LockdownV1, Main, Exploration, bibRecord, 000900

Where have our patients gone? The impact of COVID-19 on stroke imaging and intervention at an Australian stroke center.

Identifieur interne : 000900 ( Main/Exploration ); précédent : 000899; suivant : 000901

Where have our patients gone? The impact of COVID-19 on stroke imaging and intervention at an Australian stroke center.

Auteurs : Shalini A. Amukotuwa [Australie] ; Roland Bammer [Australie] ; Julian Maingard [Australie]

Source :

Journal of medical imaging and radiation oncology [ 1754-9485 ] ; 2020.

RBID : pubmed:32820616

Descripteurs français

KwdFr :
- Acceptation des soins par les patients (MeSH), Accident vasculaire cérébral (imagerie diagnostique), Accident vasculaire cérébral (thérapie), Australie (épidémiologie), Betacoronavirus (MeSH), Délai jusqu'au traitement (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (épidémiologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Prévalence (MeSH), Tomodensitométrie (statistiques et données numériques), Études rétrospectives (MeSH).
MESH :
- imagerie diagnostique : Accident vasculaire cérébral.
- statistiques et données numériques : Tomodensitométrie.
- thérapie : Accident vasculaire cérébral.
- épidémiologie : Australie, Infections à coronavirus, Pneumopathie virale.
- Acceptation des soins par les patients, Betacoronavirus, Délai jusqu'au traitement, Femelle, Humains, Mâle, Pandémies, Prévalence, Études rétrospectives.
Wicri :
- geographic : Australie.

English descriptors

KwdEn :
- Australia (epidemiology), Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus Infections (epidemiology), Female (MeSH), Humans (MeSH), Male (MeSH), Pandemics (MeSH), Patient Acceptance of Health Care (MeSH), Pneumonia, Viral (epidemiology), Prevalence (MeSH), Retrospective Studies (MeSH), SARS-CoV-2 (MeSH), Stroke (diagnostic imaging), Stroke (therapy), Time-to-Treatment (MeSH), Tomography, X-Ray Computed (statistics & numerical data).
MESH :
- geographic , epidemiology : Australia.
- diagnostic imaging : Stroke.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Tomography, X-Ray Computed.
- therapy : Stroke.
- Betacoronavirus, COVID-19, Female, Humans, Male, Pandemics, Patient Acceptance of Health Care, Prevalence, Retrospective Studies, SARS-CoV-2, Time-to-Treatment.

Abstract

INTRODUCTION

Australia has fortunately had a low prevalence coronavirus disease 2019 (COVID-19), and our healthcare system has not been overwhelmed. We aimed to determine whether, despite this, a decline in acute stroke presentations, imaging and intervention occurred during the pandemic at a busy stroke centre.

METHODS

The number of 'code stroke' activations, multimodal CTs and endovascular clot retrievals (ECRs) performed during the pandemic period (3/1/2020-5/10/2020) at a large comprehensive stroke centre was compared against the pre-pandemic period (3/1/2019-1/31/2019) using Z-statistics. Year-on-year comparison of the number of patients with large vessel occlusions (LVOs) and ECRs performed per month was also made.

RESULTS

The number of 'code stroke' activations and patients undergoing multimodal CT per month decreased significantly (P < 0.0025) following lockdown on 29th March. The number of ECRs also decreased (P = 0.165). The nadir in the weekly number of CTs coincided with lockdown and the peak of new COVID-19 cases. The number of patients with LVOs and ECRs increased by 15% and 14%, respectively, in March but decreased by 55% and 48%, respectively, in April.

CONCLUSIONS

The significant decrease in volume of 'code stroke' activations and acute stroke imaging following lockdown was accompanied by a concomitant decrease in patients with LVOs and ECRs. The decrease in imaging was therefore not driven purely by patients with mild strokes and stroke mimics, but also included those with severe strokes. Since Australia had a low prevalence of COVID-19, this observed decrease cannot be attributed to hospital congestion and is instead likely driven by patient fear.

