Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality: 1-year follow-up
Authors
QURESHI, Muhammad M, Piers KLEIN, Hiroshi YAMAGAMI, Robert MIKULÍK (203 Czech Republic, belonging to the institution), Nima ETMINAN, Mohamad ABDALKADER, Ossama Yassin MANSOUR, Anna CZLONKOWSKA, Hannah LO, Anvitha SATHYA, Jelle DEMEESTERE, Georgios TSIVGOULIS, Nobuyuki SAKAI, Petra ŠEDOVÁ (203 Czech Republic, belonging to the institution), Espen Saxhaug KRISTOFFERSEN, Mahmoud MOHAMMADEN, Pujol Lereis VIRGINIA, Daniel Scollo SERGIO, Alice MA, Aminur RAHMAN, Thomas BONNET, Jeroen CORTIER, De Raedt SYLVIE, Robin LEMMENS, Noemie LIGOT, Raquel C T HIDALGO, Mora Cuervo Daissy LILIANA, Luciana de Oliveira NEVES, Salles Rezende Marco TULIO, Igor Bessa SANTIAGO, Alexander SIRAKOV, Stanimir SIRAKOV, Elena Adela CORA, Michael E KELLY, Pascale LAVOIE, Lissa PEELING, Aleksandra PIKULA, Rodrigo RIVERA, Hui-Sheng CHEN, Yimin CHEN, Hongliang FANG, Marina Roje BEDEKOVIC, Hrvoje BUDINCEVIC, J J STROSSMAYER, Emanuela HRABANOVSKA, Lubomir JURAK, Martin CABAL, Jana KADLCKOVA, Igor KARPOWICZ, Hana PALOUSKOVA, Martin REISER, Lukas KLECKA, Martin KOVAR, Jiri NEUMANN, Petra REKOVA, Martin SRAMEK, Eva VITKOVA, Miroslav ŠKORŇA (203 Czech Republic, belonging to the institution), Lenka ZAKOVA, Khalid SOBH, Kemal ALPAY, Riitta RAUTIO, Daniel STRBIAN, Jean-Christophe GENTRIC, Elsa MAGRO, Olivier NAGGARA, Peggy REINER, Amr ABDULAZIM, Ferdinand O BOHMANN, Stefan BOSKAMP, Johannes C GERBER, Daniel P O KAISER, Roxane-Isabelle KESTNER, Joshua MBROH, Milad NEYAZI, Michael ROSENKRANZ, Achmad Firdaus SANI, Sven POLI, Gotz THOMALLA, Theodoros KARAPANAYIOTIDES, Odysseas KARGIOTIS, Ioanna KOUTROULOU, Lina PALAIODIMOU, Barrientos Guerra Jose DOMINGO, Vikram HUDED, Shashank NAGENDRA, Chintan PRAJAPATI, Angga KRISHNA, Abdoreza GHOREISHI, Reza Bahrami ILKHCHI, Javad JALILI, Sergiu Ionut SABETAY, Abu Raya TARIQ, Maurizio ACAMPA, Marco LONGONI, Claudia Rolla BIGLIANI, Lucio CASTELLAN, Raffaele ORNELLO, Leonardo RENIERI, Michele ROMOLI, Simona SACCO, Davide SANGALLI, Martina VIGANO, Andrea ZINI, Hiroshi TOKIMURA, Kazutaka SONODA, Kenichi TODO, Hiroki FUKUDA, Kyohei FUJITA, Manabu SAKAGUCHI, Masaaki UNO, Issei KAN, Miyake KOSUKE, Ryuhei KONO, Naoto KIMURA, Nobuaki YAMAMOTO, Ryoo YAMAMOTO, Ryosuke DOIJIRI, Seigo SHINDO, Nobuyuki OHARA, Hirotoshi IMAMURA, Takehiro OGAWA, Takeshi UWATOKO, Takuya KANAMARU, Toshiyuki FUJINAKA, Yohei TAKENOBU, Kazunori TOYODA, Yuji MATSUMARU, Yukako YAZAWA, Yuri SUGIURA, Jang-Hyun BAEK, Taofiki Ajao SUNMONU, Young Sub KWON, Yun Ho LEE, Kwon-Duk SEO, Sung-Il SOHN, Yong Chieh CHAN, Wan Asyraf Wan ZAIDI, Javier BARRIENTOS-PRIETO, Fernando GONGORA-RIVERA, Manuel MARTINEZ-MARINO, Alejandra CALDERON-VALLEJO, Stanislav GROPPA, Leahu PAVEL, Jonathan M COUTINHO, Diederik DIPPEL, Leon RINKEL, Dianne H K VAN DAM-NOLEN, Ernest Okwundu NWAZOR, Amal M AL HASHIMI, Saima AHMAD, Umair RASHID, Liliana RODRIGUEZ-KADOTA, Angel Vences