Effect of COVID-19 on Emergent Stroke Care: A Regional Experience.
Identifieur interne : 000174 ( Main/Exploration ); précédent : 000173; suivant : 000175Effect of COVID-19 on Emergent Stroke Care: A Regional Experience.
Auteurs : Jessica Hsiao [États-Unis] ; Emily Sayles [États-Unis] ; Eleni Antzoulatos [États-Unis] ; Robert J. Stanton [États-Unis] ; Heidi Sucharew [États-Unis] ; Joseph P. Broderick [États-Unis] ; Stacie L. Demel [États-Unis] ; Matthew L. Flaherty [États-Unis] ; Aaron W. Grossman [États-Unis] ; Charles Kircher [États-Unis] ; Natalie Kreitzer [États-Unis] ; Katrina Peariso [États-Unis] ; Charles J. Prestigiacomo [États-Unis] ; Peyman Shirani [États-Unis] ; Kyle B. Walsh [États-Unis] ; Holly Lampton ; Opeolu Adeoye [États-Unis] ; Pooja Khatri [États-Unis]Source :
- Stroke [ 1524-4628 ] ; 2020.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (complications), Accident vasculaire cérébral (thérapie), Accident vasculaire cérébral (épidémiologie), Délai jusqu'au traitement (MeSH), Humains (MeSH), Indiana (épidémiologie), Infections à coronavirus (complications), Infections à coronavirus (thérapie), Infections à coronavirus (épidémiologie), Kentucky (épidémiologie), Ohio (épidémiologie), Orientation vers un spécialiste (statistiques et données numériques), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (thérapie), Pneumopathie virale (épidémiologie), Reperfusion (MeSH), Résultat thérapeutique (MeSH), Thrombectomie (MeSH), Traitement thrombolytique (statistiques et données numériques), Équipe soignante (MeSH), Études prospectives (MeSH).
- MESH :
- statistiques et données numériques : Orientation vers un spécialiste, Traitement thrombolytique.
- thérapie : Accident vasculaire cérébral, Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Accident vasculaire cérébral, Indiana, Infections à coronavirus, Kentucky, Ohio, Pneumopathie virale.
- Délai jusqu'au traitement, Humains, Pandémies, Reperfusion, Résultat thérapeutique, Thrombectomie, Équipe soignante, Études prospectives.
English descriptors
- KwdEn :
- COVID-19 (MeSH), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Coronavirus Infections (therapy), Humans (MeSH), Indiana (epidemiology), Kentucky (epidemiology), Ohio (epidemiology), Pandemics (MeSH), Patient Care Team (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Pneumonia, Viral (therapy), Prospective Studies (MeSH), Referral and Consultation (statistics & numerical data), Reperfusion (MeSH), Stroke (complications), Stroke (epidemiology), Stroke (therapy), Thrombectomy (MeSH), Thrombolytic Therapy (statistics & numerical data), Time-to-Treatment (MeSH), Treatment Outcome (MeSH).
- MESH :
- geographic , epidemiology : Indiana, Kentucky, Ohio.
- complications : Coronavirus Infections, Pneumonia, Viral, Stroke.
- epidemiology : Coronavirus Infections, Pneumonia, Viral, Stroke.
- statistics & numerical data : Referral and Consultation, Thrombolytic Therapy.
- therapy : Coronavirus Infections, Pneumonia, Viral, Stroke.
- COVID-19, Humans, Pandemics, Patient Care Team, Prospective Studies, Reperfusion, Thrombectomy, Time-to-Treatment, Treatment Outcome.
Abstract
BACKGROUND AND PURPOSE
Anecdotal evidence suggests that the coronavirus disease 2019 (COVID-19) pandemic mitigation efforts may inadvertently discourage patients from seeking treatment for stroke with resultant increased morbidity and mortality. Analysis of regional data, while hospital capacities for acute stroke care remained fully available, offers an opportunity to assess this. We report regional Stroke Team acute activations and reperfusion treatments during COVID-19 mitigation activities.
