抄録
Background: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. Aims: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March–31 May 2020) compared with two control three-month periods (immediately preceding and one year prior). Methods: Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers. Results: The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, −19.7 to −18.7), 11.5% (95%CI, −12.6 to −10.6), and 12.7% (95%CI, −13.6 to −11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (−20.5%) had greater declines in mechanical thrombectomy volumes than mid- (−10.1%) and low-volume (−8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions. Conclusion: The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes.
| 本文言語 | 英語 |
|---|---|
| ページ（範囲） | 573-584 |
| ページ数 | 12 |
| ジャーナル | International Journal of Stroke |
| 巻 | 16 |
| 号 | 5 |
| DOI | |
| 出版ステータス | 出版済み - 07-2021 |
| 外部発表 | はい |
All Science Journal Classification (ASJC) codes
- 神経学
- 臨床神経学
フィンガープリント
「Global impact of COVID-19 on stroke care」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。引用スタイル
- APA
- Author
- BIBTEX
- Harvard
- Standard
- RIS
- Vancouver
}
In: International Journal of Stroke, Vol. 16, No. 5, 07.2021, p. 573-584.
研究成果: ジャーナルへの寄稿 › 学術論文 › 査読
TY - JOUR
T1 - Global impact of COVID-19 on stroke care
AU - Nogueira, Raul G.
AU - Abdalkader, Mohamad
AU - Qureshi, Muhammed M.
AU - Frankel, Michael R.
AU - Mansour, Ossama Yassin
AU - Yamagami, Hiroshi
AU - Qiu, Zhongming
AU - Farhoudi, Mehdi
AU - Siegler, James E.
AU - Yaghi, Shadi
AU - Raz, Eytan
AU - Sakai, Nobuyuki
AU - Ohara, Nobuyuki
AU - Piotin, Michel
AU - Mechtouff, Laura
AU - Eker, Omer
AU - Chalumeau, Vanessa
AU - Kleinig, Timothy J.
AU - Pop, Raoul
AU - Liu, Jianmin
AU - Winters, Hugh S.
AU - Shang, Xianjin
AU - Vasquez, Alejandro Rodriguez
AU - Blasco, Jordi
AU - Arenillas, Juan F.
AU - Martinez-Galdamez, Mario
AU - Brehm, Alex
AU - Psychogios, Marios Nikos
AU - Lylyk, Pedro
AU - Haussen, Diogo C.
AU - Al-Bayati, Alhamza R.
AU - Mohammaden, Mahmoud H.
AU - Fonseca, Luísa
AU - Luís Silva, M.
AU - Montalverne, Francisco
AU - Renieri, Leonardo
AU - Mangiafico, Salvatore
AU - Fischer, Urs
AU - Gralla, Jan
AU - Frei, Donald
AU - Chugh, Chandril
AU - Mehta, Brijesh P.
AU - Nagel, Simon
AU - Mohlenbruch, Markus
AU - Ortega-Gutierrez, Santiago
AU - Farooqui, Mudassir
AU - Hassan, Ameer E.
AU - Taylor, Allan
AU - Lapergue, Bertrand
AU - Consoli, Arturo
AU - Campbell, Bruce C.V.
AU - Sharma, Malveeka
AU - Walker, Melanie
AU - Van Horn, Noel
AU - Fiehler, Jens
AU - Nguyen, Huy Thang
AU - Nguyen, Quoc T.
AU - Watanabe, Daisuke
AU - Zhang, Hao
AU - Le, Huynh V.
AU - Nguyen, Viet Q.
AU - Shah, Ruchir
AU - Devlin, Thomas
AU - Khandelwal, Priyank
AU - Linfante, Italo
AU - Izzath, Wazim
AU - Lavados, Pablo M.
AU - Olavarría, Veronica V.
AU - Sampaio Silva, Gisele
AU - de Carvalho Sousa, Anna Verena
AU - Kirmani, Jawad
AU - Bendszus, Martin
AU - Amano, Tatsuo
AU - Yamamoto, Ryoo
AU - Doijiri, Ryosuke
AU - Tokuda, Naoki
AU - Yamada, Takehiro
AU - Terasaki, Tadashi
AU - Yazawa, Yukako
AU - Morris, Jane G.