MIGUEL, Matic Yalung PATRICK, Hao Dy Jon STEWART, Waldemar BROLA, Malgorzata DOROBEK, Michal Adam KARLINSKI, Beata M LABUZ-ROSZAK, Anetta LASEK-BAL, Halina SIENKIEWICZ-JAROSZ, Jacek STASZEWSKI, Piotr SOBOLEWSKI, Justyna ZIELINSKA-TUREK, Andre Pinho ARAUJO, Luisa FONSECA, Aleksander DEBIEC, M Luis SILVA, Pedro CASTRO, Mariana ROCHA, Romania Cristian FALUP-PECURARIU, Narayanaswamy VENKETASUBRAMANIAN, Georgi Krastev Miroslav MAKO, Oscar AYO-MARTIN, Marcin WIACEK, Jordi BLASCO, Antonio CRUZ-CULEBRAS, Francisco HERNANDEZ-FERNANDEZ, Rodriguez Fernandez CLAUDIO, Escartin Lopez JORGE, Alejandro RODRIGUEZ, Manuel BOLOGNESE, Grzegorz Marek KARWACKI, Emanuela KELLER, Paolo MACHI, Gianmarco BERNAVA, Surawan BOONYAKARNKUL, Anchalee CHUROJANA, Nadia HAMMAMI, Arsida BAJRAMI, Songul SENADIM, Syed I HUSSAIN, Seby JOHN, Graham DOW, Kailash KRISHNAN, Robert LENTHALL, Ken WONG, Liqun ZHANG, Dorothea ALTSCHUL, Kaiz S ASIF, Mohammad A AZIZ-SULTAN, Ivo BACH, Kristine BELOW, Jose BILLER, Anna M CERVANTES-ARSLANIAN, Saqib A CHAUDHRY, Alex CHEBL, Michael CHEN, Marco COLASURDO, Alexandra CZAP, Hormuzdiyar DASENBROCK, Zeelalem BAHIRU, Adam H DE HAVENON, Sushrut DHARMADHIKARI, Adam A DMYTRIW, Clifford J ESKEY, Mark ETHERTON, Chizoba EZEPUE, Lauren FINK, Ulviyya GASIMOVA, Nitin GOYAL, Kasey B GRIMMETT, Maryam HAKEMI, Taryn HESTER, Violiza INOA, Peter T KAN, Ekkehard M KASPER, Priyank KHANDELWAL, Rakesh KHATRI, Naim N KHOURY, Benny S KIM, Murali KOLIKONDA, Anna Luisa KUHN, Guillermo LINARES, Italo LINFANTE, Aaron I LOOCHTAN, Timothy G LUKOVITS, Shailesh S MALE, Ayaz M KHAWAJA, Laith MAALI, Elsi Milagros GALECIO-CASTILLO, Jiangyong MIN, Ghada A MOHAMED, Krishna NALLEBALLE, Santiago ORTEGA-GUTIERREZ, Yazan RADAIDEH, Pankajavalli RAMAKRISHNAN, Hesham E MASOUD, Aravind B REDDY, Sean RULAND, Setareh Salehi OMRAN, Sunil A SHETH, Ajit S PURI, Rahul H RAHANGDALE, James E SIEGLER, Amy K STAROSCIAK, Nicholas E TARLOV, Robert A TAYLOR, Jenny TSAI, Michael J WANG, Ka-Ho WONG, Osama O ZAIDAT, Huynh Vu LE, Hoang Thi PHAN, Mai Duy TON, Anh Duc TRAN, Kristina SIRAKOVA, Thong Nhu PHAM, Markus A MOHLENBRUCH, Simon NAGEL, Jean RAYMOND and Raul G NOGUEIRA
Edition
Journal of Neurology, Neurosurgery, and Psychiatry, London, British Medical Association, 2022, 0022-3050
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30210 Clinical neurology
Country of publisher
United Kingdom of Great Britain and Northern Ireland
Background Prior studies indicated a decrease in the incidences of aneurysmal subarachnoid haemorrhage (aSAH) during the early stages of the COVID-19 pandemic. We evaluated differences in the incidence, severity of aSAH presentation, and ruptured aneurysm treatment modality during the first year of the COVID-19 pandemic compared with the preceding year. Methods We conducted a cross-sectional study including 49 countries and 187 centres. We recorded volumes for COVID-19 hospitalisations, aSAH hospitalisations, Hunt-Hess