Stroke admission rates before, during and after the first phase of the COVID-19 pandemic.
Identifieur interne : 000132 ( Main/Exploration ); précédent : 000131; suivant : 000133Stroke admission rates before, during and after the first phase of the COVID-19 pandemic.
Auteurs : Espen Saxhaug Kristoffersen [Norvège] ; Silje Holt Jahr [Norvège] ; Kashif Waqar Faiz [Norvège] ; Bente Thommessen [Norvège] ; Ole Morten R Nning [Norvège]Source :
- Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [ 1590-3478 ] ; 2021.
Abstract
BACKGROUND
There was a significant decrease in stroke admissions during the first phase of the COVID-19 pandemic. There are concerns that stroke patients have not sought medical attention and in the months after the lockdown suffer recurrent severe strokes. The aims of this study were to investigate how stroke admission rates and distributions of severity varied before, during and after the lockdown in a representative Norwegian hospital population.
METHODS
All patients discharged from Akershus University Hospital with a diagnosis of transient ischemic attack (TIA) or acute stroke from January to September 2020 were identified by hospital chart review.
RESULTS
We observed a transient decrease in weekly stroke admissions during lockdown from an average of 21.4 (SD 4.7) before to 15.0 (SD 4.2) during and 17.2 (SD 3.3) after (p < 0.011). The proportion of mild ischemic and haemorrhagic strokes was also lower during lockdown with 66% before, 57% during and 68% after (p = 0.011).
CONCLUSION
The period of COVID-19 lockdown was associated with a temporary reduction in total admissions of strokes. In particular, there were fewer with TIA and mild stroke. Given the need to prevent the worsening of symptoms and risk of recurrence, it is necessary to emphasise the importance to seek medical care even in states of emergency.
DOI: 10.1007/s10072-021-05039-y
PubMed: 33428057
PubMed Central: PMC7799168
Affiliations:
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Kristoffersen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway. e.s.kristoffersen@medisin.uio.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of General Practice, University of Oslo, Oslo, Norway. e.s.kristoffersen@medisin.uio.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of General Practice, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Jahr, Silje Holt" sort="Jahr, Silje Holt" uniqKey="Jahr S" first="Silje Holt" last="Jahr">Silje Holt Jahr</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institute of Clinical Medicine, University of Oslo, Oslo, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Medicine, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Faiz, Kashif Waqar" sort="Faiz, Kashif Waqar" uniqKey="Faiz K" first="Kashif Waqar" last="Faiz">Kashif Waqar Faiz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation></author><author><name sortKey="Thommessen, Bente" sort="Thommessen, Bente" uniqKey="Thommessen B" first="Bente" last="Thommessen">Bente Thommessen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation></author><author><name sortKey="R Nning, Ole Morten" sort="R Nning, Ole Morten" uniqKey="R Nning O" first="Ole Morten" last="R Nning">Ole Morten R Nning</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institute of Clinical Medicine, University of Oslo, Oslo, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Medicine, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author></analytic><series><title level="j">Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology</title><idno type="eISSN">1590-3478</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>There was a significant decrease in stroke admissions during the first phase of the COVID-19 pandemic. There are concerns that stroke patients have not sought medical attention and in the months after the lockdown suffer recurrent severe strokes. The aims of this study were to investigate how stroke admission rates and distributions of severity varied before, during and after the lockdown in a representative Norwegian hospital population.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>All patients discharged from Akershus University Hospital with a diagnosis of transient ischemic attack (TIA) or acute stroke from January to September 2020 were identified by hospital chart review.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We observed a transient decrease in weekly stroke admissions during lockdown from an average of 21.4 (SD 4.7) before to 15.0 (SD 4.2) during and 17.2 (SD 3.3) after (p < 0.011). The proportion of mild ischemic and haemorrhagic strokes was also lower during lockdown with 66% before, 57% during and 68% after (p = 0.011).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The period of COVID-19 lockdown was associated with a temporary reduction in total admissions of strokes. In particular, there were fewer with TIA and mild stroke. Given the need to prevent the worsening of symptoms and risk of recurrence, it is necessary to emphasise the importance to seek medical care even in states of emergency.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33428057</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1590-3478</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>11</Day></PubDate></JournalIssue><Title>Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology</Title><ISOAbbreviation>Neurol Sci</ISOAbbreviation></Journal><ArticleTitle>Stroke admission rates before, during and after the first phase of the COVID-19 pandemic.