Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis.

Nogueira, Raul G; Qureshi, Muhammed M; Abdalkader, Mohamad; Martins, Sheila Ouriques; Yamagami, Hiroshi; Qiu, Zhongming; Mansour, Ossama Yassin; Sathya, Anvitha; Czlonkowska, Anna; Tsivgoulis, Georgios; Aguiar de Sousa, Diana; Demeestere, Jelle; Mikulik, Robert; Vanacker, Peter; Siegler, James E; Kõrv, Janika; Biller, Jose; Liang, Conrad W; Sangha, Navdeep S; Zha, Alicia M; Czap, Alexandra L; Holmstedt, Christine Anne; Turan, Tanya N; Ntaios, George; Malhotra, Konark; Tayal, Ashis; Loochtan, Aaron; Ranta, Annamarei; Mistry, Eva A; Alexandrov, Anne W; Huang, David Y; Yaghi, Shadi; Raz, Eytan; Sheth, Sunil A; Mohammaden, Mahmoud H; Frankel, Michael; Bila Lamou, Eric Guemekane; Aref, Hany M; Elbassiouny, Ahmed; Hassan, Farouk; Menecie, Tarek; Mustafa, Wessam; Shokri, Hossam M; Roushdy, Tamer; Sarfo, Fred S; Alabi, Tolulope Oyetunde; Arabambi, Babawale; Nwazor, Ernest O; Sunmonu, Taofiki Ajao; Wahab, Kolawole; Yaria, Joseph; Mohammed, Haytham Hussein; Adebayo, Philip B; Riahi, Anis D; Ben Sassi, Samia; Gwaunza, Lenon; Ngwende, Gift Wilson; Sahakyan, David; Rahman, Aminur; Ai, Zhibing; Bai, Fanghui; Duan, Zhenhui; Hao, Yonggang; Huang, Wenguo; Li, Guangwen; Li, Wei; Liu, Ganzhe; Luo, Jun; Shang, Xianjin; Sui, Yi; Tian, Ling; Wen, Hongbin; Wu, Bo; Yan, Yuying; Yuan, Zhengzhou; Zhang, Hao; Zhang, Jun; Zhao, Wenlong; Zi, Wenjie; Leung, Thomas W; Chugh, Chandril; Huded, Vikram; Menon, Bindu; Pandian, Jeyaraj Durai; Sylaja, P N; Usman, Fritz Sumantri; Farhoudi, Mehdi; Hokmabadi, Elyar Sadeghi; Horev, Anat; Reznik, Anna; Hoffmann, Rotem Sivan; Ohara, Nobuyuki; Sakai, Nobuyuki; Watanabe, Daisuke; Yamamoto, Ryoo; Doijiri, Ryosuke; Tokuda, Naoki; Yamada, Takehiro; Terasaki, Tadashi; Yazawa, Yukako; Uwatoko, Takeshi; Dembo, Tomohisa; Shimizu, Hisao; Sugiura, Yuri; Miyashita, Fumio; Fukuda, Hiroki; Miyake, Kosuke; Shimbo, Junsuke; Sugimura, Yusuke; Yagita, Yoshiki; Takenobu, Yohei; Matsumaru, Yuji; Yamada, Satoshi; Kono, Ryuhei; Kanamaru, Takuya; Yamazaki, Hidekazu; Sakaguchi, Manabu; Todo, Kenichi; Yamamoto, Nobuaki; Sonoda, Kazutaka; Yoshida, Tomoko; Hashimoto, Hiroyuki; Nakahara, Ichiro; Kondybayeva, Aida; Faizullina, Kamila; Kamenova, Saltanat; Zhanuzakov, Murat; Baek, Jang-Hyun; Hwang, Yangha; Lee, Jin Soo; Lee, Si Baek; Moon, Jusun; Park, Hyungjong; Seo, Jung Hwa; Seo, Kwon-Duk; Sohn, Sung Il; Young, Chang Jun; Ahdab, Rechdi; Wan Zaidi, Wan Asyraf; Aziz, Zariah Abdul; Basri, Hamidon Bin; Chung, Law Wan; Ibrahim, Aznita Binti; Ibrahim, Khairul Azmi; Looi, Irene; Tan, Wee Yong; Yahya, Nafisah Wan; Groppa, Stanislav; Leahu, Pavel; Al Hashmi, Amal M; Imam, Yahia Zakaria; Akhtar, Naveed; Pineda-Franks, Maria Carissa; Co, Christian Oliver; Kandyba, Dmitriy; Alhazzani, Adel; Al-Jehani, Hosam; Tham, Carol Huilian; Mamauag, Marlie