METHODS
Using case log data prospectively collected by a Stroke Team exclusively serving ≈2 million inhabitants and 30 healthcare facilities, we retrospectively reviewed volumes of consultations and reperfusion treatments for acute ischemic stroke. We compared volumes before and after announcements of COVID-19 mitigation measures and the prior calendar year.
RESULTS
Compared with the 10 weeks prior, stroke consultations declined by 39% (95% CI, 32%-46%) in the 5 weeks after announcement of statewide school and restaurant closures in Ohio, Kentucky, and Indiana. Results compared with the prior year and time trend analyses were consistent. Reperfusion treatments also appeared to decline by 31% (95% CI, 3%-51%), and specifically thrombolysis by 33% (95% CI, 4%-55%), but this finding had less precision.
CONCLUSIONS
Upon the announcement of measures to mitigate COVID-19, regional acute stroke consultations declined significantly. Reperfusion treatment rates, particularly thrombolysis, also appeared to decline qualitatively, and this finding requires further study. Urgent public education is necessary to mitigate a possible crisis of avoiding essential emergency care due to COVID-19.
DOI: 10.1161/STROKEAHA.120.030499
PubMed: 32639860
PubMed Central: PMC7359904
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Antzoulatos, Eleni" sort="Antzoulatos, Eleni" uniqKey="Antzoulatos E" first="Eleni" last="Antzoulatos">Eleni Antzoulatos</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. 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G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Sucharew, Heidi" sort="Sucharew, Heidi" uniqKey="Sucharew H" first="Heidi" last="Sucharew">Heidi Sucharew</name><affiliation wicri:level="2"><nlm:affiliation>Division of Biostatistics (H.S.), Cincinnati Children's Hospital Medical Center, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Biostatistics (H.S.), Cincinnati Children's Hospital Medical Center</wicri:cityArea></affiliation></author><author><name sortKey="Broderick, Joseph P" sort="Broderick, Joseph P" uniqKey="Broderick J" first="Joseph P" last="Broderick">Joseph P. Broderick</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Demel, Stacie L" sort="Demel, Stacie L" uniqKey="Demel S" first="Stacie L" last="Demel">Stacie L. Demel</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Flaherty, Matthew L" sort="Flaherty, Matthew L" uniqKey="Flaherty M" first="Matthew L" last="Flaherty">Matthew L. Flaherty</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Grossman, Aaron W" sort="Grossman, Aaron W" uniqKey="Grossman A" first="Aaron W" last="Grossman">Aaron W. Grossman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Kircher, Charles" sort="Kircher, Charles" uniqKey="Kircher C" first="Charles" last="Kircher">Charles Kircher</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Kreitzer, Natalie" sort="Kreitzer, Natalie" uniqKey="Kreitzer N" first="Natalie" last="Kreitzer">Natalie Kreitzer</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Peariso, Katrina" sort="Peariso, Katrina" uniqKey="Peariso K" first="Katrina" last="Peariso">Katrina Peariso</name><affiliation wicri:level="2"><nlm:affiliation>Division of Neurology (K.P.), Cincinnati Children's Hospital Medical Center, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Neurology (K.P.), Cincinnati Children's Hospital Medical Center</wicri:cityArea></affiliation></author><author><name sortKey="Prestigiacomo, Charles J" sort="Prestigiacomo, Charles J" uniqKey="Prestigiacomo C" first="Charles J" last="Prestigiacomo">Charles J. Prestigiacomo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (C. J. P.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurosurgery (C. J. P.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Shirani, Peyman" sort="Shirani, Peyman" uniqKey="Shirani P" first="Peyman" last="Shirani">Peyman Shirani</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Walsh, Kyle B" sort="Walsh, Kyle B" uniqKey="Walsh K" first="Kyle B" last="Walsh">Kyle B. Walsh</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Lampton, Holly" sort="Lampton, Holly" uniqKey="Lampton H" first="Holly" last="Lampton">Holly Lampton</name><affiliation><nlm:affiliation>Department of Communications, Hamilton County, Cincinnati, OH (H.L.).</nlm:affiliation><wicri:noCountry code="subField">OH (H.L.).