LockdownV1, Main, Exploration, bibRecord, 002317

COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals.

Identifieur interne : 002317 ( Main/Exploration ); précédent : 002316; suivant : 002318

COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals.

Auteurs : Maria Bres Bullrich [Canada] ; Sebastian Fridman [Canada] ; Jennifer L. Mandzia [Canada] ; Lauren M. Mai [Canada] ; Alexander Khaw [Canada] ; Juan Camilo Vargas Gonzalez [Canada] ; Rodrigo Bagur [Canada] ; Luciano A. Sposato [Canada]

Source :

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques [ 0317-1671 ] ; 2020.

RBID : pubmed:32450927

Descripteurs français

English descriptors

KwdEn :
- Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (therapy), Emergency Service, Hospital (trends), Humans (MeSH), Ontario (epidemiology), Pandemics (MeSH), Patient Admission (trends), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (therapy), Referral and Consultation (trends), SARS-CoV-2 (MeSH), Stroke (diagnosis), Stroke (epidemiology), Stroke (therapy).
MESH :
- geographic , epidemiology : Ontario.
- diagnosis : Coronavirus Infections, Pneumonia, Viral, Stroke.
- epidemiology : Coronavirus Infections, Pneumonia, Viral, Stroke.
- therapy : Coronavirus Infections, Pneumonia, Viral, Stroke.
- trends : Emergency Service, Hospital, Patient Admission, Referral and Consultation.
- Betacoronavirus, COVID-19, Humans, Pandemics, SARS-CoV-2.

Abstract

We assessed the impact of the coronavirus disease 19 (COVID-19) pandemic on code stroke activations in the emergency department, stroke unit admissions, and referrals to the stroke prevention clinic at London's regional stroke center, serving a population of 1.8 million in Ontario, Canada. We found a 20% drop in the number of code strokes in 2020 compared to 2019, immediately after the first cases of COVID-19 were officially confirmed. There were no changes in the number of stroke admissions and there was a 22% decrease in the number of clinic referrals, only after the provincial lockdown. Our findings suggest that the decrease in code strokes was mainly driven by patient-related factors such as fear to be exposed to the SARS-CoV-2, while the reduction in clinic referrals was largely explained by hospital policies and the Government lockdown.

DOI: 10.1017/cjn.2020.101
PubMed: 32450927
PubMed Central: PMC7324648

Affiliations:

