The impact of COVID-19 on acute ischemic stroke admissions: Analysis from a community-based tertiary care center.
Identifieur interne : 000046 ( Main/Exploration ); précédent : 000045; suivant : 000047The impact of COVID-19 on acute ischemic stroke admissions: Analysis from a community-based tertiary care center.
Auteurs : Jing Wang [États-Unis] ; Saqib A. Chaudhry [États-Unis] ; Pouya Tahsili-Fahadan [États-Unis] ; Laith R. Altaweel [États-Unis] ; Sairah Bashir [États-Unis] ; Zelalem Bahiru [États-Unis] ; Yun Fang [États-Unis] ; Adnan I. Qureshi [États-Unis]Source :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [ 1532-8511 ] ; 2020.
Abstract
BACKGROUND/OBJECTIVE
To evaluate the impact of the COVID-19 pandemic on hospital admissions and outcomes in patients admitted with acute ischemic stroke.
METHODS
Single-center retrospective analysis of patients admitted to the hospital with acute ischemic stroke, between December 1
RESULTS
Five hundred and seventy-five patients with a mean age (years±SD) of 68±16 were admitted from December 1
CONCLUSIONS
We observed a reduction of hospital admissions in acute ischemic strokes and some delay in reperfusion therapy during the COVID-19 pandemic. Prospective studies and a larger dataset analysis are warranted.
DOI: 10.1016/j.jstrokecerebrovasdis.2020.105344
PubMed: 33049464
PubMed Central: PMC7518171
Affiliations:
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Qureshi</name><affiliation wicri:level="2"><nlm:affiliation>Zeenat Qureshi Stroke Institute, Columbia, MO, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Zeenat Qureshi Stroke Institute, Columbia, MO</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33049464</idno><idno type="pmid">33049464</idno><idno type="doi">10.1016/j.jstrokecerebrovasdis.2020.105344</idno><idno type="pmc">PMC7518171</idno><idno type="wicri:Area/Main/Corpus">000079</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000079</idno><idno type="wicri:Area/Main/Curation">000079</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000079</idno><idno type="wicri:Area/Main/Exploration">000079</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The impact of COVID-19 on acute ischemic stroke admissions: Analysis from a community-based tertiary care center.</title><author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name><affiliation wicri:level="2"><nlm:affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Chaudhry, Saqib A" sort="Chaudhry, Saqib A" uniqKey="Chaudhry S" first="Saqib A" last="Chaudhry">Saqib A. Chaudhry</name><affiliation wicri:level="2"><nlm:affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA. Electronic address: Saqib.Chaudhry@inova.org.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Tahsili Fahadan, Pouya" sort="Tahsili Fahadan, Pouya" uniqKey="Tahsili Fahadan P" first="Pouya" last="Tahsili-Fahadan">Pouya Tahsili-Fahadan</name><affiliation wicri:level="2"><nlm:affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Department of Neurology, Johns Hopkins University, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Altaweel, Laith R" sort="Altaweel, Laith R" uniqKey="Altaweel L" first="Laith R" last="Altaweel">Laith R. Altaweel</name><affiliation wicri:level="2"><nlm:affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Bashir, Sairah" sort="Bashir, Sairah" uniqKey="Bashir S" first="Sairah" last="Bashir">Sairah Bashir</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, INOVA Fairfax Medical Campus, Falls Church, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Bahiru, Zelalem" sort="Bahiru, Zelalem" uniqKey="Bahiru Z" first="Zelalem" last="Bahiru">Zelalem Bahiru</name><affiliation wicri:level="2"><nlm:affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Fang, Yun" sort="Fang, Yun" uniqKey="Fang Y" first="Yun" last="Fang">Yun Fang</name><affiliation wicri:level="2"><nlm:affiliation>Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Qureshi, Adnan I" sort="Qureshi, Adnan I" uniqKey="Qureshi A" first="Adnan I" last="Qureshi">Adnan I. Qureshi</name><affiliation wicri:level="2"><nlm:affiliation>Zeenat Qureshi Stroke Institute, Columbia, MO, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Zeenat Qureshi Stroke Institute, Columbia, MO</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author></analytic><series><title level="j">Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association</title><idno type="eISSN">1532-8511</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND/OBJECTIVE</b></p><p>To evaluate the impact of the COVID-19 pandemic on hospital admissions and outcomes in patients admitted with acute ischemic stroke.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Single-center retrospective analysis of patients admitted to the hospital with acute ischemic stroke, between December 1</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Five hundred and seventy-five patients with a mean age (years±SD) of 68±16 were admitted from December 1</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>We observed a reduction of hospital admissions in acute ischemic strokes and some delay in reperfusion therapy during the COVID-19 pandemic. Prospective studies and a larger dataset analysis are warranted.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">33049464</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8511</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>12</Issue><PubDate><Year>2020</Year><Month>Dec</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>The impact of COVID-19 on acute ischemic stroke admissions: Analysis from a community-based tertiary care center.</ArticleTitle><Pagination><MedlinePgn>105344</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1052-3057(20)30762-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jstrokecerebrovasdis.2020.105344</ELocationID><Abstract><AbstractText Label="BACKGROUND/OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the impact of the COVID-19 pandemic on hospital admissions and outcomes in patients admitted with acute ischemic stroke.