</wicri:noCountry></affiliation></author><author><name sortKey="Adeoye, Opeolu" sort="Adeoye, Opeolu" uniqKey="Adeoye O" first="Opeolu" last="Adeoye">Opeolu Adeoye</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Khatri, Pooja" sort="Khatri, Pooja" uniqKey="Khatri P" first="Pooja" last="Khatri">Pooja Khatri</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32639860</idno><idno type="pmid">32639860</idno><idno type="doi">10.1161/STROKEAHA.120.030499</idno><idno type="pmc">PMC7359904</idno><idno type="wicri:Area/Main/Corpus">000179</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000179</idno><idno type="wicri:Area/Main/Curation">000179</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000179</idno><idno type="wicri:Area/Main/Exploration">000179</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effect of COVID-19 on Emergent Stroke Care: A Regional Experience.</title><author><name sortKey="Hsiao, Jessica" sort="Hsiao, Jessica" uniqKey="Hsiao J" first="Jessica" last="Hsiao">Jessica Hsiao</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Sayles, Emily" sort="Sayles, Emily" uniqKey="Sayles E" first="Emily" last="Sayles">Emily Sayles</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Antzoulatos, Eleni" sort="Antzoulatos, Eleni" uniqKey="Antzoulatos E" first="Eleni" last="Antzoulatos">Eleni Antzoulatos</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Stanton, Robert J" sort="Stanton, Robert J" uniqKey="Stanton R" first="Robert J" last="Stanton">Robert J. Stanton</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Sucharew, Heidi" sort="Sucharew, Heidi" uniqKey="Sucharew H" first="Heidi" last="Sucharew">Heidi Sucharew</name><affiliation wicri:level="2"><nlm:affiliation>Division of Biostatistics (H.S.), Cincinnati Children's Hospital Medical Center, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Biostatistics (H.S.), Cincinnati Children's Hospital Medical Center</wicri:cityArea></affiliation></author><author><name sortKey="Broderick, Joseph P" sort="Broderick, Joseph P" uniqKey="Broderick J" first="Joseph P" last="Broderick">Joseph P. Broderick</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Demel, Stacie L" sort="Demel, Stacie L" uniqKey="Demel S" first="Stacie L" last="Demel">Stacie L. Demel</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Flaherty, Matthew L" sort="Flaherty, Matthew L" uniqKey="Flaherty M" first="Matthew L" last="Flaherty">Matthew L. Flaherty</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Grossman, Aaron W" sort="Grossman, Aaron W" uniqKey="Grossman A" first="Aaron W" last="Grossman">Aaron W. Grossman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Kircher, Charles" sort="Kircher, Charles" uniqKey="Kircher C" first="Charles" last="Kircher">Charles Kircher</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Kreitzer, Natalie" sort="Kreitzer, Natalie" uniqKey="Kreitzer N" first="Natalie" last="Kreitzer">Natalie Kreitzer</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Peariso, Katrina" sort="Peariso, Katrina" uniqKey="Peariso K" first="Katrina" last="Peariso">Katrina Peariso</name><affiliation wicri:level="2"><nlm:affiliation>Division of Neurology (K.P.), Cincinnati Children's Hospital Medical Center, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Neurology (K.P.), Cincinnati Children's Hospital Medical Center</wicri:cityArea></affiliation></author><author><name sortKey="Prestigiacomo, Charles J" sort="Prestigiacomo, Charles J" uniqKey="Prestigiacomo C" first="Charles J" last="Prestigiacomo">Charles J. Prestigiacomo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery (C. J. P.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurosurgery (C. J. P.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Shirani, Peyman" sort="Shirani, Peyman" uniqKey="Shirani P" first="Peyman" last="Shirani">Peyman Shirani</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Walsh, Kyle B" sort="Walsh, Kyle B" uniqKey="Walsh K" first="Kyle B" last="Walsh">Kyle B. Walsh</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Lampton, Holly" sort="Lampton, Holly" uniqKey="Lampton H" first="Holly" last="Lampton">Holly Lampton</name><affiliation><nlm:affiliation>Department of Communications, Hamilton County, Cincinnati, OH (H.L.).</nlm:affiliation><wicri:noCountry code="subField">OH (H.L.).