About: Decline in Stroke Presentations During COVID-19 Surge

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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
title	Decline in Stroke Presentations During COVID-19 Surge
Creator	Brown, Dena Buletko, ; Collins, Dana Hussain, ; Khawaja, Zeshaun Kolikonda, Murali Kovi, Shivakrishna Russman, Andrew Uchino, Ken
source	Medline; PMC
abstract	We aimed to investigate the acute stroke presentations during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: The data were obtained from a health system with 19 emergency departments in northeast Ohio in the United States. Baseline period from January 1 to March 8, 2020, was compared with the COVID period from March 9, to April 2, 2020. The variables included were total daily stroke alerts across the hospital emergency departments, thrombolysis, time to presentation, stroke severity, time from door-to-imaging, time from door-to-needle in thrombolysis, and time from door-to-puncture in thrombectomy. The 2 time periods were compared using nonparametric statistics and Poisson regression. RESULTS: Nine hundred two stroke alerts during the period across the emergency departments were analyzed. Total daily stroke alerts decreased from median, 10 (interquartile range, 8–13) during baseline period to median, 8 (interquartile range, 4–10, P=0.001) during COVID period. Time to presentation, stroke severity, and time to treatment were unchanged. COVID period was associated with decrease in stroke alerts with rate ratio of 0.70 (95% CI, 0.60–0.28). Thrombolysis also decreased with rate ratio, 0.52 (95% CI, 0.28–0.97) but thrombectomy remained unchanged rate ratio, 0.93 (95% CI, 0.52–1.62) CONCLUSIONS: We observed a significant decrease in acute stroke presentations by ≈30% across emergency departments at the time of surge of COVID-19 cases. This observation could be attributed to true decline in stroke incidence or patients not seeking medical attention for emergencies during the pandemic.
has issue date	2020-06-22(xsd:dateTime)
bibo:doi	10.1161/strokeaha.120.030331
bibo:pmid	32716818
has license	no-cc
sha1sum (hex)	dc4bf6c7a4bee357af5c010fc6c19b2cff8d82e3
schema:url	https://doi.org/10.1161/strokeaha.120.030331
resource representing a document's title	Decline in Stroke Presentations During COVID-19 Surge
has PubMed Central identifier	PMC7309646
has PubMed identifier	32716818
schema:publication	Stroke
resource representing a document's body	covid:dc4bf6c7a4bee357af5c010fc6c19b2cff8d82e3#body_text
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