DOI: 10.1111/1754-9485.13093
PubMed: 32820616
PubMed Central: PMC7460943

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 001C34
to stream Main, to step Curation: 001C34

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Australia has fortunately had a low prevalence coronavirus disease 2019 (COVID-19), and our healthcare system has not been overwhelmed. We aimed to determine whether, despite this, a decline in acute stroke presentations, imaging and intervention occurred during the pandemic at a busy stroke centre.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The number of 'code stroke' activations, multimodal CTs and endovascular clot retrievals (ECRs) performed during the pandemic period (3/1/2020-5/10/2020) at a large comprehensive stroke centre was compared against the pre-pandemic period (3/1/2019-1/31/2019) using Z-statistics. Year-on-year comparison of the number of patients with large vessel occlusions (LVOs) and ECRs performed per month was also made.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The number of 'code stroke' activations and patients undergoing multimodal CT per month decreased significantly (P < 0.0025) following lockdown on 29th March. The number of ECRs also decreased (P = 0.165). The nadir in the weekly number of CTs coincided with lockdown and the peak of new COVID-19 cases. The number of patients with LVOs and ECRs increased by 15% and 14%, respectively, in March but decreased by 55% and 48%, respectively, in April.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The significant decrease in volume of 'code stroke' activations and acute stroke imaging following lockdown was accompanied by a concomitant decrease in patients with LVOs and ECRs. The decrease in imaging was therefore not driven purely by patients with mild strokes and stroke mimics, but also included those with severe strokes. Since Australia had a low prevalence of COVID-19, this observed decrease cannot be attributed to hospital congestion and is instead likely driven by patient fear.</p>
</div>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Australia has fortunately had a low prevalence coronavirus disease 2019 (COVID-19), and our healthcare system has not been overwhelmed. We aimed to determine whether, despite this, a decline in acute stroke presentations, imaging and intervention occurred during the pandemic at a busy stroke centre.</AbstractText>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">The number of 'code stroke' activations and patients undergoing multimodal CT per month decreased significantly (P < 0.0025) following lockdown on 29th March. The number of ECRs also decreased (P = 0.165). The nadir in the weekly number of CTs coincided with lockdown and the peak of new COVID-19 cases. The number of patients with LVOs and ECRs increased by 15% and 14%, respectively, in March but decreased by 55% and 48%, respectively, in April.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The significant decrease in volume of 'code stroke' activations and acute stroke imaging following lockdown was accompanied by a concomitant decrease in patients with LVOs and ECRs. The decrease in imaging was therefore not driven purely by patients with mild strokes and stroke mimics, but also included those with severe strokes. Since Australia had a low prevalence of COVID-19, this observed decrease cannot be attributed to hospital congestion and is instead likely driven by patient fear.</AbstractText>
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<tree><country name="Australie"><noRegion><name sortKey="Amukotuwa, Shalini A" sort="Amukotuwa, Shalini A" uniqKey="Amukotuwa S" first="Shalini A" last="Amukotuwa">Shalini A. Amukotuwa</name>
</noRegion>
<name sortKey="Bammer, Roland" sort="Bammer, Roland" uniqKey="Bammer R" first="Roland" last="Bammer">Roland Bammer</name>
<name sortKey="Maingard, Julian" sort="Maingard, Julian" uniqKey="Maingard J" first="Julian" last="Maingard">Julian Maingard</name>
</country>
</tree>
</affiliations>
</record>

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HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000900 | SxmlIndent | more

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{{Explor lien
   |wiki=    Sante
   |area=    LockdownV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:32820616
   |texte=   Where have our patients gone? The impact of COVID-19 on stroke imaging and intervention at an Australian stroke center.
}}

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	Serveur d'exploration sur le confinement (PubMed)
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Serveur d'exploration sur le confinement (PubMed)

Where have our patients gone? The impact of COVID-19 on stroke imaging and intervention at an Australian stroke center.

Where have our patients gone? The impact of COVID-19 on stroke imaging and intervention at an Australian stroke center.

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English descriptors

Abstract

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