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Single-center retrospective analysis of patients admitted to the hospital with acute ischemic stroke, between December 1<sup>st</sup>, 2019 and June 30<sup>th</sup>, 2020. Outcomes were classified as none-to-minimal disability, moderate-to-severe disability, and death based on discharge disposition, and compared between two time periods: pre-COVID-19 era (December 1<sup>st</sup>, 2019 to March 11<sup>th</sup>, 2020) and COVID-19 era (March 12<sup>th</sup> to June 30<sup>th</sup>, 2020). We also performed a comparative trend analysis for the equivalent period between 2019 and 2020.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Five hundred and seventy-five patients with a mean age (years±SD) of 68±16 were admitted from December 1<sup>st</sup>, 2019 to June 30<sup>th</sup>, 2020, with a clinical diagnosis of acute ischemic stroke. Of these, 255 (44.3%) patients were admitted during the COVID-19 era. We observed a 22.1% and 39.5% decline in admission for acute ischemic stroke in April and May 2020, respectively. A significantly higher percentage of patients with acute ischemic stroke received intravenous thrombolysis during the COVID-19 era (p = 0.020). In patients with confirmed COVID-19, we found a higher percentage of older men with preexisting comorbidities such as hyperlipidemia, coronary artery disease, and diabetes mellitus but a lower rate of atrial fibrillation. In addition, we found a treatment delay in both intravenous thrombolysis (median 94.5 min versus 38 min) and mechanical thrombectomy (median 244 min versus 86 min) in patients with confirmed COVID-19 infection. There were no differences in patients' disposition including home, short-term, and long-term facility (p = 0.60).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We observed a reduction of hospital admissions in acute ischemic strokes and some delay in reperfusion therapy during the COVID-19 pandemic. Prospective studies and a larger dataset analysis are warranted.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Jing</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaudhry</LastName><ForeName>Saqib A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA. Electronic address: Saqib.Chaudhry@inova.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tahsili-Fahadan</LastName><ForeName>Pouya</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Altaweel</LastName><ForeName>Laith R</ForeName><Initials>LR</Initials><AffiliationInfo><Affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA; Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bashir</LastName><ForeName>Sairah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Neurology, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bahiru</LastName><ForeName>Zelalem</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Neuroscience Intensive Care Unit, Department of Medicine, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fang</LastName><ForeName>Yun</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Neuroscience Research, Neuroscience and Spine Institute, INOVA Fairfax Medical Campus, Falls Church, VA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Qureshi</LastName><ForeName>Adnan I</ForeName><Initials>AI</Initials><AffiliationInfo><Affiliation>Zeenat Qureshi Stroke Institute, Columbia, MO, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</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><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acute Ischemic Stroke</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Hospital Admission</Keyword><Keyword MajorTopicYN="N">IV thrombolysis</Keyword><Keyword MajorTopicYN="N">Mechanical Thrombectomy</Keyword><Keyword MajorTopicYN="N">Mortality</Keyword><Keyword MajorTopicYN="N">Pandemic</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest The authors have no conflicts to report.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>08</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>09</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>10</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>10</Month><Day>13</Day><Hour>20</Hour><Minute>11</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33049464</ArticleId><ArticleId IdType="pii">S1052-3057(20)30762-X</ArticleId><ArticleId IdType="doi">10.1016/j.jstrokecerebrovasdis.2020.105344</ArticleId><ArticleId IdType="pmc">PMC7518171</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Missouri (État)</li><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Virginie"><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name></region><name sortKey="Altaweel, Laith R" sort="Altaweel, Laith R" uniqKey="Altaweel L" first="Laith R" last="Altaweel">Laith R. Altaweel</name><name sortKey="Bahiru, Zelalem" sort="Bahiru, Zelalem" uniqKey="Bahiru Z" first="Zelalem" last="Bahiru">Zelalem Bahiru</name><name sortKey="Bashir, Sairah" sort="Bashir, Sairah" uniqKey="Bashir S" first="Sairah" last="Bashir">Sairah Bashir</name><name sortKey="Chaudhry, Saqib A" sort="Chaudhry, Saqib A" uniqKey="Chaudhry S" first="Saqib A" last="Chaudhry">Saqib A. Chaudhry</name><name sortKey="Fang, Yun" sort="Fang, Yun" uniqKey="Fang Y" first="Yun" last="Fang">Yun Fang</name><name sortKey="Qureshi, Adnan I" sort="Qureshi, Adnan I" uniqKey="Qureshi A" first="Adnan I" last="Qureshi">Adnan I. Qureshi</name><name sortKey="Tahsili Fahadan, Pouya" sort="Tahsili Fahadan, Pouya" uniqKey="Tahsili Fahadan P" first="Pouya" last="Tahsili-Fahadan">Pouya Tahsili-Fahadan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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