Blacks Are Less Likely to Present With Strokes During the COVID-19 Pandemic: Observations From the Buckle of the Stroke Belt.
Identifieur interne : 000897 ( Main/Exploration ); précédent : 000896; suivant : 000898Blacks Are Less Likely to Present With Strokes During the COVID-19 Pandemic: Observations From the Buckle of the Stroke Belt.
Auteurs : Cori Cummings [États-Unis] ; Eyad Almallouhi [États-Unis] ; Sami Al Kasab [États-Unis] ; Alejandro M. Spiotta [États-Unis] ; Christine A. Holmstedt [États-Unis]Source :
- Stroke [ 1524-4628 ] ; 2020.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (ethnologie), Accident vasculaire cérébral (ethnologie), Accident vasculaire cérébral (épidémiologie), Adulte d'âge moyen (MeSH), Afro-Américains (MeSH), Betacoronavirus (MeSH), Caroline du Sud (épidémiologie), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (MeSH), Mâle (MeSH), Orientation vers un spécialiste (statistiques et données numériques), Pandémies (MeSH), Pneumopathie virale (MeSH), Sujet âgé (MeSH), Télémédecine (MeSH), Études rétrospectives (MeSH).
- MESH :
- ethnologie : Acceptation des soins par les patients, Accident vasculaire cérébral.
- statistiques et données numériques : Orientation vers un spécialiste.
- épidémiologie : Accident vasculaire cérébral, Caroline du Sud.
- Adulte d'âge moyen, Afro-Américains, Betacoronavirus, Femelle, Humains, Infections à coronavirus, Mâle, Pandémies, Pneumopathie virale, Sujet âgé, Télémédecine, Études rétrospectives.
English descriptors
- KwdEn :
- African Americans (MeSH), Aged (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Patient Acceptance of Health Care (ethnology), Pneumonia, Viral (MeSH), Referral and Consultation (statistics & numerical data), Retrospective Studies (MeSH), South Carolina (epidemiology), Stroke (epidemiology), Stroke (ethnology), Telemedicine (MeSH).
- MESH :
- geographic , epidemiology : South Carolina.
- epidemiology : Stroke.
- ethnology : Patient Acceptance of Health Care, Stroke.
- statistics & numerical data : Referral and Consultation.
- African Americans, Aged, Betacoronavirus, Coronavirus Infections, Female, Humans, Male, Middle Aged, Pandemics, Pneumonia, Viral, Retrospective Studies, Telemedicine.
Abstract
BACKGROUND AND PURPOSE
The impact of the coronavirus disease 2019 (COVID-19) pandemic on stroke systems has not been systematically evaluated. Our study aims to investigate trends in telestroke consults during the pandemic.
METHODS
We did retrospective chart review of consecutive patients seen through a telestroke network in South Carolina from March 2019 to April 2020. We dichotomized patients to preCOVID-19 pandemic (March 2019 to February 2020) and during COVID-19 pandemic (March to April 2020).
RESULTS
A total of 5852 patients were evaluated during the study period, 613 (10.5%) were seen during the pandemic. The median number of weekly consults dropped from 112 to 77 during the pandemic,
CONCLUSIONS
The COVID-19 pandemic has led to a significant drop in telestroke volume. The impact seems to disproportionately affect Black patients.
