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Acute Stroke Care during COVID-19: National Data

(1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic...

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Autores principales: Miękisiak, Grzegorz, Pettersson, Samuel D., Szarek, Dariusz, Morasiewicz, Piotr, Fercho, Justyna, Adamski, Stanisław, Kipiński, Lech, Szmuda, Tomasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938781/
https://www.ncbi.nlm.nih.gov/pubmed/35314654
http://dx.doi.org/10.3390/idr14020024
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author Miękisiak, Grzegorz
Pettersson, Samuel D.
Szarek, Dariusz
Morasiewicz, Piotr
Fercho, Justyna
Adamski, Stanisław
Kipiński, Lech
Szmuda, Tomasz
author_facet Miękisiak, Grzegorz
Pettersson, Samuel D.
Szarek, Dariusz
Morasiewicz, Piotr
Fercho, Justyna
Adamski, Stanisław
Kipiński, Lech
Szmuda, Tomasz
author_sort Miękisiak, Grzegorz
collection PubMed
description (1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic on the acute treatment of stroke in Poland. (2) Methods: The national data on hospitalizations with stroke as a primary diagnosis were obtained from the National Health Fund of Poland. Poisson regression was used to determine the significance of the change in hospital admissions. The differences between proportions were analyzed using the “N-1” Chi-squared test. (3) Results: During the COVID-19 period, the number of hospitalizations dropped by 8.28% with a monthly nadir of 22.02 in April. On a monthly scale during 2020, the greatest decrease was 22.02%. The thrombolysis ratio was also affected, with the highest monthly drop of 15.51% in November. The overall number of in-hospital deaths did not change. (4) Conclusions: The pandemic caused a serious disruption of the acute care of stroke. There is no evidence that the quality of care was seriously compromised.
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spelling pubmed-89387812022-03-23 Acute Stroke Care during COVID-19: National Data Miękisiak, Grzegorz Pettersson, Samuel D. Szarek, Dariusz Morasiewicz, Piotr Fercho, Justyna Adamski, Stanisław Kipiński, Lech Szmuda, Tomasz Infect Dis Rep Article (1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic on the acute treatment of stroke in Poland. (2) Methods: The national data on hospitalizations with stroke as a primary diagnosis were obtained from the National Health Fund of Poland. Poisson regression was used to determine the significance of the change in hospital admissions. The differences between proportions were analyzed using the “N-1” Chi-squared test. (3) Results: During the COVID-19 period, the number of hospitalizations dropped by 8.28% with a monthly nadir of 22.02 in April. On a monthly scale during 2020, the greatest decrease was 22.02%. The thrombolysis ratio was also affected, with the highest monthly drop of 15.51% in November. The overall number of in-hospital deaths did not change. (4) Conclusions: The pandemic caused a serious disruption of the acute care of stroke. There is no evidence that the quality of care was seriously compromised. MDPI 2022-03-16 /pmc/articles/PMC8938781/ /pubmed/35314654 http://dx.doi.org/10.3390/idr14020024 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Miękisiak, Grzegorz
Pettersson, Samuel D.
Szarek, Dariusz
Morasiewicz, Piotr
Fercho, Justyna
Adamski, Stanisław
Kipiński, Lech
Szmuda, Tomasz
Acute Stroke Care during COVID-19: National Data
title Acute Stroke Care during COVID-19: National Data
title_full Acute Stroke Care during COVID-19: National Data
title_fullStr Acute Stroke Care during COVID-19: National Data
title_full_unstemmed Acute Stroke Care during COVID-19: National Data
title_short Acute Stroke Care during COVID-19: National Data
title_sort acute stroke care during covid-19: national data
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938781/
https://www.ncbi.nlm.nih.gov/pubmed/35314654
http://dx.doi.org/10.3390/idr14020024
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