Jane; Venketasubramanian, Narayanaswamy; Chen, Chih-Hao; Tang, Sung-Chun; Churojana, Anchalee; Akil, Esref; Aykaç, Ozlem; Ozdemir, Atilla Ozcan; Giray, Semih; Hussain, Syed Irteza; John, Seby; Le Vu, Huynh; Tran, Anh Duc; Nguyen, Huy Hoang; Pham, Thong Nhu; Nguyen, Thang Huy; Nguyen, Trung Quoc; Gattringer, Thomas; Enzinger, Christian; Killer-Oberpfalzer, Monika; Bellante, Flavio; De Blauwe, Sofie; Vanhooren, Geert; De Raedt, Sylvie; Dusart, Anne; Lemmens, Robin; Ligot, Noemie; Rutgers, Matthieu Pierre; Yperzeele, Laetitia; Alexiev, Filip; Sakelarova, Teodora; Bedeković, Marina Roje; Budincevic, Hrvoje; Cindrić, Igor; Hucika, Zlatko; Ozretic, David; Saric, Majda Seferovic; Pfeifer, Frantiek; Karpowic, Igor; Cernik, David; Sramek, Martin; Skoda, Miroslav; Hlavacova, Helena; Klecka, Lukas; Koutny, Martin; Vaclavik, Daniel; Skoda, Ondrej; Fiksa, Jan; Hanelova, Katerina; Nevsimalova, Miroslava; Rezek, Robert; Prochazka, Petr; Krejstova, Gabriela; Neumann, Jiri; Vachova, Marta; Brzezanski, Henryk; Hlinovsky, David; Tenora, Dusan; Jura, Rene; Jurák, Lubomír; Novak, Jan; Novak, Ales; Topinka, Zdenek; Fibrich, Petr; Sobolova, Helena; Volny, Ondrej; Christensen, Hanne Krarup; Drenck, Nicolas; Iversen, Helle Klingenberg; Simonsen, Claus Z; Truelsen, Thomas Clement; Wienecke, Troels; Vibo, Riina; Gross-Paju, Katrin; Toomsoo, Toomas; Antsov, Katrin; Caparros, Francois; Cordonnier, Charlotte; Dan, Maria; Faucheux, Jean-Marc; Mechtouff, Laura; Eker, Omer; Lesaine, Emilie; Ondze, Basile; Peres, Roxane; Pico, Fernando; Piotin, Michel; Pop, Raoul; Rouanet, Francois; Gubeladze, Tatuli; Khinikadze, Mirza; Lobjanidze, Nino; Tsikaridze, Alexander; Nagel, Simon; Ringleb, Peter Arthur; Rosenkranz, Michael; Schmidt, Holger; Sedghi, Annahita; Siepmann, Timo; Szabo, Kristina; Thomalla, Götz; Palaiodimou, Lina; Sagris, Dimitrios; Kargiotis, Odysseas; Klivenyi, Peter; Szapary, Laszlo; Tarkanyi, Gabor; Adami, Alessandro; Bandini, Fabio; Calabresi, Paolo; Frisullo, Giovanni; Renieri, Leonardo; Sangalli, Davide; Pirson, Anne V; Uyttenboogaart, Maarten; van den Wijngaard, Ido; Kristoffersen, Espen Saxhaug; Brola, Waldemar; Fudala, Małgorzata; Horoch-Lyszczarek, Ewa; Karlinski, Michal; Kazmierski, Radoslaw; Kram, Pawel; Rogoziewicz, Marcin; Kaczorowski, Rafal; Luchowski, Piotr; Sienkiewicz-Jarosz, Halina; Sobolewski, Piotr; Fryze, Waldemar; Wisniewska, Anna; Wiszniewska, Malgorzata; Ferreira, Patricia; Ferreira, Paulo; Fonseca, Luisa; Marto, João Pedro; Pinho E Melo, Teresa; Nunes, Ana Paiva; Rodrigues, Miguel; Cruz, Vítor Tedim; Falup-Pecurariu, Cristian; Krastev, Georgi; Mako, Miroslav; Alonso de Leciñana, María; Arenillas, Juan F; Ayo-Martin, Oscar; Culebras, Antonio Cruz; Tejedor, Exuperio Diez; Montaner, Joan; Pérez-Sánchez, Soledad; Tola Arribas, Miguel Angel; Vasquez, Alejandro Rodriguez; Mazya, Michael; Bernava, Gianmarco; Brehm, Alex; Machi, Paolo; Fischer, Urs; Gralla, Jan; Michel, Patrik