2023
The decline in stroke hospitalization due to COVID-19 is unrelated to COVID-19 intensity
ŠEDOVÁ, Petra, Julia Anna KENT, Tomáš BRYNDZIAR, Jiří JARKOVSKÝ, Ales TOMEK et. al.Základní údaje
Originální název
The decline in stroke hospitalization due to COVID-19 is unrelated to COVID-19 intensity
Autoři
ŠEDOVÁ, Petra (203 Česká republika, garant, domácí), Julia Anna KENT (203 Česká republika, domácí), Tomáš BRYNDZIAR (703 Slovensko, domácí), Jiří JARKOVSKÝ (203 Česká republika, domácí), Ales TOMEK (203 Česká republika), Martin SRAMEK (203 Česká republika), Ondrej SKODA (203 Česká republika), Tereza SRAMKOVA (203 Česká republika), Kateřina POKOROVÁ (203 Česká republika, domácí), Simona LITTNEROVÁ (203 Česká republika, domácí), Robert D Jr BROWN (840 Spojené státy) a Robert MIKULÍK (203 Česká republika, domácí)
Vydání
European Journal of Neurology, HOBOKEN, WILEY, 2023, 1351-5101
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30210 Clinical neurology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 5.100 v roce 2022
Kód RIV
RIV/00216224:14110/23:00130229
Organizační jednotka
Lékařská fakulta
UT WoS
000905273200001
Klíčová slova anglicky
COVID-19; Czech Republic; intravenous thrombolysis; mechanical thrombectomy; stroke
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 10. 10. 2023 12:50, Mgr. Tereza Miškechová
Anotace
V originále
Background and Purpose: During the coronavirus disease 2019 (COVID-19) pandemic many countries reported a decline in stroke volumes. The aim of this study was to analyze if the decline was related to the intensity of the COVID-19 pandemic. Methods: The first pandemic year (1 March 2020 to 28 February 2021) overall and during the three COVID-19 waves were compared with the preceding year. Volumes of acute ischaemic stroke (AIS), subarachnoid hemorrhage, intracerebral hemorrhage and recanalization treatments (intravenous thrombolysis [IVT] and mechanical thrombectomy [MT]) were obtained from the National Register of Reimbursed Health Services. Door-to-needle time, onset-to-door time and National Institutes of Health Stroke Scale at admission were obtained from the Registry of Stroke Care Quality. Results: During the pandemic year compared to the preceding year there were 26,453 versus 28,771 stroke admissions, representing an 8.8% decline (p < 0.001). The declines (-10%, -11%, -19%) appeared in COVID-19 waves (spring 2020, autumn 2020, winter 2021) except for an increase (2%) during summer 2020. Admissions for AIS declined by 10.2% (p < 0.001), whilst hemorrhagic stroke volumes were minimally decreased. The absolute volumes of IVT and MT decreased by 9.4% (p < 0.001) and 5.7% (p = 0.16), respectively. However, the proportions of ischaemic stroke patients receiving IVT (18% vs. 18%; p = 0.72) and MT (6% vs. 6%; p = 0.28) remained unchanged. Conclusions: There was a decline in stroke admissions, but such decline was not related to COVID-19 incidence. The frequency of use of recanalization procedures (IVT, MT) and times (onset-to-door time, door-to-needle time) in AIS were preserved in the Czech Republic during the first year of the pandemic.