AU - Griffin, Emma
AU - Thornton, John
AU - Lavoie, Pascale
AU - Matouk, Charles
AU - Hill, Michael D.
AU - Demchuk, Andrew M.
AU - Killer-Oberpfalzer, Monika
AU - Nahab, Fadi
AU - Altschul, Dorothea
AU - Ramos-Pachón, Anna
AU - Pérez de la Ossa, Natalia
AU - Kikano, Raghid
AU - Boisseau, William
AU - Walker, Gregory
AU - Cordina, Steve M.
AU - Puri, Ajit
AU - Luisa Kuhn, Anna
AU - Gandhi, Dheeraj
AU - Ramakrishnan, Pankajavalli
AU - Novakovic-White, Roberta
AU - Chebl, Alex
AU - Kargiotis, Odysseas
AU - Czap, Alexandra
AU - Zha, Alicia
AU - Masoud, Hesham E.
AU - Lopez, Carlos
AU - Ozretic, David
AU - Al-Mufti, Fawaz
AU - Zie, Wenjie
AU - Duan, Zhenhui
AU - Yuan, Zhengzhou
AU - Huang, Wenguo
AU - Hao, Yonggang
AU - Luo, Jun
AU - Kalousek, Vladimir
AU - Bourcier, Romain
AU - Guile, Romain
AU - Hetts, Steven
AU - Al-Jehani, Hosam M.
AU - AlHazzani, Adel
AU - Sadeghi-Hokmabadi, Elyar
AU - Teleb, Mohamed
AU - Payne, Jeremy
AU - Lee, Jin Soo
AU - Hong, Ji Man
AU - Sohn, Sung Il
AU - Hwang, Yang Ha
AU - Shin, Dong Hoon
AU - Roh, Hong Gee
AU - Edgell, Randy
AU - Khatri, Rakesh
AU - Smith, Ainsley
AU - Malik, Amer
AU - Liebeskind, David
AU - Herial, Nabeel
AU - Jabbour, Pascal
AU - Magalhaes, Pedro
AU - Ozdemir, Atilla Ozcan
AU - Aykac, Ozlem
AU - Uwatoko, Takeshi
AU - Dembo, Tomohisa
AU - Shimizu, Hisao
AU - Sugiura, Yuri
AU - Miyashita, Fumio
AU - Fukuda, Hiroki
AU - Miyake, Kosuke
AU - Shimbo, Junsuke
AU - Sugimura, Yusuke
AU - Beer-Furlan, Andre
AU - Joshi, Krishna
AU - Catanese, Luciana
AU - Abud, Daniel Giansante
AU - Neto, Octavio Giansante
AU - Mehrpour, Masoud
AU - Al Hashmi, Amal
AU - Saqqur, Mahar
AU - Mostafa, Abdulrahman
AU - Fifi, Johanna T.
AU - Hussain, Syed
AU - John, Seby
AU - Gupta, Rishi
AU - Sivan-Hoffmann, Rotem
AU - Reznik, Anna
AU - Sani, Achmad Fidaus
AU - Geyik, Serdar
AU - Akıl, Eşref
AU - Churojana, Anchalee
AU - Ghoreishi, Abdoreza
AU - Saadatnia, Mohammad
AU - Sharifipour, Ehsan
AU - Ma, Alice
AU - Faulder, Ken
AU - Wu, Teddy
AU - Leung, Lester
AU - Malek, Adel
AU - Voetsch, Barbara
AU - Wakhloo, Ajay
AU - Rivera, Rodrigo
AU - Barrientos Iman, Danny Moises
AU - Pikula, Aleksandra
AU - Lioutas, Vasileios Arsenios
AU - Thomalla, Gotz
AU - Birnbaum, Lee
AU - Machi, Paolo
AU - Bernava, Gianmarco
AU - McDermott, Mollie
AU - Kleindorfer, Dawn
AU - Wong, Ken
AU - Patterson, Mary S.
