit, Michel Eli Pandian, Jeyaraj D. Kulkarni, Anirudh Yagita, Yoshiki Takenobu, Yohei Matsumaru, Yuji Yamada, Satoshi Kono, Ryuhei Kanamaru, Takuya Yamazaki, Hidekazu Sakaguchi, Manabu Todo, Kenichi Yamamoto, Nobuaki Sonoda, Kazutaka Yoshida, Tomoko Hashimoto, Hiroyuki Nakahara, Ichiro Cora, Elena Volders, David Ducroux, Celina Shoamanesh, Ashkan Ospel, Johanna Kaliaev, Artem Ahmed, Saima Rashid, Umair Rebello, Leticia C. Pereira, Vitor Mendes Fahed, Robert Chen, Michael Sheth, Sunil A Palaiodimou, Lina Tsivgoulis, Georgios Chandra, Ronil Koyfman, Feliks Leung, Thomas Khosravani, Houman Dharmadhikari, Sushrut Frisullo, Giovanni Calabresi, Paolo Tsiskaridze, Alexander Lobjanidze, Nino Grigoryan, Mikayel Czlonkowska, Anna de Sousa, Diana Aguiar Demeestere, Jelle Liang, Conrad Sangha, Navdeep Lutsep, Helmi L. Ayo-Martín, Óscar Cruz-Culebras, Antonio Tran, Anh D. Young, Chang Y. Cordonnier, Charlotte Caparros, Francois De Lecinana, Maria Alonso Fuentes, Blanca Yavagal, Dileep Jovin, Tudor Spelle, Laurent Moret, Jacques Khatri, Pooja Zaidat, Osama Raymond, Jean Martins, Sheila Nguyen, Thanh Int J Stroke Research BACKGROUND: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. AIMS: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March–31 May 2020) compared with two control three-month periods (immediately preceding and one year prior). METHODS: Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers. RESULTS: The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, −19.7 to −18.7), 11.5% (95%CI, −12.6 to −10.6), and 12.7% (95%CI, −13.6 to −11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (−20.5%) had greater declines in mechanical thrombectomy volumes than mid- (−10.1%) and low-volume (−8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions. CONCLUSION: The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes. SAGE Publications 2021-07 /pmc/articles/PMC8010375/ /pubmed/33459583 http://dx.doi.org/10.1177/1747493021991652 Text en © 2021 World Stroke Organization https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research
Nogueira, Raul G.
Abdalkader, Mohamad
Qureshi, Muhammed M.
Frankel, Michael R.
Mansour, Ossama Yassin
Yamagami, Hiroshi
Qiu, Zhongming
Farhoudi, Mehdi
Siegler, James E.
Yaghi, Shadi
Raz, Eytan
Sakai, Nobuyuki
Ohara, Nobuyuki
Piotin, Michel
Mechtouff, Laura
Eker, Omer
Chalumeau, Vanessa
Kleinig, Timothy J.
Pop, Raoul
Liu, Jianmin
Winters, Hugh S.
Shang, Xianjin
Vasquez, Alejandro Rodriguez
Blasco, Jordi
Arenillas, Juan F.
Martinez-Galdamez, Mario
Brehm, Alex
Psychogios, Marios-Nikos
Lylyk, Pedro
Haussen, Diogo C.
Al-Bayati, Alhamza R.
Mohammaden, Mahmoud H.
Fonseca, Luísa
Luís Silva, M
Montalverne, Francisco
Renieri, Leonardo
Mangiafico, Salvatore
Fischer, Urs
Gralla, Jan
Frei, ,Donald
Chugh, Chandril
Mehta, Brijesh P.
Nagel, Simon
Mohlenbruch, Markus
Ortega-Gutierrez, Santiago
Farooqui, Mudassir
Hassan, Ameer E.
Taylor, Allan
Lapergue, Bertrand
Consoli, Arturo
Campbell, Bruce CV
Sharma, Malveeka
Walker, Melanie
Van Horn, Noel
Fiehler, Jens
Nguyen, Huy Thang
Nguyen, Quoc T.
Watanabe, Daisuke
Zhang, Hao
Le, Huynh V.
Nguyen, Viet Q.
Shah, Ruchir
Devlin, Thomas
Khandelwal, Priyank
Linfante, Italo
Izzath, Wazim
Lavados, Pablo M.
Olavarría, Veronica V.
Sampaio Silva, Gisele
de Carvalho Sousa, Anna Verena
Kirmani, Jawad
Bendszus, Martin
Amano, Tatsuo
Yamamoto, Ryoo
Doijiri, Ryosuke
Tokuda, Naoki
Yamada, Takehiro
Terasaki, Tadashi
Yazawa, Yukako
Morris, Jane G.
Griffin, Emma
Thornton, John
Lavoie, Pascale
Matouk, Charles
Hill, Michael D.
Demchuk, Andrew M.
Killer-Oberpfalzer, Monika
Nahab, Fadi
Altschul, Dorothea
Ramos-Pachón, Anna
Pérez de la Ossa, Natalia
Kikano, Raghid
Boisseau, William
Walker, Gregory
Cordina, Steve M.
Puri, Ajit
Luisa Kuhn, Anna
Gandhi, Dheeraj
Ramakrishnan, Pankajavalli
Novakovic-White, Roberta
Chebl, Alex
Kargiotis, Odysseas
Czap, Alexandra
Zha, Alicia
Masoud, Hesham E.