DOI: 10.1161/STROKEAHA.120.031121
PubMed: 32755454
PubMed Central: PMC7434003
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Holmstedt</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, Medical University of South Carolina, Charleston. 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(C.C., E.A., S.A.K., C.A.H.).</nlm:affiliation><orgName type="university">Université de Caroline du Sud</orgName><country>États-Unis</country><placeName><settlement type="city">Columbia (Caroline du Sud)</settlement><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Almallouhi, Eyad" sort="Almallouhi, Eyad" uniqKey="Almallouhi E" first="Eyad" last="Almallouhi">Eyad Almallouhi</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.).</nlm:affiliation><orgName type="university">Université de Caroline du Sud</orgName><country>États-Unis</country><placeName><settlement type="city">Columbia (Caroline du Sud)</settlement><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Al Kasab, Sami" sort="Al Kasab, Sami" uniqKey="Al Kasab S" first="Sami" last="Al Kasab">Sami Al Kasab</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.).</nlm:affiliation><orgName type="university">Université de Caroline du Sud</orgName><country>États-Unis</country><placeName><settlement type="city">Columbia (Caroline du Sud)</settlement><region type="state">Caroline du Sud</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Medical University of South Carolina, Charleston. (S.A.K., A.M.S.).</nlm:affiliation><orgName type="university">Université de Caroline du Sud</orgName><country>États-Unis</country><placeName><settlement type="city">Columbia (Caroline du Sud)</settlement><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Spiotta, Alejandro M" sort="Spiotta, Alejandro M" uniqKey="Spiotta A" first="Alejandro M" last="Spiotta">Alejandro M. Spiotta</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurosurgery, Medical University of South Carolina, Charleston. (S.A.K., A.M.S.).</nlm:affiliation><orgName type="university">Université de Caroline du Sud</orgName><country>États-Unis</country><placeName><settlement type="city">Columbia (Caroline du Sud)</settlement><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Holmstedt, Christine A" sort="Holmstedt, Christine A" uniqKey="Holmstedt C" first="Christine A" last="Holmstedt">Christine A. Holmstedt</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.).</nlm:affiliation><orgName type="university">Université de Caroline du Sud</orgName><country>États-Unis</country><placeName><settlement type="city">Columbia (Caroline du Sud)</settlement><region type="state">Caroline du Sud</region></placeName></affiliation></author></analytic><series><title level="j">Stroke</title><idno type="eISSN">1524-4628</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>African Americans (MeSH)</term><term>Aged (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Patient Acceptance of Health Care (ethnology)</term><term>Pneumonia, Viral (MeSH)</term><term>Referral and Consultation (statistics & numerical data)</term><term>Retrospective Studies (MeSH)</term><term>South Carolina (epidemiology)</term><term>Stroke (epidemiology)</term><term>Stroke (ethnology)</term><term>Telemedicine (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (ethnologie)</term><term>Accident vasculaire cérébral (ethnologie)</term><term>Accident vasculaire cérébral (épidémiologie)</term><term>Adulte d'âge moyen (MeSH)</term><term>Afro-Américains (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Caroline du Sud (épidémiologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (MeSH)</term><term>Mâle (MeSH)</term><term>Orientation vers un spécialiste (statistiques et données numériques)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Télémédecine (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>South Carolina</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Acceptation des soins par les patients</term><term>Accident vasculaire cérébral</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Patient Acceptance of Health Care</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Referral and Consultation</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Orientation vers un spécialiste</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Caroline du Sud</term></keywords><keywords scheme="MESH" xml:lang="en"><term>African Americans</term><term>Aged</term><term>Betacoronavirus</term><term>Coronavirus Infections</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Pneumonia, Viral</term><term>Retrospective Studies</term><term>Telemedicine</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Afro-Américains</term><term>Betacoronavirus</term><term>Femelle</term><term>Humains</term><term>Infections à coronavirus</term><term>Mâle</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Sujet âgé</term><term>Télémédecine</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b></p><p>The impact of the coronavirus disease 2019 (COVID-19) pandemic on stroke systems has not been systematically evaluated. Our study aims to investigate trends in telestroke consults during the pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We did retrospective chart review of consecutive patients seen through a telestroke network in South Carolina from March 2019 to April 2020. We dichotomized patients to preCOVID-19 pandemic (March 2019 to February 2020) and during COVID-19 pandemic (March to April 2020).