COVID-19 Impact on Stroke Presentations.
Identifieur interne : 000886 ( Main/Exploration ); précédent : 000885; suivant : 000887COVID-19 Impact on Stroke Presentations.
Auteurs : Sheryl Strasser [États-Unis] ; Laszlo Miskolczi [États-Unis] ; John Cunha [États-Unis] ; Lori Justynski [États-Unis]Source :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [ 1532-8511 ] ; 2020.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (diagnostic), Accident vasculaire cérébral (thérapie), Accident vasculaire cérébral (virologie), Accident vasculaire cérébral (épidémiologie), Adulte d'âge moyen (MeSH), Appréciation des risques (MeSH), Betacoronavirus (pathogénicité), Facteurs de risque (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Floride (épidémiologie), Humains (MeSH), Infections à coronavirus (diagnostic), Infections à coronavirus (virologie), Infections à coronavirus (épidémiologie), Interactions hôte-microbes (MeSH), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (diagnostic), Pneumopathie virale (virologie), Pneumopathie virale (épidémiologie), Sujet âgé (MeSH), Thrombectomie (MeSH), Traitement thrombolytique (MeSH).
- MESH :
- diagnostic : Accident vasculaire cérébral, Infections à coronavirus, Pneumopathie virale.
- pathogénicité : Betacoronavirus.
- thérapie : Accident vasculaire cérébral.
- virologie : Accident vasculaire cérébral, Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Accident vasculaire cérébral, Floride, Infections à coronavirus, Pneumopathie virale.
- Adulte d'âge moyen, Appréciation des risques, Facteurs de risque, Facteurs temps, Femelle, Humains, Interactions hôte-microbes, Mâle, Pandémies, Sujet âgé, Thrombectomie, Traitement thrombolytique.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (pathogenicity), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (virology), Female (MeSH), Florida (epidemiology), Host Microbial Interactions (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (virology), Risk Assessment (MeSH), Risk Factors (MeSH), Stroke (diagnosis), Stroke (epidemiology), Stroke (therapy), Stroke (virology), Thrombectomy (MeSH), Thrombolytic Therapy (MeSH), Time Factors (MeSH).
- MESH :
- geographic , epidemiology : Florida.
- diagnosis : Coronavirus Infections, Pneumonia, Viral, Stroke.
- epidemiology : Coronavirus Infections, Pneumonia, Viral, Stroke.
- pathogenicity : Betacoronavirus.
- therapy : Stroke.
- virology : Coronavirus Infections, Pneumonia, Viral, Stroke.
- Aged, Female, Host Microbial Interactions, Humans, Male, Middle Aged, Pandemics, Risk Assessment, Risk Factors, Thrombectomy, Thrombolytic Therapy, Time Factors.
Abstract
BACKGROUND
As Covid-19 evolved into a world-wide pandemic, hospitals reported marked declines in strokes, only to be followed by reports of increased numbers of young people presenting with large-vessel occlusions. We reviewed our patient data-base to determine if similar or other novel trends were present.
RESULTS
Our Thrombectomy Stroke Center experienced marked declines in ED visits from 2,349 in early March to 1,178 in late April, stroke alerts dropped from 34 to 14 during the same period. Average monthly stroke admissions dropped from 34 in 2019 to 23 in 2020. Nonetheless, in March, we had 12 patients eligible for tPA, which is twice the typical caseload and was unexpected given the low overall stroke presentations. Although the neurointervention caseload was low, the patients were significantly younger. Of the acute intervention patients in March, 5 of the 12 patients were ≤ 60 years old, and two were in their 30's. These trends are similar to those reported elsewhere but were highly unusual for our center as our catchment area is predominantly Caucasian with 34 % of the population > 65 years of age.
CONCLUSIONS
Even in low risk centers Covid-19 will likely impart unique stroke presentations. It will be imperative to determine the mechanisms responsible for these changes so we can institute effective strategies for optimal stroke prevention as well as maintain timely acute interventions.
