Global impact of COVID-19 on stroke care.
Global impact of COVID-19 on stroke care.
复制标题
DOI：
10.1177/1747493021991652
复制
发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Nguyen T
中科院分区：
文献类型：
--
作者：
Nogueira RG;Abdalkader M;Qureshi MM;Frankel MR;Mansour OY;Yamagami H;Qiu Z;Farhoudi M;Siegler JE;Yaghi S;Raz E;Sakai N;Ohara N;Piotin M;Mechtouff L;Eker O;Chalumeau V;Kleinig TJ;Pop R;Liu J;Winters HS;Shang X;Vasquez AR;Blasco J;Arenillas JF;Martinez-Galdamez M;Brehm A;Psychogios MN;Lylyk P;Haussen DC;Al-Bayati AR;Mohammaden MH;Fonseca L;Luís Silva M;Montalverne F;Renieri L;Mangiafico S;Fischer U;Gralla J;Frei D;Chugh C;Mehta BP;Nagel S;Mohlenbruch M;Ortega-Gutierrez S;Farooqui M;Hassan AE;Taylor A;Lapergue B;Consoli A;Campbell BC;Sharma M;Walker M;Van Horn N;Fiehler J;Nguyen HT;Nguyen QT;Watanabe D;Zhang H;Le HV;Nguyen VQ;Shah R;Devlin T;Khandelwal P;Linfante I;Izzath W;Lavados PM;Olavarría VV;Sampaio Silva G;de Carvalho Sousa AV;Kirmani J;Bendszus M;Amano T;Yamamoto R;Doijiri R;Tokuda N;Yamada T;Terasaki T;Yazawa Y;Morris JG;Griffin E;Thornton J;Lavoie P;Matouk C;Hill MD;Demchuk AM;Killer-Oberpfalzer M;Nahab F;Altschul D;Ramos-Pachón A;Pérez de la Ossa N;Kikano R;Boisseau W;Walker G;Cordina SM;Puri A;Luisa Kuhn A;Gandhi D;Ramakrishnan P;Novakovic-White R;Chebl A;Kargiotis O;Czap A;Zha A;Masoud HE;Lopez C;Ozretic D;Al-Mufti F;Zie W;Duan Z;Yuan Z;Huang W;Hao Y;Luo J;Kalousek V;Bourcier R;Guile R;Hetts S;Al-Jehani HM;AlHazzani A;Sadeghi-Hokmabadi E;Teleb M;Payne J;Lee JS;Hong JM;Sohn SI;Hwang YH;Shin DH;Roh HG;Edgell R;Khatri R;Smith A;Malik A;Liebeskind D;Herial N;Jabbour P;Magalhaes P;Ozdemir AO;Aykac O;Uwatoko T;Dembo T;Shimizu H;Sugiura Y;Miyashita F;Fukuda H;Miyake K;Shimbo J;Sugimura Y;Beer-Furlan A;Joshi K;Catanese L;Abud DG;Neto OG;Mehrpour M;Al Hashmi A;Saqqur M;Mostafa A;Fifi JT;Hussain S;John S;Gupta R;Sivan-Hoffmann R;Reznik A;Sani AF;Geyik S;Akıl E;Churojana A;Ghoreishi A;Saadatnia M;Sharifipour E;Ma A;Faulder K;Wu T;Leung L;Malek A;Voetsch B;Wakhloo A;Rivera R;Barrientos Iman DM;Pikula A;Lioutas VA;Thomalla G;Birnbaum L;Machi P;Bernava G;McDermott M;Kleindorfer D;Wong K;Patterson MS;Fiorot JA Jr;Huded V;Mack W;Tenser M;Eskey C;Multani S;Kelly M;Janardhan V;Cornett O;Singh V;Murayama Y;Mokin M;Yang P;Zhang X;Yin C;Han H;Peng Y;Chen W;Crosa R;Frudit ME;Pandian JD;Kulkarni A;Yagita Y;Takenobu Y;Matsumaru Y;Yamada S;Kono R;Kanamaru T;Yamazaki H;Sakaguchi M;Todo K;Yamamoto N;Sonoda K;Yoshida T;Hashimoto H;Nakahara I;Cora E;Volders D;Ducroux C;Shoamanesh A;Ospel J;Kaliaev A;Ahmed S;Rashid U;Rebello LC;Pereira VM;Fahed R;Chen M;Sheth SA;Palaiodimou L;Tsivgoulis G;Chandra R;Koyfman F;Leung T;Khosravani H;Dharmadhikari S;Frisullo G;Calabresi P;Tsiskaridze A;Lobjanidze N;Grigoryan M;Czlonkowska A;de Sousa DA;Demeestere J;Liang C;Sangha N;Lutsep HL;Ayo-Martín Ó;Cruz-Culebras A;Tran AD;Young CY;Cordonnier C;Caparros F;De Lecinana MA;Fuentes B;Yavagal D;Jovin T;Spelle L;Moret J;Khatri P;Zaidat O;Raymond J;Martins S;Nguyen T