L; Psychogios, Marios-Nikos; Strambo, Davide; Banerjee, Soma; Krishnan, Kailash; Kwan, Joseph; Butt, Asif; Catanese, Luciana; Demchuk, Andrew; Field, Thalia; Haynes, Jennifer; Hill, Michael D; Khosravani, Houman; Mackey, Ariane; Pikula, Aleksandra; Saposnik, Gustavo; Scott, Courtney Anne; Shoamanesh, Ashkan; Shuaib, Ashfaq; Yip, Samuel; Barboza, Miguel A; Barrientos, Jose Domingo; Portillo Rivera, Ligia Ibeth; Gongora-Rivera, Fernando; Novarro-Escudero, Nelson; Blanco, Anmylene; Abraham, Michael; Alsbrook, Diana; Altschul, Dorothea; Alvarado-Ortiz, Anthony J; Bach, Ivo; Badruddin, Aamir; Barazangi, Nobl; Brereton, Charmaine; Castonguay, Alicia; Chaturvedi, Seemant; Chaudhry, Saqib A; Choe, Hana; Choi, Jae H; Dharmadhikari, Sushrut; Desai, Kinjal; Devlin, Thomas G; Doss, Vinodh T; Edgell, Randall; Etherton, Mark; Farooqui, Mudassir; Frei, Don; Gandhi, Dheeraj; Grigoryan, Mikayel; Gupta, Rishi; Hassan, Ameer E; Helenius, Johanna; Kaliaev, Artem; Kaushal, Ritesh; Khandelwal, Priyank; Khawaja, Ayaz M; Khoury, Naim N; Kim, Benny S; Kleindorfer, Dawn O; Koyfman, Feliks; Lee, Vivien H; Leung, Lester Y; Linares, Guillermo; Linfante, Italo; Lutsep, Helmi L; Macdougall, Lisa; Male, Shailesh; Malik, Amer; Masoud, Hesham; McDermott, Molly; Mehta, Brijesh P; Min, Jiangyong; Mittal, Manoj; Morris, Jane G; Multani, Sumeet S; Nahab, Fadi; Nalleballe, Krishna; Nguyen, Claude B; Novakovic-White, Roberta; Ortega-Gutierrez, Santiago; Rahangdale, Rahul H; Ramakrishnan, Pankajavalli; Romero, Jose Rafael; Rost, Natalia; Rothstein, Aaron; Ruland, Sean; Shah, Ruchir; Sharma, Malveeka; Silver, Brian; Simmons, Marc; Singh, Abhishek; Starosciak, Amy K; Strasser, Sheryl L; Szeder, Viktor; Teleb, Mohamed; Tsai, Jenny P; Voetsch, Barbara; Balaguera, Oscar; Pujol Lereis, Virginia A; Luraschi, Adriana; Almeida, Marcele Schettini; Cardoso, Fabricio Buchdid; Conforto, Adriana; De Deus Silva, Leonardo; Giacomini, Luidia Varrone; Lima, Fabricio Oliveira; Longo, Alexandre L; Magalhães, Pedro Sc; Martins, Rodrigo Targa; Mont'alverne, Francisco; Mora Cuervo, Daissy Liliana; Rebello, Leticia Costa; Valler, Lenise; Zetola, Viviane Flumignan; Lavados, Pablo M; Navia, Victor; Olavarría, Verónica V; Almeida Toro, Juan Manuel; Ricardo Amaya, Pablo Felipe; Bayona, Hernan; Corredor-Quintero, Angel Basilio; Rivera Ordonez, Carlos Eduardo; Mantilla Barbosa, Diana Katherine; Lara, Osvaldo; Patiño, Mauricio R; Diaz Escobar, Luis Fernando; Dejesus Melgarejo Farina, Donoband Edson; Villamayor, Analia Cardozo; Zelaya Zarza, Adolfo Javier; Barrientos Iman, Danny Moises; Kadota, Liliana Rodriguez; Campbell, Bruce; Hankey, Graeme J; Hair, Casey; Kleinig, Timothy; Ma, Alice; Martins, Rodrigo Tomazini; Sahathevan, Ramesh; Thijs, Vincent N; Salazar, Daniel; Yuan-Hao Wu, Teddy; Haussen, Diogo C; Liebeskind, David; Yavagal, Dileep; Jovin, Tudor G; Zaidat, Osama O; Nguyen, Thanh N