grade, coiling, clipping and aSAH in-hospital mortality. Diagnoses were identified by International Classification of Diseases, 10th Revision, codes or stroke databases from January 2019 to May 2021. Results Over the study period, there were 16 247 aSAH admissions, 344 491 COVID-19 admissions, 8300 ruptured aneurysm coiling and 4240 ruptured aneurysm clipping procedures. Declines were observed in aSAH admissions (-6.4% (95% CI -7.0% to -5.8%), p=0.0001) during the first year of the pandemic compared with the prior year, most pronounced in high-volume SAH and high-volume COVID-19 hospitals. There was a trend towards a decline in mild and moderate presentations of subarachnoid haemorrhage (SAH) (mild: - 5% (95% CI -5.9% to -4.3%), p=0.06; moderate: - 8.3% (95% CI -10.2% to -6.7%), p=0.06) but no difference in higher SAH severity. The ruptured aneurysm clipping rate remained unchanged (30.7% vs 31.2%, p=0.58), whereas ruptured aneurysm coiling increased (53.97% vs 56.5%, p=0.009). There was no difference in aSAH in-hospital mortality rate (19.1% vs 20.1%, p=0.12). Conclusion During the first year of the pandemic, there was a decrease in aSAH admissions volume, driven by a decrease in mild to moderate presentation of aSAH. There was an increase in the ruptured aneurysm coiling rate but neither change in the ruptured aneurysm clipping rate nor change in aSAH in-hospital mortality.
QURESHI, Muhammad M, Piers KLEIN, Hiroshi YAMAGAMI, Robert MIKULÍK, Nima ETMINAN, Mohamad ABDALKADER, Ossama Yassin MANSOUR, Anna CZLONKOWSKA, Hannah LO, Anvitha SATHYA, Jelle DEMEESTERE, Georgios TSIVGOULIS, Nobuyuki SAKAI, Petra ŠEDOVÁ, Espen Saxhaug KRISTOFFERSEN, Mahmoud MOHAMMADEN, Pujol Lereis VIRGINIA, Daniel Scollo SERGIO, Alice MA, Aminur RAHMAN, Thomas BONNET, Jeroen CORTIER, De Raedt SYLVIE, Robin LEMMENS, Noemie LIGOT, Raquel C T HIDALGO, Mora Cuervo Daissy LILIANA, Luciana de Oliveira NEVES, Salles Rezende Marco TULIO, Igor Bessa SANTIAGO, Alexander SIRAKOV, Stanimir SIRAKOV, Elena Adela CORA, Michael E KELLY, Pascale LAVOIE, Lissa PEELING, Aleksandra PIKULA, Rodrigo RIVERA, Hui-Sheng CHEN, Yimin CHEN, Hongliang FANG, Marina Roje BEDEKOVIC, Hrvoje BUDINCEVIC, J J STROSSMAYER, Emanuela HRABANOVSKA, Lubomir JURAK, Martin CABAL, Jana KADLCKOVA, Igor KARPOWICZ, Hana PALOUSKOVA, Martin REISER, Lukas KLECKA, Martin KOVAR, Jiri NEUMANN, Petra REKOVA, Martin SRAMEK, Eva VITKOVA, Miroslav ŠKORŇA, Lenka ZAKOVA, Khalid SOBH, Kemal ALPAY, Riitta RAUTIO, Daniel STRBIAN, Jean-Christophe GENTRIC, Elsa MAGRO, Olivier NAGGARA, Peggy REINER, Amr ABDULAZIM, Ferdinand O BOHMANN, Stefan BOSKAMP, Johannes C GERBER, Daniel P O KAISER, Roxane-Isabelle KESTNER, Joshua MBROH, Milad NEYAZI, Michael ROSENKRANZ, Achmad Firdaus SANI, Sven POLI, Gotz THOMALLA, Theodoros KARAPANAYIOTIDES, Odysseas KARGIOTIS, Ioanna KOUTROULOU, Lina PALAIODIMOU, Barrientos Guerra Jose DOMINGO, Vikram HUDED, Shashank NAGENDRA, Chintan