Acute stroke management pathway during Coronavirus-19 pandemic
Acute stroke management pathway during Coronavirus-19 pandemic
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DOI：
10.1007/s10072-020-04375-9
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发表时间：
2020-05-01
影响因子：
3.3
通讯作者：
Causin, Francesco
中科院分区：
文献类型：
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作者：
Baracchini, Claudio;Pieroni, Alessio;Causin, Francesco
自本地区韦内托（意大利）于二月爆发COVID-19疫情以来，我们面临多项挑战，但我们的目标始终是保持卒中单元无COVID。因此，除了在急诊科外建立一个专门的热点作为预分类外，我们还与神经放射科一起获得了一个移动的CT设备，可供COVID阳性或疑似COVID患者使用。此外，由于与不同专科（传染病、内科、重症监护、急诊医学）的同事合作，启用了COVID患者专用区域。这导致我们的急性斯托克管理途径发生了重大变化。随着COVID患者数量的增加，以及世界卫生组织宣布进入大流行状态，这一新的中风途径已经得到了充分的考验。我们希望分享我们的经验，并发出一个明确的信息，以保持对中风作为一种紧急情况的高度关注，因为我们已经观察到轻微中风和TIA的患者数量减少，严重中风的发病到门和门到治疗时间延长，以及从辐条转移的数量减少。我们坚信，公众和家庭医生对COVID的关注是正确的。然而，有中风症状的人留在家里并不意味着“在家安全”。
Since the outbreak of the COVID-19 epidemic which in our region, Veneto (Italy), dates back to February, we were confronted with several challenges, but with a constant aim of keeping our Stroke Unit COVID-free. For this reason, in addition to creating a dedicated hot-spot as a pre-triage just outside the Emergency Department, together with the Neuroradiology Unit we obtained a mobile CT unit that could be used by COVID-positive or COVID-suspected patients. Furthermore, thanks to the collaboration with colleagues from different specialties (Infectious Disease, Internal Medicine, Intensive Care, Emergency Medicine), dedicated areas for COVID patients were activated. This led to a substantial change of our acute stoke management pathway. As the number of COVID patients increased, and the WHO declared a state of pandemic, this new stroke pathway has been fully tested. We would like to share our experience and send a clear message to keep a high attention on stroke as an emergency condition, because we have observed a decreased number of patients with minor strokes and TIAs, longer onset-to-door and door-to-treatment times for major strokes, and a reduced number of transfers from spokes. We strongly believe that the general population and family doctors are rightly focused on COVID. However, to remain at home with stroke symptoms does not mean to "stay safe at home".