doi:10.1212/WNL.0000000000011885

Title

Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis.

Publication Date

2021-03-25

Author(s)

Nogueira, Raul G

Qureshi, Muhammed M

Abdalkader, Mohamad

Martins, Sheila Ouriques

Yamagami, Hiroshi

Qiu, Zhongming

Mansour, Ossama Yassin

Sathya, Anvitha

Czlonkowska, Anna

Tsivgoulis, Georgios

Aguiar de Sousa, Diana

Demeestere, Jelle

Mikulik, Robert

Vanacker, Peter

Siegler, James E

Kõrv, Janika

Biller, Jose

Liang, Conrad W

Sangha, Navdeep S

Zha, Alicia M

Czap, Alexandra L

Holmstedt, Christine Anne

Turan, Tanya N

Ntaios, George

Malhotra, Konark

Tayal, Ashis

Loochtan, Aaron

Ranta, Annamarei

Mistry, Eva A

Alexandrov, Anne W

Huang, David Y

Yaghi, Shadi

Raz, Eytan

Sheth, Sunil A

Mohammaden, Mahmoud H

Frankel, Michael

Bila Lamou, Eric Guemekane

Aref, Hany M

Elbassiouny, Ahmed

Hassan, Farouk

Menecie, Tarek

Mustafa, Wessam

Shokri, Hossam M

Roushdy, Tamer

Sarfo, Fred S

Alabi, Tolulope Oyetunde

Arabambi, Babawale

Nwazor, Ernest O

Sunmonu, Taofiki Ajao

Wahab, Kolawole

Yaria, Joseph

Mohammed, Haytham Hussein

Adebayo, Philip B

Riahi, Anis D

Ben Sassi, Samia

Gwaunza, Lenon

Ngwende, Gift Wilson

Sahakyan, David

Rahman, Aminur

Ai, Zhibing

Bai, Fanghui

Duan, Zhenhui

Hao, Yonggang

Huang, Wenguo

Li, Guangwen

Li, Wei

Liu, Ganzhe

Luo, Jun

Shang, Xianjin

Sui, Yi

Tian, Ling

Wen, Hongbin

Wu, Bo

Yan, Yuying

Yuan, Zhengzhou

Zhang, Hao

Zhang, Jun

Zhao, Wenlong

Zi, Wenjie

Leung, Thomas W

Chugh, Chandril

Huded, Vikram

Menon, Bindu

Pandian, Jeyaraj Durai

Sylaja, P N

Usman, Fritz Sumantri

Farhoudi, Mehdi

Hokmabadi, Elyar Sadeghi

Horev, Anat

Reznik, Anna

Hoffmann, Rotem Sivan

Ohara, Nobuyuki

Sakai, Nobuyuki

Watanabe, Daisuke

Yamamoto, Ryoo

Doijiri, Ryosuke

Tokuda, Naoki

Yamada, Takehiro

Terasaki, Tadashi

Yazawa, Yukako

Uwatoko, Takeshi

Dembo, Tomohisa

Shimizu, Hisao

Sugiura, Yuri

Miyashita, Fumio

Fukuda, Hiroki

Miyake, Kosuke

Shimbo, Junsuke

Sugimura, Yusuke

Yagita, Yoshiki

Takenobu, Yohei

Matsumaru, Yuji

Yamada, Satoshi

Kono, Ryuhei

Kanamaru, Takuya

Yamazaki, Hidekazu

Sakaguchi, Manabu

Todo, Kenichi

Yamamoto, Nobuaki

Sonoda, Kazutaka

Yoshida, Tomoko

Hashimoto, Hiroyuki

Nakahara, Ichiro

Kondybayeva, Aida

Faizullina, Kamila

Kamenova, Saltanat

Zhanuzakov, Murat

Baek, Jang-Hyun

Hwang, Yangha

Lee, Jin Soo

Lee, Si Baek

Moon, Jusun

Park, Hyungjong

Seo, Jung Hwa

Seo, Kwon-Duk