PRAJAPATI, Angga KRISHNA, Abdoreza GHOREISHI, Reza Bahrami ILKHCHI, Javad JALILI, Sergiu Ionut SABETAY, Abu Raya TARIQ, Maurizio ACAMPA, Marco LONGONI, Claudia Rolla BIGLIANI, Lucio CASTELLAN, Raffaele ORNELLO, Leonardo RENIERI, Michele ROMOLI, Simona SACCO, Davide SANGALLI, Martina VIGANO, Andrea ZINI, Hiroshi TOKIMURA, Kazutaka SONODA, Kenichi TODO, Hiroki FUKUDA, Kyohei FUJITA, Manabu SAKAGUCHI, Masaaki UNO, Issei KAN, Miyake KOSUKE, Ryuhei KONO, Naoto KIMURA, Nobuaki YAMAMOTO, Ryoo YAMAMOTO, Ryosuke DOIJIRI, Seigo SHINDO, Nobuyuki OHARA, Hirotoshi IMAMURA, Takehiro OGAWA, Takeshi UWATOKO, Takuya KANAMARU, Toshiyuki FUJINAKA, Yohei TAKENOBU, Kazunori TOYODA, Yuji MATSUMARU, Yukako YAZAWA, Yuri SUGIURA, Jang-Hyun BAEK, Taofiki Ajao SUNMONU, Young Sub KWON, Yun Ho LEE, Kwon-Duk SEO, Sung-Il SOHN, Yong Chieh CHAN, Wan Asyraf Wan ZAIDI, Javier BARRIENTOS-PRIETO, Fernando GONGORA-RIVERA, Manuel MARTINEZ-MARINO, Alejandra CALDERON-VALLEJO, Stanislav GROPPA, Leahu PAVEL, Jonathan M COUTINHO, Diederik DIPPEL, Leon RINKEL, Dianne H K VAN DAM-NOLEN, Ernest Okwundu NWAZOR, Amal M AL HASHIMI, Saima AHMAD, Umair RASHID, Liliana RODRIGUEZ-KADOTA, Angel Vences MIGUEL, Matic Yalung PATRICK, Hao Dy Jon STEWART, Waldemar BROLA, Malgorzata DOROBEK, Michal Adam KARLINSKI, Beata M LABUZ-ROSZAK, Anetta LASEK-BAL, Halina SIENKIEWICZ-JAROSZ, Jacek STASZEWSKI, Piotr SOBOLEWSKI, Justyna ZIELINSKA-TUREK, Andre Pinho ARAUJO, Luisa FONSECA, Aleksander DEBIEC, M Luis SILVA, Pedro CASTRO, Mariana ROCHA, Romania Cristian FALUP-PECURARIU, Narayanaswamy VENKETASUBRAMANIAN, Georgi Krastev Miroslav MAKO, Oscar AYO-MARTIN, Marcin WIACEK, Jordi BLASCO, Antonio CRUZ-CULEBRAS, Francisco HERNANDEZ-FERNANDEZ, Rodriguez Fernandez CLAUDIO, Escartin Lopez JORGE, Alejandro RODRIGUEZ, Manuel BOLOGNESE, Grzegorz Marek KARWACKI, Emanuela KELLER, Paolo MACHI, Gianmarco BERNAVA, Surawan BOONYAKARNKUL, Anchalee CHUROJANA, Nadia HAMMAMI, Arsida BAJRAMI, Songul SENADIM, Syed I HUSSAIN, Seby JOHN, Graham DOW, Kailash KRISHNAN, Robert LENTHALL, Ken WONG, Liqun ZHANG, Dorothea ALTSCHUL, Kaiz S ASIF, Mohammad A AZIZ-SULTAN, Ivo BACH, Kristine BELOW, Jose BILLER, Anna M CERVANTES-ARSLANIAN, Saqib A CHAUDHRY, Alex CHEBL, Michael CHEN, Marco COLASURDO, Alexandra CZAP, Hormuzdiyar DASENBROCK, Zeelalem BAHIRU, Adam H DE HAVENON, Sushrut DHARMADHIKARI, Adam A DMYTRIW, Clifford J ESKEY, Mark ETHERTON, Chizoba EZEPUE, Lauren FINK, Ulviyya GASIMOVA, Nitin GOYAL, Kasey B GRIMMETT, Maryam HAKEMI, Taryn HESTER, Violiza INOA, Peter T KAN, Ekkehard M KASPER, Priyank KHANDELWAL, Rakesh KHATRI, Naim N KHOURY, Benny S KIM, Murali KOLIKONDA, Anna Luisa KUHN, Guillermo LINARES, Italo LINFANTE, Aaron I LOOCHTAN, Timothy G LUKOVITS, Shailesh S MALE, Ayaz M KHAWAJA, Laith MAALI, Elsi Milagros GALECIO-CASTILLO, Jiangyong MIN, Ghada A MOHAMED, Krishna NALLEBALLE, Santiago ORTEGA-GUTIERREZ, Yazan RADAIDEH, Pankajavalli RAMAKRISHNAN, Hesham E MASOUD, Aravind B REDDY, Sean RULAND, Setareh Salehi OMRAN, Sunil A SHETH, Ajit S PURI, Rahul H RAHANGDALE, James E SIEGLER, Amy K STAROSCIAK, Nicholas E TARLOV, Robert A TAYLOR, Jenny TSAI, Michael J WANG, Ka-Ho WONG, Osama O ZAIDAT, Huynh Vu LE, Hoang Thi PHAN, Mai Duy TON, Anh Duc TRAN, Kristina SIRAKOVA, Thong Nhu PHAM, Markus A MOHLENBRUCH, Simon NAGEL, Jean RAYMOND and Raul G NOGUEIRA. Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality: 1-year follow-up. Journal of Neurology, Neurosurgery, and Psychiatry. London: British Medical Association, 2022, vol. 93, No 10, p. 1028-1038. ISSN 0022-3050. Available from: https://dx.doi.org/10.1136/jnnp-2022-329200.
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TY - JOUR ID - 2266101 AU - Qureshi, Muhammad M - Klein, Piers - Yamagami, Hiroshi - Mikulík, Robert - Etminan, Nima - Abdalkader, Mohamad - Mansour, Ossama Yassin - Czlonkowska, Anna - Lo, Hannah - Sathya, Anvitha - Demeestere, Jelle - Tsivgoulis, Georgios - Sakai, Nobuyuki - Šedová, Petra - Kristoffersen, Espen Saxhaug - Mohammaden, Mahmoud - Virginia, Pujol Lereis - Sergio, Daniel Scollo - Ma, Alice - Rahman, Aminur - Bonnet, Thomas - Cortier, Jeroen - Sylvie, De Raedt - Lemmens, Robin - Ligot, Noemie - Hidalgo, Raquel C T - Liliana, Mora Cuervo Daissy - Neves, Luciana de Oliveira - Tulio, Salles Rezende Marco - Santiago, Igor Bessa - Sirakov, Alexander - Sirakov, Stanimir - Cora, Elena Adela - Kelly, Michael E - Lavoie, Pascale - Peeling, Lissa - Pikula, Aleksandra - Rivera, Rodrigo - Chen, Hui-Sheng - Chen, Yimin - Fang, Hongliang - Bedekovic, Marina Roje - Budincevic, Hrvoje - Strossmayer, J J - Hrabanovska, Emanuela - Jurak, Lubomir - Cabal, Martin - Kadlckova, Jana - Karpowicz, Igor - Palouskova, Hana - Reiser, Martin - Klecka, Lukas - Kovar, Martin - Neumann, Jiri - Rekova, Petra - Sramek, Martin - Vitkova, Eva - Škorňa, Miroslav - Zakova, Lenka - Sobh, Khalid - Alpay, Kemal - Rautio, Riitta - Strbian, Daniel - Gentric, Jean-Christophe - Magro, Elsa - Naggara, Olivier - Reiner, Peggy - Abdulazim, Amr - Bohmann, Ferdinand O - Boskamp, Stefan - Gerber, Johannes C - Kaiser, Daniel P O - Kestner, Roxane-Isabelle - Mbroh, Joshua - Neyazi, Milad - Rosenkranz, Michael - Sani, Achmad Firdaus - Poli, Sven - Thomalla, Gotz - Karapanayiotides, Theodoros - Kargiotis, Odysseas - Koutroulou, Ioanna - Palaiodimou, Lina - Domingo, Barrientos Guerra Jose - Huded, Vikram - Nagendra, Shashank - Prajapati, Chintan - Krishna, Angga - Ghoreishi, Abdoreza - Ilkhchi, Reza Bahrami - Jalili, Javad - Sabetay, Sergiu Ionut - Tariq, Abu Raya - Acampa, Maurizio - Longoni, Marco - Bigliani, Claudia Rolla - Castellan, Lucio - Ornello, Raffaele - Renieri, Leonardo - Romoli, Michele - Sacco, Simona - Sangalli, Davide - Vigano, Martina - Zini, Andrea - Tokimura, Hiroshi - Sonoda, Kazutaka - Todo, Kenichi - Fukuda, Hiroki - Fujita, Kyohei - Sakaguchi, Manabu - Uno, Masaaki - Kan, Issei - Kosuke, Miyake - Kono, Ryuhei - Kimura, Naoto - Yamamoto, Nobuaki - Yamamoto, Ryoo - Doijiri, Ryosuke - Shindo, Seigo - Ohara, Nobuyuki - Imamura, Hirotoshi - Ogawa, Takehiro - Uwatoko, Takeshi - Kanamaru, Takuya - Fujinaka, Toshiyuki - Takenobu, Yohei - Toyoda, Kazunori - Matsumaru, Yuji - Yazawa, Yukako - Sugiura, Yuri - Baek, Jang-Hyun - Sunmonu, Taofiki Ajao - Kwon, Young Sub - Lee, Yun Ho - Seo, Kwon-Duk - Sohn, Sung-Il - Chan, Yong Chieh - Zaidi, Wan Asyraf Wan - Barrientos-Prieto, Javier - Gongora-Rivera, Fernando - Martinez-Marino, Manuel - Calderon-Vallejo, Alejandra - Groppa, Stanislav - Pavel, Leahu - Coutinho, Jonathan M - Dippel, Diederik - Rinkel, Leon - Van Dam-Nolen, Dianne H K - Nwazor, Ernest Okwundu - Al Hashimi, Amal M - Ahmad, Saima - Rashid, Umair - Rodriguez-Kadota, Liliana - Miguel, Angel Vences - Patrick, Matic Yalung - Stewart, Hao Dy Jon - Brola, Waldemar - Dorobek, Malgorzata - Karlinski, Michal Adam - Labuz-Roszak, Beata M - Lasek-Bal, Anetta - Sienkiewicz-Jarosz, Halina - Staszewski, Jacek - Sobolewski, Piotr - Zielinska-Turek, Justyna - Araujo, Andre Pinho - Fonseca, Luisa - Debiec, Aleksander - Silva, M Luis - Castro, Pedro - Rocha, Mariana - Falup-Pecurariu, Romania Cristian - Venketasubramanian, Narayanaswamy - Mako, Georgi Krastev Miroslav - Ayo-Martin, Oscar - Wiacek, Marcin et al. PY - 2022 TI - Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality: 1-year follow-up JF - Journal of Neurology, Neurosurgery, and Psychiatry VL - 93 IS - 10 SP - 1028-1038 EP - 1028-1038 PB - British Medical Association SN - 00223050 KW - COVID-19 KW - subarachnoid haemorrhage hospitalisations KW - aneurysm treatment KW - in-hospital mortality: UR - https://jnnp.bmj.com/content/93/10/1028 N2 - Background Prior studies indicated a decrease in the incidences of aneurysmal subarachnoid haemorrhage (aSAH) during the early stages of the COVID-19 pandemic. We evaluated differences in the incidence, severity of aSAH presentation, and ruptured aneurysm treatment modality during the first year of the COVID-19 pandemic compared with the preceding year. Methods We conducted a cross-sectional study including 49 countries and 187 centres. We recorded volumes for COVID-19 hospitalisations, aSAH hospitalisations, Hunt-Hess grade, coiling, clipping and aSAH in-hospital mortality. Diagnoses were identified by International Classification of Diseases, 10th Revision, codes or stroke databases from January 2019 to May 2021. Results Over the study period, there were 16 247 aSAH admissions, 344 491 COVID-19 admissions, 8300 ruptured aneurysm coiling and 4240 ruptured aneurysm clipping procedures. Declines were observed in aSAH admissions (-6.4% (95% CI -7.0% to -5.8%), p=0.0001) during the first year of the pandemic compared with the prior year, most pronounced in high-volume SAH and high-volume COVID-19 hospitals. There was a trend towards a decline in mild and moderate presentations of