</wicri:noCountry></affiliation></author><author><name sortKey="Adeoye, Opeolu" sort="Adeoye, Opeolu" uniqKey="Adeoye O" first="Opeolu" last="Adeoye">Opeolu Adeoye</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Khatri, Pooja" sort="Khatri, Pooja" uniqKey="Khatri P" first="Pooja" last="Khatri">Pooja Khatri</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati</wicri:cityArea></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>COVID-19 (MeSH)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (therapy)</term><term>Humans (MeSH)</term><term>Indiana (epidemiology)</term><term>Kentucky (epidemiology)</term><term>Ohio (epidemiology)</term><term>Pandemics (MeSH)</term><term>Patient Care Team (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (therapy)</term><term>Prospective Studies (MeSH)</term><term>Referral and Consultation (statistics & numerical data)</term><term>Reperfusion (MeSH)</term><term>Stroke (complications)</term><term>Stroke (epidemiology)</term><term>Stroke (therapy)</term><term>Thrombectomy (MeSH)</term><term>Thrombolytic Therapy (statistics & numerical data)</term><term>Time-to-Treatment (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (complications)</term><term>Accident vasculaire cérébral (thérapie)</term><term>Accident vasculaire cérébral (épidémiologie)</term><term>Délai jusqu'au traitement (MeSH)</term><term>Humains (MeSH)</term><term>Indiana (épidémiologie)</term><term>Infections à coronavirus (complications)</term><term>Infections à coronavirus (thérapie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Kentucky (épidémiologie)</term><term>Ohio (épidémiologie)</term><term>Orientation vers un spécialiste (statistiques et données numériques)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (complications)</term><term>Pneumopathie virale (thérapie)</term><term>Pneumopathie virale (épidémiologie)</term><term>Reperfusion (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Thrombectomie (MeSH)</term><term>Traitement thrombolytique (statistiques et données numériques)</term><term>Équipe soignante (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Indiana</term><term>Kentucky</term><term>Ohio</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term><term>Stroke</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="statistics & numerical data" xml:lang="en"><term>Referral and Consultation</term><term>Thrombolytic Therapy</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Orientation vers un spécialiste</term><term>Traitement thrombolytique</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="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Indiana</term><term>Infections à coronavirus</term><term>Kentucky</term><term>Ohio</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>COVID-19</term><term>Humans</term><term>Pandemics</term><term>Patient Care Team</term><term>Prospective Studies</term><term>Reperfusion</term><term>Thrombectomy</term><term>Time-to-Treatment</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Délai jusqu'au traitement</term><term>Humains</term><term>Pandémies</term><term>Reperfusion</term><term>Résultat thérapeutique</term><term>Thrombectomie</term><term>Équipe soignante</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b></p><p>Anecdotal evidence suggests that the coronavirus disease 2019 (COVID-19) pandemic mitigation efforts may inadvertently discourage patients from seeking treatment for stroke with resultant increased morbidity and mortality. Analysis of regional data, while hospital capacities for acute stroke care remained fully available, offers an opportunity to assess this. We report regional Stroke Team acute activations and reperfusion treatments during COVID-19 mitigation activities.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Using case log data prospectively collected by a Stroke Team exclusively serving ≈2 million inhabitants and 30 healthcare facilities, we retrospectively reviewed volumes of consultations and reperfusion treatments for acute ischemic stroke. We compared volumes before and after announcements of COVID-19 mitigation measures and the prior calendar year.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Compared with the 10 weeks prior, stroke consultations declined by 39% (95% CI, 32%-46%) in the 5 weeks after announcement of statewide school and restaurant closures in Ohio, Kentucky, and Indiana. Results compared with the prior year and time trend analyses were consistent. Reperfusion treatments also appeared to decline by 31% (95% CI, 3%-51%), and specifically thrombolysis by 33% (95% CI, 4%-55%), but this finding had less precision.