Lopez, Carlos
Ozretic, David
Al-Mufti, Fawaz
Zie, Wenjie
Duan, Zhenhui
Yuan, Zhengzhou
Huang, Wenguo
Hao, Yonggang
Luo, Jun
Kalousek, Vladimir
Bourcier, Romain
Guile, Romain
Hetts, Steven
Al-Jehani, Hosam M.
AlHazzani, Adel
Sadeghi-Hokmabadi, Elyar
Teleb, Mohamed
Payne, Jeremy
Lee, Jin Soo
Hong, Ji Man
Sohn, Sung-Il
Hwang, Yang-ha
Shin, Dong Hoon
Roh, Hong Gee
Edgell, Randy
Khatri, Rakesh
Smith, Ainsley
Malik, Amer
Liebeskind, David
Herial, Nabeel
Jabbour, Pascal
Magalhaes, Pedro
Ozdemir, Atilla Ozcan
Aykac, Ozlem
Uwatoko, Takeshi
Dembo, Tomohisa
Shimizu, Hisao
Sugiura, Yuri
Miyashita, Fumio
Fukuda, Hiroki
Miyake, Kosuke
Shimbo, Junsuke
Sugimura, Yusuke
Beer-Furlan, Andre
Joshi, Krishna
Catanese, Luciana
Abud, Daniel Giansante
Neto, Octavio Giansante
Mehrpour, Masoud
Al Hashmi, Amal
Saqqur, Mahar
Mostafa, Abdulrahman
Fifi, Johanna T.
Hussain, Syed
John, Seby
Gupta, Rishi
Sivan-Hoffmann, Rotem
Reznik, Anna
Sani, Achmad Fidaus
Geyik, Serdar
Akıl, Eşref
Churojana, Anchalee
Ghoreishi, Abdoreza
Saadatnia, Mohammad
Sharifipour, Ehsan
Ma, Alice
Faulder, Ken
Wu, Teddy
Leung, Lester
Malek, Adel
Voetsch, Barbara
Wakhloo, Ajay
Rivera, Rodrigo
Barrientos Iman, Danny Moises
Pikula, Aleksandra
Lioutas, Vasileios-Arsenios
Thomalla, Gotz
Birnbaum, Lee
Machi, Paolo
Bernava, Gianmarco
McDermott, Mollie
Kleindorfer, Dawn
Wong, Ken
Patterson, Mary S.
Fiorot, Jose Antonio
Huded, Vikram
Mack, William
Tenser, Matthew
Eskey, Clifford
Multani, Sumeet
Kelly, Michael
Janardhan, Vallabh
Cornett, Oriana
Singh, Varsha
Murayama, Yuichi
Mokin, Maxim
Yang, Pengfei
Zhang, Xiaoxi
Yin, Congguo
Han, Hongxing
Peng, Ya
Chen, Wenhuo
Crosa, Roberto
Frudit, Michel Eli
Pandian, Jeyaraj D.
Kulkarni, Anirudh
Yagita, Yoshiki
Takenobu, Yohei
Matsumaru, Yuji
Yamada, Satoshi
Kono, Ryuhei
Kanamaru, Takuya
Yamazaki, Hidekazu
Sakaguchi, Manabu
Todo, Kenichi
Yamamoto, Nobuaki
Sonoda, Kazutaka
Yoshida, Tomoko
Hashimoto, Hiroyuki
Nakahara, Ichiro
Cora, Elena
Volders, David
Ducroux, Celina
Shoamanesh, Ashkan
Ospel, Johanna
Kaliaev, Artem
Ahmed, Saima
Rashid, Umair
Rebello, Leticia C.
Pereira, Vitor Mendes
Fahed, Robert
Chen, Michael
Sheth, Sunil A
Palaiodimou, Lina
Tsivgoulis, Georgios
Chandra, Ronil
Koyfman, Feliks
Leung, Thomas
Khosravani, Houman
Dharmadhikari, Sushrut
Frisullo, Giovanni
Calabresi, Paolo
Tsiskaridze, Alexander
Lobjanidze, Nino
Grigoryan, Mikayel
Czlonkowska, Anna
de Sousa, Diana Aguiar
Demeestere, Jelle
Liang, Conrad
Sangha, Navdeep
Lutsep, Helmi L.
Ayo-Martín, Óscar
Cruz-Culebras, Antonio
Tran, Anh D.
Young, Chang Y.
Cordonnier, Charlotte
Caparros, Francois
De Lecinana, Maria Alonso
Fuentes, Blanca
Yavagal, Dileep
Jovin, Tudor
Spelle, Laurent
Moret, Jacques
Khatri, Pooja
Zaidat, Osama
Raymond, Jean
Martins, Sheila
Nguyen, Thanh
Global impact of COVID-19 on stroke care
title Global impact of COVID-19 on stroke care
title_full Global impact of COVID-19 on stroke care
title_fullStr Global impact of COVID-19 on stroke care
title_full_unstemmed Global impact of COVID-19 on stroke care
title_short Global impact of COVID-19 on stroke care
title_sort global impact of covid-19 on stroke care
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010375/
https://www.ncbi.nlm.nih.gov/pubmed/33459583
http://dx.doi.org/10.1177/1747493021991652
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