Austin Health

Title
Global Impact of COVID-19 on Stroke Care and IV Thrombolysis.
Publication Date
2021
Author(s)
Nogueira, Raul G
Qureshi, Muhammad M
Abdalkader, Mohamad
Martins, Sheila Ouriques
Yamagami, Hiroshi
Qiu, Zhongming
Mansour, Ossama Yassin
Sathya, Anvitha
Czlonkowska, Anna
Tsivgoulis, Georgios
Aguiar de Sousa, Diana
Sedghi, Annahita
Siepmann, Timo
Szabo, Kristina
Thomalla, Götz
Palaiodimou, Lina
Loochtan, Aaron
Sagris, Dimitrios
Kargiotis, Odysseas
Klivenyi, Peter
Sugimura, Yusuke
De Raedt, Sylvie
Szapary, Laszlo
Tarkanyi, Gabor
Adami, Alessandro
Bandini, Fabio
Calabresi, Paolo
Frisullo, Giovanni
Renieri, Leonardo
Ranta, Annamarei
Sangalli, Davide
Pirson, Anne
Dusart, Anne
Yagita, Yoshiki
Uyttenboogaart, Maarten
van den Wijngaard, Ido
Kristoffersen, Espen Saxhaug
Brola, Waldemar
Fudala, Małgorzata
Horoch-Lyszczarek, Ewa
Karlinski, Michal
Kazmierski, Radoslaw
Mistry, Eva A
Lemmens, Robin
Kram, Pawel
Demeestere, Jelle
Rogoziewicz, Marcin
Kaczorowski, Rafal
Luchowski, Piotr
Sienkiewicz-Jarosz, Halina
Sobolewski, Piotr
Fryze, Waldemar
Wisniewska, Anna
Wiszniewska, Malgorzata
Ligot, Noemie
Ferreira, Patricia
Alexandrov, Anne W
Takenobu, Yohei
Ferreira, Paulo
Fonseca, Luisa
Marto, João Pedro
Pinho E Melo, Teresa
Nunes, Ana Paiva
Rodrigues, Miguel
Tedim Cruz, Vítor
Pierre Rutgers, Matthieu
Falup-Pecurariu, Cristian
Krastev, Georgi
Mako, Miroslav
Matsumaru, Yuji
Huang, David Y
de Leciñana, María Alonso
Arenillas, Juan F
Ayo-Martin, Oscar
Cruz Culebras, Antonio
Tejedor, Exuperio Diez
Yperzeele, Laetitia
Montaner, Joan
Pérez-Sánchez, Soledad
Tola Arribas, Miguel Angel
Rodriguez Vasquez, Alejandro
Yamada, Satoshi
Mayza, Michael
Yaghi, Shadi
Bernava, Gianmarco
Brehm, Alex
Machi, Paolo
Alexiev, Filip
Fischer, Urs
Gralla, Jan
Michel, Patrik L
Psychogios, Marios-Nikos
Strambo, Davide
Kono, Ryuhei
Banerjee, Soma
Krishnan, Kailash
Raz, Eytan
Kwan, Joseph
Sakelarova, Teodora
Butt, Asif
Catanese, Luciana
Demchuk, Andrew M
Field, Thalia
Haynes, Jennifer
Hill, Michael D
Kanamaru, Takuya
Khosravani, Houman
Mackey, Ariane
Pikula, Aleksandra
Bedeković, Marina Roje
Sheth, Sunil A
Saposnik, Gustavo
Scott, Courtney Anne
Shoamanesh, Ashkan
Shuaib, Ashfaq
Yip, Samuel
Barboza, Miguel A
Yamazaki, Hidekazu
Barrientos, Jose Domingo
Portillo Rivera, Ligia Ibeth
Zha, Alicia M
Gongora-Rivera, Fernando
Novarro-Escudero, Nelson
Mohammaden, Mahmoud H
Blanco, Anmylene
Abraham, Michael
Alsbrook, Diana
Altschul, Dorothea
Alvarado-Ortiz, Anthony J
Sakaguchi, Manabu
Bach, Ivo
Uwatoko, Takeshi
Badruddin, Aamir
Barazangi, Nobl
Brereton, Charmaine
Castonguay, Alicia
Frankel, Michael
Chaturvedi, Seemant
Chaudry, Saqib A
Choe, Hana
Choi, Jae H
Todo, Kenichi
Budincevic, Hrvoje
Dharmadhikari, Sushrut
Desai, Kinjal
Devlin, Thomas G
Doss, Vinodh T
Edgell, Randall
Etherton, Mark
Bila Lamou, Eric Guemekane
Farooqui, Mudassir
Frei, Don
Gandhi, Dheeraj
Cindric, Igor
Yamamoto, Nobuaki
Grigoryan, Mikayel
Gupta, Rishi
Hassan, Ameer E
Helenius, Johanna
