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Did COVID-19 impact stroke services? A multicenter study

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dc.contributor.authorShokri, Hossam
dc.contributor.authorEl Nahas, Nevine
dc.contributor.authorEl Basiony, Ahmed
dc.contributor.authorNguyen, Thanh
dc.contributor.authorAbdalkader, Mohamad
dc.contributor.authorKlein, Piers
dc.contributor.authorLavados, Pablo
dc.contributor.authorOlavarría, Verónica
dc.contributor.authorAmaya, Pablo
dc.contributor.authorLlanos, Natalia
dc.contributor.authorBrola, Waldemar
dc.contributor.authorMichał, Lipowski
dc.contributor.authorMelgarejo, Donoband
dc.contributor.authorCardozo, Analia
dc.contributor.authorCaballero, Cesar
dc.contributor.authorPedrozo, Fatima
dc.contributor.authorRahman, Aminur
dc.contributor.authorHokmabadi, Elyar
dc.contributor.authorJalili, Javad
dc.contributor.authorFarhoudi, Mehdi
dc.contributor.authorAref, Hany
dc.contributor.authorRoushdy, Tamer
dc.date.accessioned2023-11-30T14:29:29Z
dc.date.available2023-11-30T14:29:29Z
dc.date.issued2022
dc.description.abstractBackground: It has been reported that acute stroke services were compromised during COVID-19 due to various pandemic-related issues. We aimed to investigate these changes by recruiting centers from different countries. Methods: Eight countries participated in this cross-sectional, observational, retrospective study by providing data from their stroke data base. We compared 1 year before to 1 year during COVID-19 as regards onset to door (OTD), door to needle (DTN), door to groin (DTG), duration of hospital stay, National Institute of Health Stroke Scale (NIHSS) at baseline, 24 h, and at discharge as well as modified Rankin score (mRS) on discharge and at 3 months follow-up. Results: During the pandemic year, there was a reduction in the number of patients, median age was significantly lower, admission NIHSS was higher, hemorrhagic stroke increased, and OTD and DTG showed no difference, while DTN time was longer, rtPA administration was decreased, thrombectomy was more frequent, and hospital stay was shorter. mRS was less favorable on discharge and at 3 months. Conclusion: COVID-19 showed variable effects on stroke services. Some were negatively impacted as the number of patients presenting to hospitals, DTN time, and stroke outcome, while others were marginally affected as the type of management.
dc.description.versionVersión Publicada
dc.identifier.citationShokri H, Nahas NE, Basiony AE, Nguyen TN, Abdalkader M, Klein P, Lavados PM, Olavarría VV, Amaya P, Llanos-Leyton N, Brola W, Michał L, Fariña DEDM, Cardozo A, Caballero CD, Pedrozo F, Rahman A, Hokmabadi ES, Jalili J, Farhoudi M, Aref H, Roushdy T. Did COVID-19 impact stroke services? A multicenter study. Neurol Sci. 2022 Jul;43(7):4061-4068. doi: 10.1007/s10072-022-06018-7
dc.identifier.urihttps://repositorio.udd.cl/handle/11447/8063
dc.language.isoen
dc.subjectAcute stroke services
dc.subjectHemorrhagic stroke
dc.subjectPandemic-related issues
dc.subjectStroke data base
dc.titleDid COVID-19 impact stroke services? A multicenter study
dc.typeArticle
dcterms.sourceNeurological Sciences
dspace.entity.typePublication

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