Canada

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

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Emergency Service, Hospital (trends)</term>
<term>Humans (MeSH)</term>
<term>Ontario (epidemiology)</term>
<term>Pandemics (MeSH)</term>
<term>Patient Admission (trends)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Referral and Consultation (trends)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Stroke (diagnosis)</term>
<term>Stroke (epidemiology)</term>
<term>Stroke (therapy)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (diagnostic)</term>
<term>Accident vasculaire cérébral (thérapie)</term>
<term>Accident vasculaire cérébral (épidémiologie)</term>
<term>Admission du patient (tendances)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Ontario (épidémiologie)</term>
<term>Orientation vers un spécialiste (tendances)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Service hospitalier d'urgences (tendances)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ontario</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Admission du patient</term>
<term>Orientation vers un spécialiste</term>
<term>Service hospitalier d'urgences</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Emergency Service, Hospital</term>
<term>Patient Admission</term>
<term>Referral and Consultation</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Infections à coronavirus</term>
<term>Ontario</term>
<term>Pneumopathie virale</term>
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<term>SARS-CoV-2</term>
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<front><div type="abstract" xml:lang="en">We assessed the impact of the coronavirus disease 19 (COVID-19) pandemic on code stroke activations in the emergency department, stroke unit admissions, and referrals to the stroke prevention clinic at London's regional stroke center, serving a population of 1.8 million in Ontario, Canada. We found a 20% drop in the number of code strokes in 2020 compared to 2019, immediately after the first cases of COVID-19 were officially confirmed. There were no changes in the number of stroke admissions and there was a 22% decrease in the number of clinic referrals, only after the provincial lockdown. Our findings suggest that the decrease in code strokes was mainly driven by patient-related factors such as fear to be exposed to the SARS-CoV-2, while the reduction in clinic referrals was largely explained by hospital policies and the Government lockdown.</div>
</front>
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<Abstract><AbstractText>We assessed the impact of the coronavirus disease 19 (COVID-19) pandemic on code stroke activations in the emergency department, stroke unit admissions, and referrals to the stroke prevention clinic at London's regional stroke center, serving a population of 1.8 million in Ontario, Canada. We found a 20% drop in the number of code strokes in 2020 compared to 2019, immediately after the first cases of COVID-19 were officially confirmed. There were no changes in the number of stroke admissions and there was a 22% decrease in the number of clinic referrals, only after the provincial lockdown. Our findings suggest that the decrease in code strokes was mainly driven by patient-related factors such as fear to be exposed to the SARS-CoV-2, while the reduction in clinic referrals was largely explained by hospital policies and the Government lockdown.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bres Bullrich</LastName>
<ForeName>Maria</ForeName>
<Initials>M</Initials>
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</AffiliationInfo>
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<ForeName>Sebastian</ForeName>
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<AffiliationInfo><Affiliation>Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Mandzia</LastName>
<ForeName>Jennifer L</ForeName>
<Initials>JL</Initials>
<AffiliationInfo><Affiliation>Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Mai</LastName>
<ForeName>Lauren M</ForeName>
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</AffiliationInfo>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Vargas Gonzalez</LastName>
<ForeName>Juan Camilo</ForeName>
<Initials>JC</Initials>
<Identifier Source="ORCID">0000-0002-1719-2200</Identifier>
<AffiliationInfo><Affiliation>Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bagur</LastName>
<ForeName>Rodrigo</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Division of Cardiology, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sposato</LastName>
<ForeName>Luciano A</ForeName>
<Initials>LA</Initials>
<AffiliationInfo><Affiliation>Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Heart & Brain Laboratory, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Lawson Health Research Institute, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Robarts Research Institute, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>05</Month>
<Day>26</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Can J Neurol Sci</MedlineTA>
<NlmUniqueID>0415227</NlmUniqueID>
<ISSNLinking>0317-1671</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
</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="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</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="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</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>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword>
<Keyword MajorTopicYN="Y">STROKE</Keyword>
<Keyword MajorTopicYN="Y">prevention</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>5</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>10</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>5</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32450927</ArticleId>
<ArticleId IdType="pii">S0317167120001018</ArticleId>
<ArticleId IdType="doi">10.1017/cjn.2020.101</ArticleId>
<ArticleId IdType="pmc">PMC7324648</ArticleId>
</ArticleIdList>
<ReferenceList><Reference><Citation>Lancet Neurol. 2007 Nov;6(11):953-60</Citation>
<ArticleIdList><ArticleId IdType="pubmed">17928270</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2020 Jul 23;383(4):400-401</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32383831</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Stroke Cerebrovasc Dis. 2020 Aug;29(8):104953</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32689621</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Canada</li>
</country>
</list>
<tree><country name="Canada"><noRegion><name sortKey="Bres Bullrich, Maria" sort="Bres Bullrich, Maria" uniqKey="Bres Bullrich M" first="Maria" last="Bres Bullrich">Maria Bres Bullrich</name>
</noRegion>
<name sortKey="Bagur, Rodrigo" sort="Bagur, Rodrigo" uniqKey="Bagur R" first="Rodrigo" last="Bagur">Rodrigo Bagur</name>
<name sortKey="Bagur, Rodrigo" sort="Bagur, Rodrigo" uniqKey="Bagur R" first="Rodrigo" last="Bagur">Rodrigo Bagur</name>
<name sortKey="Fridman, Sebastian" sort="Fridman, Sebastian" uniqKey="Fridman S" first="Sebastian" last="Fridman">Sebastian Fridman</name>
<name sortKey="Khaw, Alexander" sort="Khaw, Alexander" uniqKey="Khaw A" first="Alexander" last="Khaw">Alexander Khaw</name>
<name sortKey="Mai, Lauren M" sort="Mai, Lauren M" uniqKey="Mai L" first="Lauren M" last="Mai">Lauren M. Mai</name>
<name sortKey="Mandzia, Jennifer L" sort="Mandzia, Jennifer L" uniqKey="Mandzia J" first="Jennifer L" last="Mandzia">Jennifer L. Mandzia</name>
<name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A" last="Sposato">Luciano A. Sposato</name>
<name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A" last="Sposato">Luciano A. Sposato</name>
<name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A" last="Sposato">Luciano A. Sposato</name>
<name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A" last="Sposato">Luciano A. Sposato</name>
<name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A" last="Sposato">Luciano A. Sposato</name>
<name sortKey="Sposato, Luciano A" sort="Sposato, Luciano A" uniqKey="Sposato L" first="Luciano A" last="Sposato">Luciano A. Sposato</name>
<name sortKey="Vargas Gonzalez, Juan Camilo" sort="Vargas Gonzalez, Juan Camilo" uniqKey="Vargas Gonzalez J" first="Juan Camilo" last="Vargas Gonzalez">Juan Camilo Vargas Gonzalez</name>
</country>
</tree>
</affiliations>
</record>

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COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals.

COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals.

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