Maintaining stroke care in Europe during the COVID-19 pandemic: Results from an international survey of stroke professionals and practice recommendations from the European Stroke Organisation.
Maintaining stroke care in Europe during the COVID-19 pandemic: Results from an international survey of stroke professionals and practice recommendations from the European Stroke Organisation.
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DOI：
10.1177/2396987320933746
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发表时间：
2020-09
影响因子：
6.1
通讯作者：
European Stroke Organisation
中科院分区：
文献类型：
--
作者：
Aguiar de Sousa D;van der Worp HB;Caso V;Cordonnier C;Strbian D;Ntaios G;Schellinger PD;Sandset EC;European Stroke Organisation
2019 年冠状病毒病 (COVID-19) 大流行给卫生系统带来了巨大的负担，从而威胁到它们有效治疗脑血管疾病和心肌梗塞等治疗时间高度敏感的急性疾病的能力。为了减少此次疫情对中风患者提供的医疗服务造成的影响，欧洲中风组织开展了一项调查，旨在收集有关在疫情期间提供中风护理的信息。 2020 年 3 月 26 日至 4 月 1 日在中风护理提供者中进行的横断面网络调查，重点关注卫生服务的重组、急性中风和急性中风后护理的提供以及个人防护设备的可用性。来自 55 个国家的 426 名中风护理人员完成了这项调查，其中大多数在欧洲工作（n = 375，88%）并且是中风医生/神经科医生（n = 334，78%）。在欧洲受访者中，289 人 (77%) 表示并非所有中风患者都在其中心接受常规护理，266 人 (71%) 估计中风患者的功能结果和复发率将受到大流行引起的组织变化的负面影响。受影响最严重的领域是急症护理和康复。大多数专业人员必须调整他们的活动和时间表，超过一半的人报告缺乏防护设备。在 COVID-19 爆发期间维持中风护理可用性的策略对于防止因护理欠佳而导致间接死亡和残疾至关重要。欧洲中风组织为面临这种特殊情况的决策者提出了一系列有针对性的行动。
The coronavirus disease 2019 (COVID-19) pandemic has been placing an overwhelming burden on health systems, thus threatening their ability to operate effectively for acute conditions in which treatments are highly time sensitive, such as cerebrovascular disorders and myocardial infarction. As part of an effort to reduce the consequences of this outbreak on health service delivery to stroke patients, the European Stroke Organisation has undertaken a survey aimed at collecting information on the provision of stroke care during the pandemic. Cross-sectional, web-based survey, conducted from 26 March through 1 April 2020 among stroke care providers, focused on reorganisation of health services, the delivery of acute and post-acute stroke care and the availability of personal protective equipment. A total of 426 stroke care providers from 55 countries completed the survey, most of whom worked in Europe (n = 375, 88%) and were stroke physicians/neurologists (n = 334, 78%). Among European respondents, 289 (77%) reported that not all stroke patients were receiving the usual care in their centres and 266 (71%) estimated that functional outcomes and recurrence rates of stroke patients would be negatively affected by the organisational changes caused by the pandemic. The areas considered as being most affected were acute care and rehabilitation. Most professionals had to adapt their activities and schedules and more than half reported shortage of protective equipment. Strategies to maintain availability of stroke care during the COVID-19 outbreak are crucial to prevent indirect mortality and disability due to suboptimal care. European Stroke Organisation proposes a set of targeted actions for decision makers facing this exceptional situation.
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影响因子：
168.9
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