The decline in stroke hospitalization due to COVID-19 is
unrelated to COVID-19 intensity

J 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

URL

Impakt faktor

Impact factor: 5.100 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130229

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1111/ene.15664

UT WoS

000905273200001

Klíčová slova anglicky

COVID-19; Czech Republic; intravenous thrombolysis; mechanical thrombectomy; stroke

Štítky

14110127, 14110211, 14119612, rivok

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.

Citovat

ŠEDOVÁ, Petra, Julia Anna KENT, Tomáš BRYNDZIAR, Jiří JARKOVSKÝ, Ales TOMEK, Martin SRAMEK, Ondrej SKODA, Tereza SRAMKOVA, Kateřina POKOROVÁ, Simona LITTNEROVÁ, Robert D Jr BROWN a Robert MIKULÍK. The decline in stroke hospitalization due to COVID-19 is unrelated to COVID-19 intensity. European Journal of Neurology. HOBOKEN: WILEY, 2023, roč. 30, č. 4, s. 943-950. ISSN 1351-5101. Dostupné z: https://dx.doi.org/10.1111/ene.15664.

@article{2249624,
   author = {Šedová, Petra and Kent, Julia Anna and Bryndziar, Tomáš and Jarkovský, Jiří and Tomek, Ales and Sramek, Martin and Skoda, Ondrej and Sramkova, Tereza and Pokorová, Kateřina and Littnerová, Simona and Brown, Robert D Jr and Mikulík, Robert},
   article_location = {HOBOKEN},
   article_number = {4},
   doi = {http://dx.doi.org/10.1111/ene.15664},
   keywords = {COVID-19; Czech Republic; intravenous thrombolysis; mechanical thrombectomy; stroke},
   language = {eng},
   issn = {1351-5101},
   journal = {European Journal of Neurology},
   title = {The decline in stroke hospitalization due to COVID-19 is unrelated to COVID-19 intensity},
   url = {https://onlinelibrary.wiley.com/doi/10.1111/ene.15664},
   volume = {30},
   year = {2023}
}

TY  - JOUR
ID  - 2249624
AU  - Šedová, Petra - Kent, Julia Anna - Bryndziar, Tomáš - Jarkovský, Jiří - Tomek, Ales - Sramek, Martin - Skoda, Ondrej - Sramkova, Tereza - Pokorová, Kateřina - Littnerová, Simona - Brown, Robert D Jr - Mikulík, Robert
PY  - 2023
TI  - The decline in stroke hospitalization due to COVID-19 is unrelated to COVID-19 intensity
JF  - European Journal of Neurology
VL  - 30
IS  - 4
SP  - 943-950
EP  - 943-950
PB  - WILEY
SN  - 13515101
KW  - COVID-19
KW  - Czech Republic
KW  - intravenous thrombolysis
KW  - mechanical thrombectomy
KW  - stroke
UR  - https://onlinelibrary.wiley.com/doi/10.1111/ene.15664
N2  - 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.
ER  -

ŠEDOVÁ, Petra, Julia Anna KENT, Tomáš BRYNDZIAR, Jiří JARKOVSKÝ, Ales TOMEK, Martin SRAMEK, Ondrej SKODA, Tereza SRAMKOVA, Kateřina POKOROVÁ, Simona LITTNEROVÁ, Robert D Jr BROWN a Robert MIKULÍK. The decline in stroke hospitalization due to COVID-19 is unrelated to COVID-19 intensity. \textit{European Journal of Neurology}. HOBOKEN: WILEY, 2023, roč.~30, č.~4, s.~943-950. ISSN~1351-5101. Dostupné z: https://dx.doi.org/10.1111/ene.15664.

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