Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic

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dc.contributor.authorNguyen, Thanh N.
dc.contributor.authorHaussen, Diogo C.
dc.contributor.authorQureshi, Muhammad M.
dc.contributor.authorYamagami, Hiroshi
dc.contributor.authorFujinaka, Toshiyuki
dc.contributor.authorMansour, Ossama Y.
dc.contributor.authorAbdalkader, Mohamad
dc.contributor.authorFrankel, Michael
dc.contributor.authorQiu, Zhongming
dc.contributor.authorTaylor, Allan
dc.contributor.authorLylyk, Pedro
dc.contributor.authorEker, Omer F.
dc.contributor.authorMechtouff, Laura
dc.contributor.authorPiotin, Michel
dc.contributor.authorOliveira Lima, Fabricio
dc.contributor.authorMont'Alverne, Francisco
dc.contributor.authorIzzath, Wazim
dc.contributor.authorSakai, Nobuyuki
dc.contributor.authorMohammaden, Mahmoud
dc.contributor.authorAl-Bayati, Alhamza R.
dc.contributor.authorRenieri, Leonardo
dc.contributor.authorMangiafico, Salvatore
dc.contributor.authorOzretic, David
dc.contributor.authorChalumeau, Vanessa
dc.contributor.authorAhmad, Saima
dc.contributor.authorRashid, Umair
dc.contributor.authorIrteza Hussain, Syed
dc.contributor.authorJohn, Seby
dc.contributor.authorGriffin, Emma
dc.contributor.authorThornton, John
dc.contributor.authorFiorot, Jose Antonio
dc.contributor.authorRivera, Rodrigo
dc.contributor.authorHammami, Nadia
dc.contributor.authorCervantes-Arslanian, Anna M.
dc.contributor.authorHammami, Nadia
dc.contributor.authorCervantes-Arslanian, Anna M.
dc.contributor.authorDasenbrock, Anna M.
dc.contributor.authorLe Vu, Huynh
dc.contributor.authorNguyen, Viet Quy
dc.contributor.authorHetts, Steven
dc.contributor.authorBourcier, Romain
dc.contributor.authorGuile, Romain
dc.contributor.authorWalker, Melanie
dc.contributor.authorSharma, Malveeka
dc.contributor.authorFrei, Don
dc.contributor.authorJabbour, Pascal
dc.contributor.authorHerial, Nabeel
dc.contributor.authorAl-Mufti, Fawaz
dc.contributor.authorOzdemir, Atilla Ozcan
dc.contributor.authorAykac, Ozlem
dc.contributor.authorGandhi, Dheeraj
dc.contributor.authorChugh, Chandril
dc.contributor.authorMatouk, Charles
dc.date.accessioned2022-05-09T17:21:14Z
dc.date.available2022-05-09T17:21:14Z
dc.date.issued2021
dc.descriptionPascale Lavoie; Randall Edgell; Andre Beer-Furlan; Michael Chen; Monika Killer-Oberpfalzer; Vitor Mendes Pereira; Patrick Nicholson; Vikram Huded; Nobuyuki Ohara; Daisuke Watanabe; Dong Hun Shin; Pedro SC Magalhaes; Raghid Kikano; Santiago Ortega-Gutierrez; Mudassir Farooqui; Amal Abou-Hamden; Tatsuo Amano; Ryoo Yamamoto; Mollie McDermott; Maxim Mokin; Alex Chebl;Odysseas Kargiotis; Georgios Tsivgoulis; Jane G Morris; Clifford J Eskey; Jesse Thon; Leticia Rebello; Dorothea Altschul; Oriana Cornett; Varsha Singh; Jeyaraj Pandian; Anirudh Kulkarni; Pablo M Lavados; Veronica V Olavarria; Kenichi Todo; Yuki Yamamoto; Gisele Sampaio Silva; Serdar Geyik; Jasmine Johann; Sumeet Multani; Artem Kaliaev; Kazutaka Sonoda; Hiroyuki Hashimoto; Adel Alhazzani; David Y Chung; Stephan A Mayer; Johanna T Fifi; Michael D Hill; Hao Zhang; Zhengzhou Yuan; Xianjin Shang; Alicia C Castonguay; Rishi Gupta; Tudor G Jovin; Jean Raymond; Osama O Zaidat; Raul G Nogueira; SVIN COVID-19 Registry, the Middle East North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO); Japanese Society of Vascular and Interventional Neurology Society (JVIN)es
dc.description.abstractBackground: During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study's objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations and ruptured aneurysm coiling interventions demonstrated similar declines. Methods: We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries and 140 comprehensive stroke centres. Patients with the diagnosis of SAH, aneurysmal SAH, ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases, 10th Revision, codes. The 3-month cumulative volume, monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before (1 year and immediately before) and during the pandemic, defined as 1 March-31 May 2020. The prior 1-year control period (1 March-31 May 2019) was obtained to account for seasonal variation. Findings: There was a significant decline in SAH hospitalisations, with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic, representing a relative decline of 22.5% (95% CI -24.3% to -20.7%, p<0.0001). Embolisation of ruptured aneurysms declined with 1170-1035 procedures, respectively, representing an 11.5% (95%CI -13.5% to -9.8%, p=0.002) relative drop. Subgroup analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations, a 24.9% relative decline (95% CI -28.0% to -22.1%, p<0.0001). A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1% (95% CI 32.3% to 50.6%, p=0.008) despite a decrease in SAH admissions in this tertile. Interpretation: There was a relative decrease in the volume of SAH hospitalisations, aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 pandemic. These findings in SAH are consistent with a decrease in other emergencies, such as stroke and myocardial infarction.es
dc.description.versionVersión Publicadaes
dc.identifier.citationNguyen TN, Haussen DC, Qureshi MM Japanese Society of Vascular and Interventional Neurology Society (JVIN), et alDecline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemic Stroke and Vascular Neurology 2021;6:doi: 10.1136/svn-2020-000695es
dc.identifier.urihttps://doi.org/10.1136/svn2020-000695es
dc.identifier.urihttp://hdl.handle.net/11447/6069
dc.language.isoenes
dc.subjectAneurysmes
dc.subjectCoiles
dc.subjectHaemorrhagees
dc.subjectInfectiones
dc.subjectSubarachnoides
dc.titleDecline in subarachnoid haemorrhage volumes associated with the first wave of the COVID-19 pandemices
dc.typeArticlees
dcterms.sourceStroke and Vascular Neurologyes

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