Kaliaev, Artem
Kaushal, Ritesh
Khandelwal, Priyank
Aref, Hany M
Khawaja, Ayaz M
Hucika, Zlatko
Khoury, Naim N
Sonoda, Kazutaka
Kim, Benny S
Kleindorfer, Dawn O
Koyfman, Feliks
Lee, Vivien H
Leung, Lester Y
Linares, Guillermo
Linfante, Italo
Lutsep, Helmi L
Ozretic, David
Elbassiouny, Ahmed
Macdougall, Lisa
Mikulik, Robert
Male, Shailesh
Malik, Amer M
Masoud, Hesham
McDermott, Molly
Mehta, Brijesh P
Min, Jiangyong
Mittal, Manoj
Saric, Majda Seferovic
Morris, Jane G
Multani, Sumeet S
Hassan, Farouk
Yoshida, Tomoko
Nahab, Fadi
Nalleballe, Krishna
Nguyen, Claude B
Novakovic-White, Roberta
Ortega-Gutierrez, Santiago
Rahangdale, Rahul H
Pfeifer, František
Ramakrishnan, Pankajavalli
Romero, Jose Rafael
Rost, Natalia
Rothstein, Aaron
Hashimoto, Hiroyuki
Menecie, Tarek
Ruland, Sean
Shah, Ruchir
Sharma, Malveeka
Silver, Brian
Karpowic, Igor
Simmons, Marc
Singh, Abhishek
Starosciak, Amy K
Strasser, Sheryl L
Szeder, Viktor
Nakahara, Ichiro
Teleb, Mohamed
Mustafa, Wessam
Tsai, Jenny P
Voetsch, Barbara
Cernik, David
Balaguera, Oscar
Pujol Lereis, Virginia A
Luraschi, Adriana
Almeida, Marcele Schettini
Cardoso, Fabricio Buchdid
Conforto, Adriana
Kondybayeva, Aida
De Deus Silva, Leonardo
Varrone Giacomini, Luidia
Shokri, Hossam M
Sramek, Martin
Oliveira Lima, Fabricio
Longo, Alexandre L
Magalhães, Pedro S C
Martins, Rodrigo Targa
Mont'alverne, Francisco
Mora Cuervo, Daissy Liliana
Costa Rebello, Leticia
Faizullina, Kamila
Valler, Lenise
Zetola, Viviane Flumignan
Skoda, Miroslav
Lavados, Pablo M
Roushdy, Tamer
Navia, Victor
Olavarría, Verónica V
Almeida Toro, Juan Manuel
Amaya, Pablo Felipe Ricardo
Bayona, Hernan
Corredor, Angel
Kamenova, Saltanat
Rivera Ordonez, Carlos Eduardo
Dembo, Tomohisa
Mantilla Barbosa, Diana Katherine
Lara, Osvaldo
Patiño, Mauricio R
Sarfo, Fred S
Diaz Escobar, Luis Fernando
Dejesus Melgarejo Fariña, Donoband Edson
Cardozo Villamayor, Analia
Zelaya Zarza, Adolfo Javier
Barrientos Iman, Danny Moises
Zhanuzakov, Murat
Czap, Alexandra L
Rodriguez Kadota, Liliana
Campbell, Bruce
Hankey, Graeme J
Hair, Casey
Kleinig, Timothy
Alabi, Tolulope Oyetunde
Ma, Alice
Tomazini Martins, Rodrigo
Sahathevan, Ramesh
Thijs, Vincent
Hlavacova, Helena
Baek, Jang-Hyun
Salazar, Daniel
Yuan-Hao Wu, Teddy
Haussen, Diogo C
Liebeskind, David
Yavagal, Dileep R
Jovin, Tudor G
Arabambi, Babawale
Zaidat, Osama O
Nguyen, Thanh N
Klecka, Lukas
Nwazor, Ernest O
Hwang, Yangha
Sunmonu, Taofiki Ajao
Wahab, Kolawole
Yaria, Joseph
Mohammed, Haytham Hussein
Adebayo, Philip B
Riahi, Anis D
Sassi, Samia Ben
Gwaunza, Lenon
Koutny, Martin
Ngwende, Gift Wilson
Sahakyan, David
Lee, Jin Soo
Rahman, Aminur
Ai, Zhibing
Bai, Fanghui
Duan, Zhenhui
Hao, Yonggang
Huang, Wenguo
Li, Guangwen
Vaclavik, Daniel
Li, Wei
Liu, Ganzhe
Luo, Jun
Vanacker, Peter
Shang, Xianjin
Sui, Yi
Tian, Ling
Wen, Hongbin
Wu, Bo
Yan, Yuying
Skoda, Ondrej
Yuan, Zhengzhou
Zhang, Hao
Zhang, Jun
Zhao, Wenlong
Lee, Si Baek
Zi, Wenjie
Leung, Thomas W
Chugh, Chandril