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 5852 patients were evaluated during the study period, 613 (10.5%) were seen during the pandemic. The median number of weekly consults dropped from 112 to 77 during the pandemic, </p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The COVID-19 pandemic has led to a significant drop in telestroke volume. The impact seems to disproportionately affect Black patients.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32755454</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>08</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1524-4628</ISSN><JournalIssue CitedMedium="Internet"><Volume>51</Volume><Issue>10</Issue><PubDate><Year>2020</Year><Month>10</Month></PubDate></JournalIssue><Title>Stroke</Title><ISOAbbreviation>Stroke</ISOAbbreviation></Journal><ArticleTitle>Blacks Are Less Likely to Present With Strokes During the COVID-19 Pandemic: Observations From the Buckle of the Stroke Belt.</ArticleTitle><Pagination><MedlinePgn>3107-3111</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1161/STROKEAHA.120.031121</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE">The impact of the coronavirus disease 2019 (COVID-19) pandemic on stroke systems has not been systematically evaluated. Our study aims to investigate trends in telestroke consults during the pandemic.</AbstractText><AbstractText Label="METHODS">We did retrospective chart review of consecutive patients seen through a telestroke network in South Carolina from March 2019 to April 2020. We dichotomized patients to preCOVID-19 pandemic (March 2019 to February 2020) and during COVID-19 pandemic (March to April 2020).</AbstractText><AbstractText Label="RESULTS">A total of 5852 patients were evaluated during the study period, 613 (10.5%) were seen during the pandemic. The median number of weekly consults dropped from 112 to 77 during the pandemic, <i>P</i>=0.002. There was no difference in baseline features; however, Black patients were less likely to present with strokes during the pandemic (13.9% versus 29%, <i>P</i>≤0.002).</AbstractText><AbstractText Label="CONCLUSIONS">The COVID-19 pandemic has led to a significant drop in telestroke volume. The impact seems to disproportionately affect Black patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="Y"><LastName>Cummings</LastName><ForeName>Cori</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Almallouhi</LastName><ForeName>Eyad</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al Kasab</LastName><ForeName>Sami</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.).</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurosurgery, Medical University of South Carolina, Charleston. (S.A.K., A.M.S.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spiotta</LastName><ForeName>Alejandro M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Medical University of South Carolina, Charleston. (S.A.K., A.M.S.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holmstedt</LastName><ForeName>Christine A</ForeName><Initials>CA</Initials><AffiliationInfo><Affiliation>Department of Neurology, Medical University of South Carolina, Charleston. (C.C., E.A., S.A.K., C.A.H.).</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Stroke</MedlineTA><NlmUniqueID>0235266</NlmUniqueID><ISSNLinking>0039-2499</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="D001741" MajorTopicYN="Y">African Americans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</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="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013022" MajorTopicYN="N" Type="Geographic">South Carolina</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017216" MajorTopicYN="Y">Telemedicine</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">South Carolina</Keyword><Keyword MajorTopicYN="Y">pandemic</Keyword><Keyword MajorTopicYN="Y">stroke</Keyword><Keyword MajorTopicYN="Y">thrombolysis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32755454</ArticleId><ArticleId IdType="doi">10.1161/STROKEAHA.120.031121</ArticleId><ArticleId IdType="pmc">PMC7434003</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Sud</li></region><settlement><li>Columbia (Caroline du Sud)</li></settlement><orgName><li>Université de Caroline du Sud</li></orgName></list><tree><country name="États-Unis"><region name="Caroline du Sud"><name sortKey="Cummings, Cori" sort="Cummings, Cori" uniqKey="Cummings C" first="Cori" last="Cummings">Cori Cummings</name></region><name sortKey="Al Kasab, Sami" sort="Al Kasab, Sami" uniqKey="Al Kasab S" first="Sami" last="Al Kasab">Sami Al Kasab</name><name sortKey="Al Kasab, Sami" sort="Al Kasab, Sami" uniqKey="Al Kasab S" first="Sami" last="Al Kasab">Sami Al Kasab</name><name sortKey="Almallouhi, Eyad" sort="Almallouhi, Eyad" uniqKey="Almallouhi E" first="Eyad" last="Almallouhi">Eyad Almallouhi</name><name sortKey="Holmstedt, Christine A" sort="Holmstedt, Christine A" uniqKey="Holmstedt C" first="Christine A" last="Holmstedt">Christine A. Holmstedt</name><name sortKey="Spiotta, Alejandro M" sort="Spiotta, Alejandro M" uniqKey="Spiotta A" first="Alejandro M" last="Spiotta">Alejandro M. Spiotta</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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