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Upon the announcement of measures to mitigate COVID-19, regional acute stroke consultations declined significantly. Reperfusion treatment rates, particularly thrombolysis, also appeared to decline qualitatively, and this finding requires further study. Urgent public education is necessary to mitigate a possible crisis of avoiding essential emergency care due to COVID-19.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32639860</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1524-4628</ISSN><JournalIssue CitedMedium="Internet"><Volume>51</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>09</Month></PubDate></JournalIssue><Title>Stroke</Title><ISOAbbreviation>Stroke</ISOAbbreviation></Journal><ArticleTitle>Effect of COVID-19 on Emergent Stroke Care: A Regional Experience.</ArticleTitle><Pagination><MedlinePgn>e2111-e2114</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1161/STROKEAHA.120.030499</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE">Anecdotal evidence suggests that the coronavirus disease 2019 (COVID-19) pandemic mitigation efforts may inadvertently discourage patients from seeking treatment for stroke with resultant increased morbidity and mortality. Analysis of regional data, while hospital capacities for acute stroke care remained fully available, offers an opportunity to assess this. We report regional Stroke Team acute activations and reperfusion treatments during COVID-19 mitigation activities.</AbstractText><AbstractText Label="METHODS">Using case log data prospectively collected by a Stroke Team exclusively serving ≈2 million inhabitants and 30 healthcare facilities, we retrospectively reviewed volumes of consultations and reperfusion treatments for acute ischemic stroke. We compared volumes before and after announcements of COVID-19 mitigation measures and the prior calendar year.</AbstractText><AbstractText Label="RESULTS">Compared with the 10 weeks prior, stroke consultations declined by 39% (95% CI, 32%-46%) in the 5 weeks after announcement of statewide school and restaurant closures in Ohio, Kentucky, and Indiana. Results compared with the prior year and time trend analyses were consistent. Reperfusion treatments also appeared to decline by 31% (95% CI, 3%-51%), and specifically thrombolysis by 33% (95% CI, 4%-55%), but this finding had less precision.</AbstractText><AbstractText Label="CONCLUSIONS">Upon the announcement of measures to mitigate COVID-19, regional acute stroke consultations declined significantly. Reperfusion treatment rates, particularly thrombolysis, also appeared to decline qualitatively, and this finding requires further study. Urgent public education is necessary to mitigate a possible crisis of avoiding essential emergency care due to COVID-19.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hsiao</LastName><ForeName>Jessica</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sayles</LastName><ForeName>Emily</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Antzoulatos</LastName><ForeName>Eleni</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stanton</LastName><ForeName>Robert J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sucharew</LastName><ForeName>Heidi</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Division of Biostatistics (H.S.), Cincinnati Children's Hospital Medical Center, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Broderick</LastName><ForeName>Joseph P</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Demel</LastName><ForeName>Stacie L</ForeName><Initials>SL</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flaherty</LastName><ForeName>Matthew L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grossman</LastName><ForeName>Aaron W</ForeName><Initials>AW</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kircher</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kreitzer</LastName><ForeName>Natalie</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peariso</LastName><ForeName>Katrina</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Neurology (K.P.), Cincinnati Children's Hospital Medical Center, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prestigiacomo</LastName><ForeName>Charles J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery (C. J. P.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shirani</LastName><ForeName>Peyman</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Walsh</LastName><ForeName>Kyle B</ForeName><Initials>KB</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lampton</LastName><ForeName>Holly</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Communications, Hamilton County, Cincinnati, OH (H.L.).