Huded, Vikram
Menon, Bindu
Fiksa, Jan
Pandian, Jeyaraj Durai
Sylaja, P N
Usman, Fritz Sumantri
Farhoudi, Mehdi
Hokmabadi, Elyar Sadeghi
Moon, Jusun
Horev, Anat
Reznik, Anna
Sivan Hoffmann, Rotem
Ohara, Nobuyuki
Hanelova, Katerina
Sakai, Nobuyuki
Watanabe, Daisuke
Yamamoto, Ryoo
Doijiri, Ryosuke
Tokuda, Naoki
Yamada, Takehiro
Park, Hyungjong
Terasaki, Tadashi
Yazawa, Yukako
Seo, Jung Hwa
Nevsimalova, Miroslava
Seo, Kwon-Duk
Sohn, Sung Il
Young, Chang Jun
Ahdab, Rechdi
Wan Zaidi, Wan Asyraf
Aziz, Zariah Abdul
Siegler, James E
Basri, Hamidon Bin
Chung, Law Wan
Ibrahim, Aznita Binti
Rezek, Robert
Ibrahim, Khairul Azmi
Looi, Irene
Tan, Wee Yong
Yahya, Nafisah Wan
Groppa, Stanislav
Leahu, Pavel
Al Hashmi, Amal M
Kõrv, Janika
Imam, Yahia Zakaria
Akhtar, Naveed
Shimizu, Hisao
Pineda-Franks, Maria Carissa
Co, Christian Oliver
Kandyba, Dmitriy
Alhazzani, Adel
Al-Jehani, Hosam
Tham, Carol Huilian
Mamauag, Marlie Jane
Venketasubramanian, Narayanaswamy
Biller, Jose
Chen, Chih-Hao
Prochazka, Petr
Tang, Sung-Chun
Churojana, Anchalee
Akil, Esref
Aykaç, Özlem
Ozdemir, Atilla Ozcan
Giray, Semih
Hussain, Syed Irteza
John, Seby
Le Vu, Huynh
Liang, Conrad W
Holmstedt, Christine Anne
Tran, Anh Duc
Nguyen, Huy Hoang
Nhu Pham, Thong
Nguyen, Thang Huy
Nguyen, Trung Quoc
Gattringer, Thomas
Enzinger, Christian
Killer-Oberpfalzer, Monika
Bellante, Flavio
De Blauwe, Sofie
Krejstova, Gabriela
Sangha, Navdeep S
Vanhooren, Geert
Neumann, Jiri
Vachova, Marta
Brzezanski, Henryk
Hlinovsky, David
Tenora, Dusan
Jura, Rene
Jurák, Lubomír
Sugiura, Yuri
Novak, Jan
Novak, Ales
Turan, Tanya N
Topinka, Zdenek
Fibrich, Petr
Sobolova, Helena
Volny, Ondrej
Krarup Christensen, Hanne
Drenck, Nicolas
Klingenberg Iversen, Helle
Miyashita, Fumio
Simonsen, Claus Z
Truelsen, Thomas Clement
Wienecke, Troels
Ntaios, George
Vibo, Riina
Gross-Paju, Katrin
Toomsoo, Toomas
Antsov, Katrin
Caparros, Francois
Cordonnier, Charlotte
Fukuda, Hiroki
Dan, Maria
Faucheux, Jean-Marc
Mechtouff, Laura
Eker, Omer
Malhotra, Konark
Lesaine, Emilie
Ondze, Basile
Peres, Roxane
Pico, Fernando
Piotin, Michel
Miyake, Kosuke
Pop, Raoul
Rouanet, Francois
Gubeladze, Tatuli
Khinikadze, Mirza
Lobjanidze, Nino
Tayal, Ashis
Tsiskaridze, Alexander
Nagel, Simon
Ringleb, Peter Arthur
Rosenkranz, Michael
Shimbo, Junsuke
Schmidt, Holger
Type of document
Journal Article
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DOI
10.1212/WNL.0000000000011885
Abstract
To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 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 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% confidence interval [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 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (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 COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.
Link
Citation
Neurology 2021; 96(23): e2824-e2838
Jornal Title
Neurology

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