subarachnoid haemorrhage (SAH) (mild: - 5% (95% CI -5.9% to -4.3%), p=0.06; moderate: - 8.3% (95% CI -10.2% to -6.7%), p=0.06) but no difference in higher SAH severity. The ruptured aneurysm clipping rate remained unchanged (30.7% vs 31.2%, p=0.58), whereas ruptured aneurysm coiling increased (53.97% vs 56.5%, p=0.009). There was no difference in aSAH in-hospital mortality rate (19.1% vs 20.1%, p=0.12). Conclusion During the first year of the pandemic, there was a decrease in aSAH admissions volume, driven by a decrease in mild to moderate presentation of aSAH. There was an increase in the ruptured aneurysm coiling rate but neither change in the ruptured aneurysm clipping rate nor change in aSAH in-hospital mortality. ER -
QURESHI, Muhammad M, Piers KLEIN, Hiroshi YAMAGAMI, Robert MIKULÍK, Nima ETMINAN, Mohamad ABDALKADER, Ossama Yassin MANSOUR, Anna CZLONKOWSKA, Hannah LO, Anvitha SATHYA, Jelle DEMEESTERE, Georgios TSIVGOULIS, Nobuyuki SAKAI, Petra ŠEDOVÁ, Espen Saxhaug KRISTOFFERSEN, Mahmoud MOHAMMADEN, Pujol Lereis VIRGINIA, Daniel Scollo SERGIO, Alice MA, Aminur RAHMAN, Thomas BONNET, Jeroen CORTIER, De Raedt SYLVIE, Robin LEMMENS, Noemie LIGOT, Raquel C T HIDALGO, Mora Cuervo Daissy LILIANA, Luciana de Oliveira NEVES, Salles Rezende Marco TULIO, Igor Bessa SANTIAGO, Alexander SIRAKOV, Stanimir SIRAKOV, Elena Adela CORA, Michael E KELLY, Pascale LAVOIE, Lissa PEELING, Aleksandra PIKULA, Rodrigo RIVERA, Hui-Sheng CHEN, Yimin CHEN, Hongliang FANG, Marina Roje BEDEKOVIC, Hrvoje BUDINCEVIC, J J STROSSMAYER, Emanuela HRABANOVSKA, Lubomir JURAK, Martin CABAL, Jana KADLCKOVA, Igor KARPOWICZ, Hana PALOUSKOVA, Martin REISER, Lukas KLECKA, Martin KOVAR, Jiri NEUMANN, Petra REKOVA, Martin SRAMEK, Eva VITKOVA, Miroslav ŠKORŇA, Lenka ZAKOVA, Khalid SOBH, Kemal ALPAY, Riitta RAUTIO, Daniel STRBIAN, Jean-Christophe GENTRIC, Elsa MAGRO, Olivier NAGGARA, Peggy REINER, Amr ABDULAZIM, Ferdinand O BOHMANN, Stefan BOSKAMP, Johannes C GERBER, Daniel P O KAISER, Roxane-Isabelle KESTNER, Joshua MBROH, Milad NEYAZI, Michael ROSENKRANZ, Achmad Firdaus SANI, Sven POLI, Gotz THOMALLA, Theodoros KARAPANAYIOTIDES, Odysseas KARGIOTIS, Ioanna KOUTROULOU, Lina PALAIODIMOU, Barrientos Guerra Jose DOMINGO, Vikram HUDED, Shashank NAGENDRA, Chintan PRAJAPATI, Angga KRISHNA, Abdoreza GHOREISHI, Reza Bahrami ILKHCHI, Javad JALILI, Sergiu Ionut SABETAY, Abu Raya TARIQ, Maurizio ACAMPA, Marco LONGONI, Claudia Rolla BIGLIANI, Lucio CASTELLAN, Raffaele ORNELLO, Leonardo RENIERI, Michele ROMOLI, Simona SACCO, Davide SANGALLI, Martina VIGANO, Andrea ZINI, Hiroshi TOKIMURA, Kazutaka SONODA, Kenichi TODO, Hiroki FUKUDA, Kyohei FUJITA, Manabu SAKAGUCHI, Masaaki UNO, Issei KAN, Miyake KOSUKE, Ryuhei KONO, Naoto KIMURA, Nobuaki YAMAMOTO, Ryoo YAMAMOTO, Ryosuke DOIJIRI, Seigo SHINDO, Nobuyuki OHARA, Hirotoshi IMAMURA, Takehiro OGAWA, Takeshi UWATOKO, Takuya KANAMARU, Toshiyuki FUJINAKA, Yohei TAKENOBU, Kazunori TOYODA, Yuji