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adeoye</LastName><ForeName>Opeolu</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine (C.K., N.K., K.B.W., O.A.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khatri</LastName><ForeName>Pooja</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Neurology (J.H., E.S., E.A., R. J. S., J.P.B., S. L. D., M.L.F., A. W. G., P.S., P.K.), University of Cincinnati, OH.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>U24 NS107241</GrantID><Acronym>NS</Acronym><Agency>NINDS NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>08</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></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007196" MajorTopicYN="N" Type="Geographic">Indiana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007629" MajorTopicYN="N" Type="Geographic">Kentucky</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009820" MajorTopicYN="N" Type="Geographic">Ohio</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010348" MajorTopicYN="N">Patient Care Team</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015424" MajorTopicYN="N">Reperfusion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017131" MajorTopicYN="N">Thrombectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015912" MajorTopicYN="N">Thrombolytic Therapy</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061665" MajorTopicYN="N">Time-to-Treatment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">pandemics</Keyword><Keyword MajorTopicYN="Y">reperfusion</Keyword><Keyword MajorTopicYN="Y">restaurants</Keyword><Keyword MajorTopicYN="Y">stroke</Keyword><Keyword MajorTopicYN="Y">viruses</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32639860</ArticleId><ArticleId IdType="doi">10.1161/STROKEAHA.120.030499</ArticleId><ArticleId IdType="pmc">PMC7359904</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><noCountry><name sortKey="Lampton, Holly" sort="Lampton, Holly" uniqKey="Lampton H" first="Holly" last="Lampton">Holly Lampton</name></noCountry><country name="États-Unis"><region name="Ohio"><name sortKey="Hsiao, Jessica" sort="Hsiao, Jessica" uniqKey="Hsiao J" first="Jessica" last="Hsiao">Jessica Hsiao</name></region><name sortKey="Adeoye, Opeolu" sort="Adeoye, Opeolu" uniqKey="Adeoye O" first="Opeolu" last="Adeoye">Opeolu Adeoye</name><name sortKey="Antzoulatos, Eleni" sort="Antzoulatos, Eleni" uniqKey="Antzoulatos E" first="Eleni" last="Antzoulatos">Eleni Antzoulatos</name><name sortKey="Broderick, Joseph P" sort="Broderick, Joseph P" uniqKey="Broderick J" first="Joseph P" last="Broderick">Joseph P. Broderick</name><name sortKey="Demel, Stacie L" sort="Demel, Stacie L" uniqKey="Demel S" first="Stacie L" last="Demel">Stacie L. Demel</name><name sortKey="Flaherty, Matthew L" sort="Flaherty, Matthew L" uniqKey="Flaherty M" first="Matthew L" last="Flaherty">Matthew L. Flaherty</name><name sortKey="Grossman, Aaron W" sort="Grossman, Aaron W" uniqKey="Grossman A" first="Aaron W" last="Grossman">Aaron W. Grossman</name><name sortKey="Khatri, Pooja" sort="Khatri, Pooja" uniqKey="Khatri P" first="Pooja" last="Khatri">Pooja Khatri</name><name sortKey="Kircher, Charles" sort="Kircher, Charles" uniqKey="Kircher C" first="Charles" last="Kircher">Charles Kircher</name><name sortKey="Kreitzer, Natalie" sort="Kreitzer, Natalie" uniqKey="Kreitzer N" first="Natalie" last="Kreitzer">Natalie Kreitzer</name><name sortKey="Peariso, Katrina" sort="Peariso, Katrina" uniqKey="Peariso K" first="Katrina" last="Peariso">Katrina Peariso</name><name sortKey="Prestigiacomo, Charles J" sort="Prestigiacomo, Charles J" uniqKey="Prestigiacomo C" first="Charles J" last="Prestigiacomo">Charles J. Prestigiacomo</name><name sortKey="Sayles, Emily" sort="Sayles, Emily" uniqKey="Sayles E" first="Emily" last="Sayles">Emily Sayles</name><name sortKey="Shirani, Peyman" sort="Shirani, Peyman" uniqKey="Shirani P" first="Peyman" last="Shirani">Peyman Shirani</name><name sortKey="Stanton, Robert J" sort="Stanton, Robert J" uniqKey="Stanton R" first="Robert J" last="Stanton">Robert J. Stanton</name><name sortKey="Sucharew, Heidi" sort="Sucharew, Heidi" uniqKey="Sucharew H" first="Heidi" last="Sucharew">Heidi Sucharew</name><name sortKey="Walsh, Kyle B" sort="Walsh, Kyle B" uniqKey="Walsh K" first="Kyle B" last="Walsh">Kyle B. Walsh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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