Cargando…
Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic
INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted acute stroke care globally. Decreased stroke presentations and concern for delays in acute stroke care have been identified. This study evaluated the impact of COVID-19 on the timely treatment of patients with...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc., publishers
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9058863/ https://www.ncbi.nlm.nih.gov/pubmed/34265222 http://dx.doi.org/10.1089/tmj.2021.0149 |
_version_ | 1784698205054697472 |
---|---|
author | Sevilis, Theresa McDonald, Mark Avila, Amanda Heath, Gregory Gao, Lan O'Brien, Gayle Zaman, Mohammed Heller, Adam Masud, Muhammad Mowzoon, Nima Devlin, Thomas |
author_facet | Sevilis, Theresa McDonald, Mark Avila, Amanda Heath, Gregory Gao, Lan O'Brien, Gayle Zaman, Mohammed Heller, Adam Masud, Muhammad Mowzoon, Nima Devlin, Thomas |
author_sort | Sevilis, Theresa |
collection | PubMed |
description | INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted acute stroke care globally. Decreased stroke presentations and concern for delays in acute stroke care have been identified. This study evaluated the impact of COVID-19 on the timely treatment of patients with thrombolytics at hospitals utilizing telestroke acute stroke services. METHODS: Acute stroke consultations seen in 171 hospitals (19 states) via telestroke from December 1, 2019, to June 27, 2020, were extracted from the TeleCare™ database. The consults were divided into pre-COVID and COVID groups (March 15, 2020, start of COVID group). The consults were reviewed for age, sex, hospital, state, date seen, last known normal, arrival time, consult call time, needle time, thrombolytic candidate, and National Institutes of Health Stroke Scale (NIHSS) score. The total number of consults, median door to needle (DTN) time for emergency department (ED) patients, and call to needle (CTN) time for inpatients were calculated. RESULTS: Pre-COVID, 15,226 stroke consults were evaluated compared with 11,105 in the COVID group, a 27% decrease. Pre-COVID, 1,071 ED patients (7.9%) received thrombolytics and 66 inpatients (4.0%), while COVID, 813 ED patients (8.2%) and 70 inpatients (5.7%). The median DTN time for ED patients pre-COVID was 42 (32, 55) versus 40 (31, 52) in the COVID group, with no statistically significant difference between groups. CTN time pre-COVID was 53 (35, 67) versus 46 (35, 61) in the COVID group, with no statistically significant difference between groups. CONCLUSIONS: Telestroke assessments allowed for uninterrupted acute stroke care and treatment stability despite nursing and other resource realignments triggered by the COVID-19 pandemic. |
format | Online Article Text |
id | pubmed-9058863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Mary Ann Liebert, Inc., publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-90588632022-05-02 Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic Sevilis, Theresa McDonald, Mark Avila, Amanda Heath, Gregory Gao, Lan O'Brien, Gayle Zaman, Mohammed Heller, Adam Masud, Muhammad Mowzoon, Nima Devlin, Thomas Telemed J E Health Original Research INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted acute stroke care globally. Decreased stroke presentations and concern for delays in acute stroke care have been identified. This study evaluated the impact of COVID-19 on the timely treatment of patients with thrombolytics at hospitals utilizing telestroke acute stroke services. METHODS: Acute stroke consultations seen in 171 hospitals (19 states) via telestroke from December 1, 2019, to June 27, 2020, were extracted from the TeleCare™ database. The consults were divided into pre-COVID and COVID groups (March 15, 2020, start of COVID group). The consults were reviewed for age, sex, hospital, state, date seen, last known normal, arrival time, consult call time, needle time, thrombolytic candidate, and National Institutes of Health Stroke Scale (NIHSS) score. The total number of consults, median door to needle (DTN) time for emergency department (ED) patients, and call to needle (CTN) time for inpatients were calculated. RESULTS: Pre-COVID, 15,226 stroke consults were evaluated compared with 11,105 in the COVID group, a 27% decrease. Pre-COVID, 1,071 ED patients (7.9%) received thrombolytics and 66 inpatients (4.0%), while COVID, 813 ED patients (8.2%) and 70 inpatients (5.7%). The median DTN time for ED patients pre-COVID was 42 (32, 55) versus 40 (31, 52) in the COVID group, with no statistically significant difference between groups. CTN time pre-COVID was 53 (35, 67) versus 46 (35, 61) in the COVID group, with no statistically significant difference between groups. CONCLUSIONS: Telestroke assessments allowed for uninterrupted acute stroke care and treatment stability despite nursing and other resource realignments triggered by the COVID-19 pandemic. Mary Ann Liebert, Inc., publishers 2022-04-01 2022-04-19 /pmc/articles/PMC9058863/ /pubmed/34265222 http://dx.doi.org/10.1089/tmj.2021.0149 Text en © Theresa Sevilis et al. 2022; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Sevilis, Theresa McDonald, Mark Avila, Amanda Heath, Gregory Gao, Lan O'Brien, Gayle Zaman, Mohammed Heller, Adam Masud, Muhammad Mowzoon, Nima Devlin, Thomas Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic |
title | Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic |
title_full | Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic |
title_fullStr | Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic |
title_full_unstemmed | Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic |
title_short | Telestroke: Maintaining Quality Acute Stroke Care During the COVID-19 Pandemic |
title_sort | telestroke: maintaining quality acute stroke care during the covid-19 pandemic |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9058863/ https://www.ncbi.nlm.nih.gov/pubmed/34265222 http://dx.doi.org/10.1089/tmj.2021.0149 |
work_keys_str_mv | AT sevilistheresa telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT mcdonaldmark telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT avilaamanda telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT heathgregory telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT gaolan telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT obriengayle telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT zamanmohammed telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT helleradam telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT masudmuhammad telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT mowzoonnima telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic AT devlinthomas telestrokemaintainingqualityacutestrokecareduringthecovid19pandemic |