DOI: 10.1016/j.jstrokecerebrovasdis.2020.105077
PubMed: 32912524
PubMed Central: PMC7315973
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: Laszlo.miskolczi@holy-cross.com.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Phil Smith Neuroscience Center, Holy Cross Hospital, 4725 N Federal Hwy, Ft Lauderdale</wicri:cityArea></affiliation></author><author><name sortKey="Cunha, John" sort="Cunha, John" uniqKey="Cunha J" first="John" last="Cunha">John Cunha</name><affiliation wicri:level="2"><nlm:affiliation>Phil Smith Neuroscience Center, Holy Cross Hospital, 4725 N Federal Hwy, Ft Lauderdale, FL 33308. 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(MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (virology)</term><term>Risk Assessment (MeSH)</term><term>Risk Factors (MeSH)</term><term>Stroke (diagnosis)</term><term>Stroke (epidemiology)</term><term>Stroke (therapy)</term><term>Stroke (virology)</term><term>Thrombectomy (MeSH)</term><term>Thrombolytic Therapy (MeSH)</term><term>Time Factors (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (diagnostic)</term><term>Accident vasculaire cérébral (thérapie)</term><term>Accident vasculaire cérébral (virologie)</term><term>Accident vasculaire cérébral (épidémiologie)</term><term>Adulte d'âge moyen (MeSH)</term><term>Appréciation des risques (MeSH)</term><term>Betacoronavirus (pathogénicité)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs temps (MeSH)</term><term>Femelle 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xml:lang="en"><p><b>BACKGROUND</b></p><p>As Covid-19 evolved into a world-wide pandemic, hospitals reported marked declines in strokes, only to be followed by reports of increased numbers of young people presenting with large-vessel occlusions. We reviewed our patient data-base to determine if similar or other novel trends were present.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Our Thrombectomy Stroke Center experienced marked declines in ED visits from 2,349 in early March to 1,178 in late April, stroke alerts dropped from 34 to 14 during the same period. Average monthly stroke admissions dropped from 34 in 2019 to 23 in 2020. Nonetheless, in March, we had 12 patients eligible for tPA, which is twice the typical caseload and was unexpected given the low overall stroke presentations. Although the neurointervention caseload was low, the patients were significantly younger. Of the acute intervention patients in March, 5 of the 12 patients were ≤ 60 years old, and two were in their 30's. These trends are similar to those reported elsewhere but were highly unusual for our center as our catchment area is predominantly Caucasian with 34 % of the population > 65 years of age.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Even in low risk centers Covid-19 will likely impart unique stroke presentations. It will be imperative to determine the mechanisms responsible for these changes so we can institute effective strategies for optimal stroke prevention as well as maintain timely acute interventions.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32912524</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>16</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8511</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>10</Issue><PubDate><Year>2020</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association</Title><ISOAbbreviation>J Stroke Cerebrovasc Dis</ISOAbbreviation></Journal><ArticleTitle>COVID-19 Impact on Stroke Presentations.</ArticleTitle><Pagination><MedlinePgn>105077</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1052-3057(20)30495-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jstrokecerebrovasdis.2020.105077</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">As Covid-19 evolved into a world-wide pandemic, hospitals reported marked declines in strokes, only to be followed by reports of increased numbers of young people presenting with large-vessel occlusions. We reviewed our patient data-base to determine if similar or other novel trends were present.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Our Thrombectomy Stroke Center experienced marked declines in ED visits from 2,349 in early March to 1,178 in late April, stroke alerts dropped from 34 to 14 during the same period. Average monthly stroke admissions dropped from 34 in 2019 to 23 in 2020. Nonetheless, in March, we had 12 patients eligible for tPA, which is twice the typical caseload and was unexpected given the low overall stroke presentations. Although the neurointervention caseload was low, the patients were significantly younger. Of the acute intervention patients in March, 5 of the 12 patients were ≤ 60 years old, and two were in their 30's. These trends are similar to those reported elsewhere but were highly unusual for our center as our catchment area is predominantly Caucasian with 34 % of the population > 65 years of age.