COVID-19 大流行导致全球医疗保健系统的组织发生深刻变化。我们试图衡量在疫情最严重的三个月期间（2020 年 3 月 1 日至 5 月 31 日），与两个对照三个月期间（紧接之前和一年之前）相比，COVID-19 大流行对全球机械血栓切除术、中风和颅内出血住院量的影响。回顾性、观察性、国际研究，横跨 6 大洲、40 个国家和 187 个综合性卒中中心。诊断是通过参与中心的卒中数据库中的 ICD-10 代码和/或分类来识别的。前三个月因中风、颅内出血和机械取栓住院的人数分别为 26,699、4002 和 5191 人，而大流行前三个月分别为 21,576、3540 和 4533 人，下降了 19.2%（95%CI，-19.7 至 -18.7）、11.5%分别为（95％CI，-12.6至-10.6）和12.7％（95％CI，-13.6至-11.8）。在高、中、低 COVID-19 住院负担的中心以及高、中、低容量卒中/机械取栓中心中均出现了下降。高容量的 COVID-19 中心 (-20.5%) 的机械取栓量比中等容量 (-10.1%) 和低容量 (-8.7%) 中心的下降幅度更大 (p<0.0001)。在 54,366 例 COVID-19 住院患者中，中风率为 1.5%。在所有入院的中风患者中，有 3.9% (784/20,250) 感染 SARS-CoV-2。 COVID-19 大流行与全球中风住院治疗量、机械血栓切除手术量和颅内出血入院量的下降有关。尽管存在地域差异，但无论 COVID-19 住院负担和大流行前中风/机械取栓量如何，都观察到了这些体积的减少。
The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide. We sought to measure the global impact of the COVID-19 pandemic on the volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at the height of the pandemic (1 March–31 May 2020) compared with two control three-month periods (immediately preceding and one year prior). Retrospective, observational, international study, across 6 continents, 40 countries, and 187 comprehensive stroke centers. The diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases at participating centers. The hospitalization volumes for any stroke, intracranial hemorrhage, and mechanical thrombectomy were 26,699, 4002, and 5191 in the three months immediately before versus 21,576, 3540, and 4533 during the first three pandemic months, representing declines of 19.2% (95%CI, −19.7 to −18.7), 11.5% (95%CI, −12.6 to −10.6), and 12.7% (95%CI, −13.6 to −11.8), respectively. The decreases were noted across centers with high, mid, and low COVID-19 hospitalization burden, and also across high, mid, and low volume stroke/mechanical thrombectomy centers. High-volume COVID-19 centers (−20.5%) had greater declines in mechanical thrombectomy volumes than mid- (−10.1%) and low-volume (−8.7%) centers (p < 0.0001). There was a 1.5% stroke rate across 54,366 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.9% (784/20,250) of all stroke admissions. The COVID-19 pandemic was associated with a global decline in the volume of overall stroke hospitalizations, mechanical thrombectomy procedures, and intracranial hemorrhage admission volumes. Despite geographic variations, these volume reductions were observed regardless of COVID-19 hospitalization burden and pre-pandemic stroke/mechanical thrombectomy volumes.
登录
查看更多内容
影响因子：
8.3
作者：
Kerleroux, Basile;Fabacher, Thibaut;Boulouis, Gregoire
通讯作者：
Boulouis, Gregoire
影响因子：
5.5
作者：
Liao, Jo-Nan;Chao, Tze-Fan;Chen, Shih-Ann
通讯作者：
Chen, Shih-Ann
影响因子：
8.3
作者：
Uchino, Ken;Kolikonda, Murali K.;Hussain, M. Shazam
通讯作者：
Hussain, M. Shazam
影响因子：
8.3
作者：
Zhao, Jing;Li, Hang;Liu, Renyu
通讯作者：
Liu, Renyu
影响因子：
8.3
作者：
Nguyen, Thanh N.;Abdalkader, Mohamad;Liebeskind, David S.
通讯作者：
Liebeskind, David S.