Sohn, Sung Il

Young, Chang Jun

Ahdab, Rechdi

Wan Zaidi, Wan Asyraf

Aziz, Zariah Abdul

Basri, Hamidon Bin

Chung, Law Wan

Ibrahim, Aznita Binti

Ibrahim, Khairul Azmi

Looi, Irene

Tan, Wee Yong

Yahya, Nafisah Wan

Groppa, Stanislav

Leahu, Pavel

Al Hashmi, Amal M

Imam, Yahia Zakaria

Akhtar, Naveed

Pineda-Franks, Maria Carissa

Co, Christian Oliver

Kandyba, Dmitriy

Alhazzani, Adel

Al-Jehani, Hosam

Tham, Carol Huilian

Mamauag, Marlie Jane

Venketasubramanian, Narayanaswamy

Chen, Chih-Hao

Tang, Sung-Chun

Churojana, Anchalee

Akil, Esref

Aykaç, Ozlem

Ozdemir, Atilla Ozcan

Giray, Semih

Hussain, Syed Irteza

John, Seby

Le Vu, Huynh

Tran, Anh Duc

Nguyen, Huy Hoang

Pham, Thong Nhu

Nguyen, Thang Huy

Nguyen, Trung Quoc

Gattringer, Thomas

Enzinger, Christian

Killer-Oberpfalzer, Monika

Bellante, Flavio

De Blauwe, Sofie

Vanhooren, Geert

De Raedt, Sylvie

Dusart, Anne

Lemmens, Robin

Ligot, Noemie

Rutgers, Matthieu Pierre

Yperzeele, Laetitia

Alexiev, Filip

Sakelarova, Teodora

Bedeković, Marina Roje

Budincevic, Hrvoje

Cindrić, Igor

Hucika, Zlatko

Ozretic, David

Saric, Majda Seferovic

Pfeifer, Frantiek

Karpowic, Igor

Cernik, David

Sramek, Martin

Skoda, Miroslav

Hlavacova, Helena

Klecka, Lukas

Koutny, Martin

Vaclavik, Daniel

Skoda, Ondrej

Fiksa, Jan

Hanelova, Katerina

Nevsimalova, Miroslava

Rezek, Robert

Prochazka, Petr

Krejstova, Gabriela

Neumann, Jiri

Vachova, Marta

Brzezanski, Henryk

Hlinovsky, David

Tenora, Dusan

Jura, Rene

Jurák, Lubomír

Novak, Jan

Novak, Ales

Topinka, Zdenek

Fibrich, Petr

Sobolova, Helena

Volny, Ondrej

Christensen, Hanne Krarup

Drenck, Nicolas

Iversen, Helle Klingenberg

Simonsen, Claus Z

Truelsen, Thomas Clement

Wienecke, Troels

Vibo, Riina

Gross-Paju, Katrin

Toomsoo, Toomas

Antsov, Katrin

Caparros, Francois

Cordonnier, Charlotte

Dan, Maria

Faucheux, Jean-Marc

Mechtouff, Laura

Eker, Omer

Lesaine, Emilie

Ondze, Basile

Peres, Roxane

Pico, Fernando

Piotin, Michel

Pop, Raoul

Rouanet, Francois

Gubeladze, Tatuli

Khinikadze, Mirza

Lobjanidze, Nino

Tsikaridze, Alexander

Nagel, Simon

Ringleb, Peter Arthur

Rosenkranz, Michael

Schmidt, Holger

Sedghi, Annahita

Siepmann, Timo

Szabo, Kristina

Thomalla, Götz

Palaiodimou, Lina

Sagris, Dimitrios

Kargiotis, Odysseas

Klivenyi, Peter

Szapary, Laszlo

Tarkanyi, Gabor

Adami, Alessandro

Bandini, Fabio

Calabresi, Paolo

Frisullo, Giovanni

Renieri, Leonardo

