About: Impact of the COVID-19 outbreak on acute stroke care

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About: Impact of the COVID-19 outbreak on acute stroke care Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Impact of the COVID-19 outbreak on acute stroke care
Creator	Beenen, · Brouwer, · Burggraaff, · Coutinho, · Emmer, · Groot, · Majoie, · Prick, · Rinkel, L Roos, · Slot, · Sombroek, · Van De Beek, · Van Den Berg-Vos, · Van Schaik, · Visser, ·
source	Medline; PMC
abstract	BACKGROUND AND PURPOSE: There are concerns that the coronavirus disease 2019 (COVID-19) outbreak negatively affects the quality of care for acute cardiovascular conditions. We assessed the impact of the COVID-19 outbreak on trends in hospital admissions and workflow parameters of acute stroke care in Amsterdam, The Netherlands. METHODS: We used data from the three hospitals that provide acute stroke care for the Amsterdam region. We compared two 7-week periods: one during the peak of the COVID-19 outbreak (March 16th–May 3th 2020) and one prior to the outbreak (October 21st–December 8th 2019). We included consecutive patients who presented to the emergency departments with a suspected stroke and assessed the change in number of patients as an incidence-rate ratio (IRR) using a Poisson regression analysis. Other outcomes were the IRR for stroke subtypes, change in use of reperfusion therapy, treatment times, and in-hospital complications. RESULTS: During the COVID-19 period, 309 patients presented with a suspected stroke compared to 407 patients in the pre-COVID-19 period (IRR 0.76 95%CI 0.65–0.88). The proportion of men was higher during the COVID-19 period (59% vs. 47%, p < 0.001). There was no change in the proportion of stroke patients treated with intravenous thrombolysis (28% vs. 30%, p = 0.58) or endovascular thrombectomy (11% vs 12%, p = 0.82) or associated treatment times. Seven patients (all ischemic strokes) were diagnosed with COVID-19. CONCLUSION: We observed a 24% decrease in suspected stroke presentations during the COVID-19 outbreak, but no evidence for a decrease in quality of acute stroke care.
has issue date	2020-07-20(xsd:dateTime)
bibo:doi	10.1007/s00415-020-10069-1
bibo:pmid	32691235
has license	cc-by
sha1sum (hex)	44dde1f40afcecf111dc8b94da106a9768423068
schema:url	https://doi.org/10.1007/s00415-020-10069-1
resource representing a document's title	Impact of the COVID-19 outbreak on acute stroke care
has PubMed Central identifier	PMC7370633
has PubMed identifier	32691235
schema:publication	J Neurol
resource representing a document's body	covid:44dde1f40afcecf111dc8b94da106a9768423068#body_text
is schema:about of	named entity 'ratio' named entity 'hospitals' named entity '2859' named entity 'AMSTERDAM' named entity 'CARE' named entity 'ENDOVASCULAR' named entity 'THE PEAK' named entity 'presentations' named entity 'provide' named entity 'compared' named entity 'During' named entity 'patients' named entity 'Results' named entity 'treated' named entity 'proportion' named entity 'proportion' named entity 'There' named entity 'Amsterdam' named entity 'COVID-19' named entity 'acute stroke' named entity 'COVID-19 outbreak' named entity 'stroke' named entity 'acute stroke' named entity 'stroke' named entity 'endovascular thrombectomy' named entity 'regression analysis' named entity 'COVID-19 outbreak' named entity 'IRR' named entity 'ischemic strokes' named entity 'epidemiology' named entity 'COVID-19' named entity 'working from home' named entity 'stroke' named entity 'thrombolysis' named entity 'emergency department' named entity 'intracranial hemorrhage' named entity 'sample size' named entity 'primary stroke' named entity 'worldwide outbreak' named entity 'PCR' named entity 'COVID-19' named entity 'stroke' named entity 'Chi-square test' named entity 'cohort study' named entity 'COVID-19' named entity 'COVID-19' named entity 'stroke' named entity 'ischemic stroke' named entity 'outpatient' named entity 'COVID-19 outbreak' named entity 'thromboembolic' named entity 'stroke' named entity 'Netherlands' named entity 'stroke symptoms' named entity 'transmissible diseases' named entity 'thromboembolic disease' named entity 'seizure' named entity 'emergency services' named entity 'Poisson regression' named entity 'intravenous thrombolysis' named entity 'acute care' named entity 'reperfusion therapy' named entity 'intracranial hemorrhage' named entity 'COVID-19 outbreak' named entity 'COVID-19' named entity 'COVID-19 outbreak'

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