AU - Fiorot, Jose Antonio
AU - Huded, Vikram
AU - Mack, William
AU - Tenser, Matthew
AU - Eskey, Clifford
AU - Multani, Sumeet
AU - Kelly, Michael
AU - Janardhan, Vallabh
AU - Cornett, Oriana
AU - Singh, Varsha
AU - Murayama, Yuichi
AU - Mokin, Maxim
AU - Yang, Pengfei
AU - Zhang, Xiaoxi
AU - Yin, Congguo
AU - Han, Hongxing
AU - Peng, Ya
AU - Chen, Wenhuo
AU - Crosa, Roberto
AU - Frudit, Michel Eli
AU - Pandian, Jeyaraj D.
AU - Kulkarni, Anirudh
AU - Yagita, Yoshiki
AU - Takenobu, Yohei
AU - Matsumaru, Yuji
AU - Yamada, Satoshi
AU - Kono, Ryuhei
AU - Kanamaru, Takuya
AU - Yamazaki, Hidekazu
AU - Sakaguchi, Manabu
AU - Todo, Kenichi
AU - Yamamoto, Nobuaki
AU - Sonoda, Kazutaka
AU - Yoshida, Tomoko
AU - Hashimoto, Hiroyuki
AU - Nakahara, Ichiro
AU - Cora, Elena
AU - Volders, David
AU - Ducroux, Celina
AU - Shoamanesh, Ashkan
AU - Ospel, Johanna
AU - Kaliaev, Artem
AU - Ahmed, Saima
AU - Rashid, Umair
AU - Rebello, Leticia C.
AU - Pereira, Vitor Mendes
AU - Fahed, Robert
AU - Chen, Michael
AU - Sheth, Sunil A.
AU - Palaiodimou, Lina
AU - Tsivgoulis, Georgios
AU - Chandra, Ronil
AU - Koyfman, Feliks
AU - Leung, Thomas
AU - Khosravani, Houman
AU - Dharmadhikari, Sushrut
AU - Frisullo, Giovanni
AU - Calabresi, Paolo
AU - Tsiskaridze, Alexander
AU - Lobjanidze, Nino
AU - Grigoryan, Mikayel
AU - Czlonkowska, Anna
AU - de Sousa, Diana Aguiar
AU - Demeestere, Jelle
AU - Liang, Conrad
AU - Sangha, Navdeep
AU - Lutsep, Helmi L.
AU - Ayo-Martín, Óscar
AU - Cruz-Culebras, Antonio
AU - Tran, Anh D.
AU - Young, Chang Y.
AU - Cordonnier, Charlotte
AU - Caparros, Francois
AU - De Lecinana, Maria Alonso
AU - Fuentes, Blanca
AU - Yavagal, Dileep
AU - Jovin, Tudor
AU - Spelle, Laurent
AU - Moret, Jacques
AU - Khatri, Pooja
AU - Zaidat, Osama
AU - Raymond, Jean
AU - Martins, Sheila
AU - Nguyen, Thanh
N1 - Publisher Copyright: © 2021 World Stroke Organization.
PY - 2021/7
Y1 - 2021/7
N2 - Background: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. Aims: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March–31 May 2020) compared with two control three-month periods (immediately preceding and one year prior). Methods: Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers. Results: The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, −19.7 to −18.7), 11.5% (95%CI, −12.6 to −10.6), and 12.7% (95%CI, −13.6 to −11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (−20.5%) had greater declines in mechanical thrombectomy volumes than mid- (−10.1%) and low-volume (−8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions. Conclusion: The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes.
AB - Background: The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. Aims: We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March–31 May 2020) compared with two control three-month periods (immediately preceding and one year prior). Methods: Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers. Results: The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, −19.7 to −18.7), 11.5% (95%CI, −12.6 to −10.6), and 12.7% (95%CI, −13.6 to −11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (−20.5%) had greater declines in mechanical thrombectomy volumes than mid- (−10.1%) and low-volume (−8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions. Conclusion: The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes.
KW - COVID-19
KW - acute ischemic stroke
KW - epidemiology
KW - intracranial hemorrhage
KW - mechanical thrombectomy
KW - stroke care
UR - http://www.scopus.com/inward/record.url?scp=85109768583&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85109768583&partnerID=8YFLogxK
U2 - 10.1177/1747493021991652
DO - 10.1177/1747493021991652
M3 - Article
C2 - 33459583
AN - SCOPUS:85109768583
SN - 1747-4930
VL - 16
SP - 573
EP - 584
JO - International Journal of Stroke
JF - International Journal of Stroke
IS - 5
ER -