About: COVID-19 Impact on Stroke Presentations

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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
has title	COVID-19 Impact on Stroke Presentations
Creator	Cunha, John Justynski, Lori Miskolczi, Laszlo Rn, Lori Strasser, Sheryl
Source	Elsevier; PMC
abstract	BACKGROUND: As Covid-19 evolved into a world-wide pandemic, hospitals reported marked declines in strokes, only to be followed by reports of increased numbers of young people presenting with large-vessel occlusions. We reviewed our patient data-base to determine if similar or other novel trends were present. RESULTS: Our Thrombectomy Stroke Center experienced marked declines in ED visits from 2,349 in early March to 1,178 in late April, stroke alerts dropped from 34 to 14 during the same period. Average monthly stroke admissions dropped from 34 in 2019 to 23 in 2020. Nonetheless, in March, we had 12 patients eligible for tPA, which is twice the typical caseload and was unexpected given the low overall stroke presentations. Although the neurointervention caseload was low, the patients were significantly younger. Of the acute intervention patients in March, 5 of the 12 patients were ≤ 60 years old, and two were in their 30’s. These trends are similar to those reported elsewhere but were highly unusual for our center as our catchment area is predominantly Caucasian with 45% of the population > 65 years of age. CONCLUSIONS: Even in low risk centers Covid-19 will likely impart unique stroke presentations. It will be imperative to determine the mechanisms responsible for these changes so we can institute effective strategies for optimal stroke prevention as well as maintain timely acute interventions.
has issue date	2020-06-25(xsd:dateTime)
bibo:doi	10.1016/j.jstrokecerebrovasdis.2020.105077
has license	no-cc
sha1sum (hex)	5969d51df3fe765fe44ba08cc939d1d825aec572
schema:url	https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105077
resource representing a document's title	COVID-19 Impact on Stroke Presentations
has PubMed Central identifier	PMC7315973
schema:publication	J Stroke Cerebrovasc Dis
resource representing a document's body	covid:5969d51df3fe765fe44ba08cc939d1d825aec572#body_text
is schema:about of	named entity 'Stroke' named entity 'COVID-19' named entity 'health care' named entity 'stroke' named entity 'COVID19' named entity 'African American' named entity 'Philadelphia' named entity 'thrombectomy' named entity 'stroke' named entity 'stroke' named entity 'Covid-19' named entity 'African American' named entity 'emergency department' named entity 'COVID 19' named entity 'stroke' named entity 'stroke' named entity 'acute stroke' named entity 'stroke' named entity 'Covid-19 pandemic' named entity 'tPA' named entity 'south Florida' named entity 'secondary prevention' named entity 'stroke' named entity 'tPA' named entity 'acute stroke' named entity 'tPA' named entity 'Thrombectomy' named entity 'tissue plasminogen activator' named entity 'stroke' named entity 'Covid-19' named entity 'Covid-19' named entity 'Covid-19' named entity 'Stroke' named entity 'stroke' named entity '3, 4' named entity 'tPA' named entity 'New York' named entity 'risk factors' named entity 'stroke' named entity 'false impression' named entity 'stroke patients' named entity 'stroke' named entity 'world-wide' named entity 'world-wide' named entity 'tPA' named entity 'thromboembolic' named entity 'tPA' named entity 'stroke' named entity 'Stroke' named entity 'Stroke' named entity 'acute stroke' named entity 'stroke' named entity 'infection' named entity 'infection' named entity 'Thrombectomy' named entity 'March 2020' named entity 'stroke' named entity 'Covid-19' named entity 'COVID-19' named entity 'IMPACT' named entity 'Stroke' named entity 'COVID-19' named entity 'Journal' named entity 'Impact' named entity 'Covid-19' named entity 'PROOF' named entity 'JOURNAL ' named entity 'STROKE' named entity 'PRE' named entity 'PRESENTATIONS'
is part of of	covid:5969d51df3fe765fe44ba08cc939d1d825aec572#body_text BACKGROUND: As Covid-19 evolved into a world-wide pandemic, hospitals reported marked declines in strokes, only to be followed by reports of increased numbers of young people presenting with large-vessel occlusions. We reviewed our patient data-base to determine if similar or other novel trends were present. RESULTS: Our Thrombectomy Stroke Center experienced marked declines in ED visits from 2,349 in early March to 1,178 in late April, stroke alerts dropped from 34 to 14 during the same period. Average monthly stroke admissions dropped from 34 in 2019 to 23 in 2020. Nonetheless, in March, we had 12 patients eligible for tPA, which is twice the typical caseload and was unexpected given the low overall stroke presentations. Although the neurointervention caseload was low, the patients were significantly younger. Of the acute intervention patients in March, 5 of the 12 patients were ≤ 60 years old, and two were in their 30’s. These trends are similar to those reported elsewhere but were highly unusual for our center as our catchment area is predominantly Caucasian with 45% of the population > 65 years of age. CONCLUSIONS: Even in low risk centers Covid-19 will likely impart unique stroke presentations. It will be imperative to determine the mechanisms responsible for these changes so we can institute effective strategies for optimal stroke prevention as well as maintain timely acute interventions. COVID-19 Impact on Stroke Presentations

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