Sangalli, Davide

Pirson, Anne V

Uyttenboogaart, Maarten

van den Wijngaard, Ido

Kristoffersen, Espen Saxhaug

Brola, Waldemar

Fudala, Małgorzata

Horoch-Lyszczarek, Ewa

Karlinski, Michal

Kazmierski, Radoslaw

Kram, Pawel

Rogoziewicz, Marcin

Kaczorowski, Rafal

Luchowski, Piotr

Sienkiewicz-Jarosz, Halina

Sobolewski, Piotr

Fryze, Waldemar

Wisniewska, Anna

Wiszniewska, Malgorzata

Ferreira, Patricia

Ferreira, Paulo

Fonseca, Luisa

Marto, João Pedro

Pinho E Melo, Teresa

Nunes, Ana Paiva

Rodrigues, Miguel

Cruz, Vítor Tedim

Falup-Pecurariu, Cristian

Krastev, Georgi

Mako, Miroslav

Alonso de Leciñana, María

Arenillas, Juan F

Ayo-Martin, Oscar

Culebras, Antonio Cruz

Tejedor, Exuperio Diez

Montaner, Joan

Pérez-Sánchez, Soledad

Tola Arribas, Miguel Angel

Vasquez, Alejandro Rodriguez

Mazya, Michael

Bernava, Gianmarco

Brehm, Alex

Machi, Paolo

Fischer, Urs

Gralla, Jan

Michel, Patrik L

Psychogios, Marios-Nikos

Strambo, Davide

Banerjee, Soma

Krishnan, Kailash

Kwan, Joseph

Butt, Asif

Catanese, Luciana

Demchuk, Andrew

Field, Thalia

Haynes, Jennifer

Hill, Michael D

Khosravani, Houman

Mackey, Ariane

Pikula, Aleksandra

Saposnik, Gustavo

Scott, Courtney Anne

Shoamanesh, Ashkan

Shuaib, Ashfaq

Yip, Samuel

Barboza, Miguel A

Barrientos, Jose Domingo

Portillo Rivera, Ligia Ibeth

Gongora-Rivera, Fernando

Novarro-Escudero, Nelson

Blanco, Anmylene

Abraham, Michael

Alsbrook, Diana

Altschul, Dorothea

Alvarado-Ortiz, Anthony J

Bach, Ivo

Badruddin, Aamir

Barazangi, Nobl

Brereton, Charmaine

Castonguay, Alicia

Chaturvedi, Seemant

Chaudhry, Saqib A

Choe, Hana

Choi, Jae H

Dharmadhikari, Sushrut

Desai, Kinjal

Devlin, Thomas G

Doss, Vinodh T

Edgell, Randall

Etherton, Mark

Farooqui, Mudassir

Frei, Don

Gandhi, Dheeraj

Grigoryan, Mikayel

Gupta, Rishi

Hassan, Ameer E

Helenius, Johanna

Kaliaev, Artem

Kaushal, Ritesh

Khandelwal, Priyank

Khawaja, Ayaz M

Khoury, Naim N

Kim, Benny S

Kleindorfer, Dawn O

Koyfman, Feliks

Lee, Vivien H

Leung, Lester Y

Linares, Guillermo

Linfante, Italo

Lutsep, Helmi L

Macdougall, Lisa

Male, Shailesh

Malik, Amer

Masoud, Hesham

McDermott, Molly

Mehta, Brijesh P

Min, Jiangyong

Mittal, Manoj

Morris, Jane G

Multani, Sumeet S

Nahab, Fadi

Nalleballe, Krishna

Nguyen, Claude B

Novakovic-White, Roberta

Ortega-Gutierrez, Santiago

Rahangdale, Rahul H

Ramakrishnan, Pankajavalli

Romero, Jose Rafael

Rost, Natalia