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10072-021-05039-y</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There was a significant decrease in stroke admissions during the first phase of the COVID-19 pandemic. There are concerns that stroke patients have not sought medical attention and in the months after the lockdown suffer recurrent severe strokes. The aims of this study were to investigate how stroke admission rates and distributions of severity varied before, during and after the lockdown in a representative Norwegian hospital population.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All patients discharged from Akershus University Hospital with a diagnosis of transient ischemic attack (TIA) or acute stroke from January to September 2020 were identified by hospital chart review.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We observed a transient decrease in weekly stroke admissions during lockdown from an average of 21.4 (SD 4.7) before to 15.0 (SD 4.2) during and 17.2 (SD 3.3) after (p < 0.011). The proportion of mild ischemic and haemorrhagic strokes was also lower during lockdown with 66% before, 57% during and 68% after (p = 0.011).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The period of COVID-19 lockdown was associated with a temporary reduction in total admissions of strokes. In particular, there were fewer with TIA and mild stroke. Given the need to prevent the worsening of symptoms and risk of recurrence, it is necessary to emphasise the importance to seek medical care even in states of emergency.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kristoffersen</LastName><ForeName>Espen Saxhaug</ForeName><Initials>ES</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-8999-5424</Identifier><AffiliationInfo><Affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway. e.s.kristoffersen@medisin.uio.no.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of General Practice, University of Oslo, Oslo, Norway. e.s.kristoffersen@medisin.uio.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jahr</LastName><ForeName>Silje Holt</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Clinical Medicine, University of Oslo, Oslo, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Faiz</LastName><ForeName>Kashif Waqar</ForeName><Initials>KW</Initials><AffiliationInfo><Affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thommessen</LastName><ForeName>Bente</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rønning</LastName><ForeName>Ole Morten</ForeName><Initials>OM</Initials><AffiliationInfo><Affiliation>Department of Neurology, Akershus University Hospital, PO Box 1000, 1478, Lørenskog, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Clinical Medicine, University of Oslo, Oslo, Norway.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>01</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Neurol Sci</MedlineTA><NlmUniqueID>100959175</NlmUniqueID><ISSNLinking>1590-1874</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Emergency care</Keyword><Keyword MajorTopicYN="N">Health care planning</Keyword><Keyword MajorTopicYN="N">Pandemic</Keyword><Keyword MajorTopicYN="N">Stroke</Keyword><Keyword MajorTopicYN="N">Stroke care pathways</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>11</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2021</Year><Month>01</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>11</Day><Hour>12</Hour><Minute>19</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33428057</ArticleId><ArticleId IdType="doi">10.1007/s10072-021-05039-y</ArticleId><ArticleId IdType="pii">10.1007/s10072-021-05039-y</ArticleId><ArticleId IdType="pmc">PMC7799168</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Stroke Cerebrovasc Dis. 2021 Jan;30(1):105448</Citation><ArticleIdList><ArticleId IdType="pubmed">33166767</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2007 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IdType="pubmed">32450927</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Norvège</li></country><region><li>Østlandet</li></region><settlement><li>Oslo</li></settlement></list><tree><country name="Norvège"><noRegion><name sortKey="Kristoffersen, Espen Saxhaug" sort="Kristoffersen, Espen Saxhaug" uniqKey="Kristoffersen E" first="Espen Saxhaug" last="Kristoffersen">Espen Saxhaug Kristoffersen</name></noRegion><name sortKey="Faiz, Kashif Waqar" sort="Faiz, Kashif Waqar" uniqKey="Faiz K" first="Kashif Waqar" last="Faiz">Kashif Waqar Faiz</name><name sortKey="Jahr, Silje Holt" sort="Jahr, Silje Holt" uniqKey="Jahr S" first="Silje Holt" last="Jahr">Silje Holt Jahr</name><name sortKey="Jahr, Silje Holt" sort="Jahr, Silje Holt" uniqKey="Jahr S" first="Silje Holt" last="Jahr">Silje Holt Jahr</name><name sortKey="Kristoffersen, Espen Saxhaug" sort="Kristoffersen, Espen Saxhaug" uniqKey="Kristoffersen E" first="Espen Saxhaug" last="Kristoffersen">Espen Saxhaug Kristoffersen</name><name sortKey="R Nning, Ole Morten" sort="R Nning, Ole Morten" uniqKey="R Nning O" first="Ole Morten" last="R Nning">Ole Morten R Nning</name><name sortKey="R Nning, Ole Morten" sort="R Nning, Ole Morten" uniqKey="R Nning O" first="Ole Morten" last="R Nning">Ole Morten R Nning</name><name sortKey="Thommessen, Bente" sort="Thommessen, Bente" uniqKey="Thommessen B" first="Bente" last="Thommessen">Bente Thommessen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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