MATSUMARU, Yukako YAZAWA, Yuri SUGIURA, Jang-Hyun BAEK, Taofiki Ajao SUNMONU, Young Sub KWON, Yun Ho LEE, Kwon-Duk SEO, Sung-Il SOHN, Yong Chieh CHAN, Wan Asyraf Wan ZAIDI, Javier BARRIENTOS-PRIETO, Fernando GONGORA-RIVERA, Manuel MARTINEZ-MARINO, Alejandra CALDERON-VALLEJO, Stanislav GROPPA, Leahu PAVEL, Jonathan M COUTINHO, Diederik DIPPEL, Leon RINKEL, Dianne H K VAN DAM-NOLEN, Ernest Okwundu NWAZOR, Amal M AL HASHIMI, Saima AHMAD, Umair RASHID, Liliana RODRIGUEZ-KADOTA, Angel Vences MIGUEL, Matic Yalung PATRICK, Hao Dy Jon STEWART, Waldemar BROLA, Malgorzata DOROBEK, Michal Adam KARLINSKI, Beata M LABUZ-ROSZAK, Anetta LASEK-BAL, Halina SIENKIEWICZ-JAROSZ, Jacek STASZEWSKI, Piotr SOBOLEWSKI, Justyna ZIELINSKA-TUREK, Andre Pinho ARAUJO, Luisa FONSECA, Aleksander DEBIEC, M Luis SILVA, Pedro CASTRO, Mariana ROCHA, Romania Cristian FALUP-PECURARIU, Narayanaswamy VENKETASUBRAMANIAN, Georgi Krastev Miroslav MAKO, Oscar AYO-MARTIN, Marcin WIACEK, Jordi BLASCO, Antonio CRUZ-CULEBRAS, Francisco HERNANDEZ-FERNANDEZ, Rodriguez Fernandez CLAUDIO, Escartin Lopez JORGE, Alejandro RODRIGUEZ, Manuel BOLOGNESE, Grzegorz Marek KARWACKI, Emanuela KELLER, Paolo MACHI, Gianmarco BERNAVA, Surawan BOONYAKARNKUL, Anchalee CHUROJANA, Nadia HAMMAMI, Arsida BAJRAMI, Songul SENADIM, Syed I HUSSAIN, Seby JOHN, Graham DOW, Kailash KRISHNAN, Robert LENTHALL, Ken WONG, Liqun ZHANG, Dorothea ALTSCHUL, Kaiz S ASIF, Mohammad A AZIZ-SULTAN, Ivo BACH, Kristine BELOW, Jose BILLER, Anna M CERVANTES-ARSLANIAN, Saqib A CHAUDHRY, Alex CHEBL, Michael CHEN, Marco COLASURDO, Alexandra CZAP, Hormuzdiyar DASENBROCK, Zeelalem BAHIRU, Adam H DE HAVENON, Sushrut DHARMADHIKARI, Adam A DMYTRIW, Clifford J ESKEY, Mark ETHERTON, Chizoba EZEPUE, Lauren FINK, Ulviyya GASIMOVA, Nitin GOYAL, Kasey B GRIMMETT, Maryam HAKEMI, Taryn HESTER, Violiza INOA, Peter T KAN, Ekkehard M KASPER, Priyank KHANDELWAL, Rakesh KHATRI, Naim N KHOURY, Benny S KIM, Murali KOLIKONDA, Anna Luisa KUHN, Guillermo LINARES, Italo LINFANTE, Aaron I LOOCHTAN, Timothy G LUKOVITS, Shailesh S MALE, Ayaz M KHAWAJA, Laith MAALI, Elsi Milagros GALECIO-CASTILLO, Jiangyong MIN, Ghada A MOHAMED, Krishna NALLEBALLE, Santiago ORTEGA-GUTIERREZ, Yazan RADAIDEH, Pankajavalli RAMAKRISHNAN, Hesham E MASOUD, Aravind B REDDY, Sean RULAND, Setareh Salehi OMRAN, Sunil A SHETH, Ajit S PURI, Rahul H RAHANGDALE, James E SIEGLER, Amy K STAROSCIAK, Nicholas E TARLOV, Robert A TAYLOR, Jenny TSAI, Michael J WANG, Ka-Ho WONG, Osama O ZAIDAT, Huynh Vu LE, Hoang Thi PHAN, Mai Duy TON, Anh Duc TRAN, Kristina SIRAKOVA, Thong Nhu PHAM, Markus A MOHLENBRUCH, Simon NAGEL, Jean RAYMOND and Raul G NOGUEIRA. Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality: 1-year follow-up. \textit{Journal of Neurology, Neurosurgery, and Psychiatry}. London: British Medical Association, 2022, vol.~93, No~10, p.~1028-1038. ISSN~0022-3050. Available from: https://dx.doi.org/10.1136/jnnp-2022-329200.