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About:
Telestroke in the Time of COVID-19: The Mayo Clinic Experience
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schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Telestroke in the Time of COVID-19: The Mayo Clinic Experience
Creator
Barrett, Kevin
Ma,
Clinic, Mayo
Huang, Josephine
Williams,
Demaerschalk, Bart
Barrett, Lindsy
Chukwudelunzu, Felix
Greenway, Melanie
Ma, Emily
Nasr, Deena
Nord, Charisse
O'carroll, Cumara
Pahl, Emily
Pahl, Kevin
Williams, Lindsy
source
Elsevier; Medline; PMC
abstract
Abstract On March 11, 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) a pandemic, and in the weeks following, public health organizations, medical associations, and governing bodies throughout the world recommended limiting contact with others to “flatten the curve” of COVID-19. Although both ischemic and hemorrhagic strokes have been reported with COVID-19, there has been anecdotal suggestion of an overall decrease in stroke admissions. To date, the effects of any pandemic on telestroke service lines have not been described. The purpose of this cross-sectional analysis of telestroke activations in the 30 days before and after the declaration of the COVID-19 pandemic is to describe the difference in case volumes of telestroke activations, the characteristics of patients, and treatment recommendations between the two time frames. We found a 50% reduction in total telestroke activations between the pre- and post- groups, 142 and 71, respectively. There were no statistically significant differences in age, sex, diagnosis, or regional variations in activation volumes. The percentage of patients in whom we recommended acute stroke treatment with intravenous alteplase, mechanical thrombectomy, or both, decreased from 44% to 33%. The reasons for the significant decrease in telestroke activations and acute stroke treatment recommendations are likely multifactorial, regardless, underscoring the importance of continued public health measures to encourage patients and families to seek emergent medical care at the time of symptom onset.
has issue date
2020-06-13
(
xsd:dateTime
)
bibo:doi
10.1016/j.mayocp.2020.06.007
bibo:pmid
32753143
has license
els-covid
sha1sum (hex)
bfe9d8d9e82cfb177ac9fc0bd78f9751383a387d
schema:url
https://doi.org/10.1016/j.mayocp.2020.06.007
resource representing a document's title
Telestroke in the Time of COVID-19: The Mayo Clinic Experience
has PubMed Central identifier
PMC7293444
has PubMed identifier
32753143
schema:publication
Mayo Clin Proc
resource representing a document's body
covid:bfe9d8d9e82cfb177ac9fc0bd78f9751383a387d#body_text
is
schema:about
of
named entity 'cross-sectional analysis'
named entity 'COVID-19'
named entity 'coronavirus disease 2019'
named entity 'weeks'
named entity 'governing bodies'
named entity 'total'
named entity 'contact'
named entity 'pandemic'
named entity 'COVID-19'
named entity 'coronavirus disease 2019'
named entity 'March 11'
named entity 'stroke'
named entity 'hemorrhagic stroke'
named entity 'stroke'
named entity 'standard deviation'
named entity 'myocardial infarction'
named entity 'coronavirus disease 2019'
named entity '4.7'
named entity 'emergency department'
named entity 'MERS'
named entity 'emergency department'
named entity 'morbidity'
named entity 'NIHSS'
named entity 'neurological'
named entity 'endovascular thrombectomy'
named entity 'stroke'
named entity 'Neurologic manifestations'
named entity 'stroke'
named entity 'WHO'
named entity 'statistically significant'
named entity 'WHO'
named entity 'ischemic stroke'
named entity 'Shanghai'
named entity 'stroke'
named entity 'February 10'
named entity 'stroke patients'
named entity 'February 10'
named entity 'acute stroke'
named entity 'stroke'
named entity 'acute stroke'
named entity 'March 11'
named entity 'COVID-19'
named entity 'stroke'
named entity 'stroke'
named entity 'Severe Acute Respiratory Syndrome Coronavirus'
named entity 'thrombectomy'
named entity 'tissue plasminogen activator'
named entity 'ischemic'
named entity 'Middle East respiratory syndrome'
named entity 'SARS-CoV-2'
named entity 'stroke'
named entity 'NIH stroke scale'
named entity 'United States'
named entity 'stroke'
named entity 'TIAs'
named entity 'Wisconsin'
named entity 'retrospective review'
named entity 'stroke'
named entity 'student's t-test'
named entity 'symptom'
named entity 'Iowa'
named entity 'Minnesota'
named entity 'Emergency Room'
named entity 'stay-at-home orders'
named entity 'United States'
named entity 'Spain'
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