Rothstein, Aaron

Ruland, Sean

Shah, Ruchir

Sharma, Malveeka

Silver, Brian

Simmons, Marc

Singh, Abhishek

Starosciak, Amy K

Strasser, Sheryl L

Szeder, Viktor

Teleb, Mohamed

Tsai, Jenny P

Voetsch, Barbara

Balaguera, Oscar

Pujol Lereis, Virginia A

Luraschi, Adriana

Almeida, Marcele Schettini

Cardoso, Fabricio Buchdid

Conforto, Adriana

De Deus Silva, Leonardo

Giacomini, Luidia Varrone

Lima, Fabricio Oliveira

Longo, Alexandre L

Magalhães, Pedro Sc

Martins, Rodrigo Targa

Mont'alverne, Francisco

Mora Cuervo, Daissy Liliana

Rebello, Leticia Costa

Valler, Lenise

Zetola, Viviane Flumignan

Lavados, Pablo M

Navia, Victor

Olavarría, Verónica V

Almeida Toro, Juan Manuel

Ricardo Amaya, Pablo Felipe

Bayona, Hernan

Corredor-Quintero, Angel Basilio

Rivera Ordonez, Carlos Eduardo

Mantilla Barbosa, Diana Katherine

Lara, Osvaldo

Patiño, Mauricio R

Diaz Escobar, Luis Fernando

Dejesus Melgarejo Farina, Donoband Edson

Villamayor, Analia Cardozo

Zelaya Zarza, Adolfo Javier

Barrientos Iman, Danny Moises

Kadota, Liliana Rodriguez

Campbell, Bruce

Hankey, Graeme J

Hair, Casey

Kleinig, Timothy

Ma, Alice

Martins, Rodrigo Tomazini

Sahathevan, Ramesh

Thijs, Vincent N

Salazar, Daniel

Yuan-Hao Wu, Teddy

Haussen, Diogo C

Liebeskind, David

Yavagal, Dileep

Jovin, Tudor G

Zaidat, Osama O

Nguyen, Thanh N

Subject

COVID-19

Type of document

Journal Article

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DOI

10.1212/WNL.0000000000011885

Abstract

The objectives of this study were to measure the global impact of the pandemic on the volumes for intravenous thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with two control 4-month periods. We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases. There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95%CI, -11.7 to - 11.3, p<0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95%CI, -13.8 to -12.7, p<0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95%CI, -13.7 to -10.3, p=0.001). Recovery of stroke hospitalization volume (9.5%, 95%CI 9.2-9.8, p<0.0001) was noted over the two later (May, June) versus the two earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.3% (1,722/52,026) of all stroke admissions. The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.

Link

link

Citation

Neurology 2021; online first: 25 March

Jornal Title

Neurology

Austin Health

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