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Even in low risk centers Covid-19 will likely impart unique stroke presentations. It will be imperative to determine the mechanisms responsible for these changes so we can institute effective strategies for optimal stroke prevention as well as maintain timely acute interventions.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Strasser</LastName><ForeName>Sheryl</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Phil Smith Neuroscience Center, Holy Cross Hospital, 4725 N Federal Hwy, Ft Lauderdale, FL 33308. Electronic address: bsol19106@msn.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miskolczi</LastName><ForeName>Laszlo</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Phil Smith Neuroscience Center, Holy Cross Hospital, 4725 N Federal Hwy, Ft Lauderdale, FL 33308. Electronic address: Laszlo.miskolczi@holy-cross.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cunha</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Phil Smith Neuroscience Center, Holy Cross Hospital, 4725 N Federal Hwy, Ft Lauderdale, FL 33308. Electronic address: john.cunha@holy-cross.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Justynski</LastName><ForeName>Lori</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Phil Smith Neuroscience Center, Holy Cross Hospital, 4725 N Federal Hwy, Ft Lauderdale, FL 33308. Electronic address: lori.justynski@holy-cross.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Stroke Cerebrovasc Dis</MedlineTA><NlmUniqueID>9111633</NlmUniqueID><ISSNLinking>1052-3057</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000472" MajorTopicYN="N">pathogenicity</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005431" MajorTopicYN="N" Type="Geographic">Florida</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000076662" MajorTopicYN="N">Host Microbial Interactions</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017131" MajorTopicYN="N">Thrombectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015912" MajorTopicYN="N">Thrombolytic Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acute stroke</Keyword><Keyword MajorTopicYN="N">Covid-19</Keyword><Keyword MajorTopicYN="N">IV tPA</Keyword><Keyword MajorTopicYN="N">Thrombectomy</Keyword><Keyword MajorTopicYN="N">Thromboembolic</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest There are no known financial or personal conflicts of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>11</Day><Hour>5</Hour><Minute>34</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32912524</ArticleId><ArticleId IdType="pii">S1052-3057(20)30495-X</ArticleId><ArticleId IdType="doi">10.1016/j.jstrokecerebrovasdis.2020.105077</ArticleId><ArticleId IdType="pmc">PMC7315973</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Eur Neurol. 2020;83(2):213-215</Citation><ArticleIdList><ArticleId IdType="pubmed">32289789</ArticleId></ArticleIdList></Reference><Reference><Citation>Thromb Res. 2020 Jul;191:145-147</Citation><ArticleIdList><ArticleId IdType="pubmed">32291094</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 May 14;382(20):e60</Citation><ArticleIdList><ArticleId IdType="pubmed">32343504</ArticleId></ArticleIdList></Reference><Reference><Citation>Transl Stroke Res. 2020 Jun;11(3):322-325</Citation><ArticleIdList><ArticleId IdType="pubmed">32378030</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Strasser, Sheryl" sort="Strasser, Sheryl" uniqKey="Strasser S" first="Sheryl" last="Strasser">Sheryl Strasser</name></region><name sortKey="Cunha, John" sort="Cunha, John" uniqKey="Cunha J" first="John" last="Cunha">John Cunha</name><name sortKey="Justynski, Lori" sort="Justynski, Lori" uniqKey="Justynski L" first="Lori" last="Justynski">Lori Justynski</name><name sortKey="Miskolczi, Laszlo" sort="Miskolczi, Laszlo" uniqKey="Miskolczi L" first="Laszlo" last="Miskolczi">Laszlo Miskolczi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32912524" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidSeniorV1
| This area was generated with Dilib version V0.6.37. |  |