COVID-19 Lockdown Effects on Acute Stroke Care in Latin America

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dc.contributor.authorPujol-Lereis, Virginia A.
dc.contributor.authorFlores, Alan
dc.contributor.authorBarboza, Miguel A.
dc.contributor.authorAbanto-Argomedo, Carlos
dc.contributor.authorAmaya, Pablo
dc.contributor.authorBayona, Hernán
dc.contributor.authorBonardo, Pablo
dc.contributor.authorDíaz-Escobar, Luis
dc.contributor.authorGómez-Schneider, Maia
dc.contributor.authorGóngora-Rivera, Fernando
dc.contributor.authorLavados, Pablo
dc.contributor.authorLeón, Carolina
dc.contributor.authorLuraschi, Adriana
dc.contributor.authorMárquez-Romero, Juan Manuel
dc.contributor.authorOuriques-Martins, Sheila C.
dc.contributor.authorNavia, Víctor
dc.contributor.authorRuiz-Franco, Angélica
dc.contributor.authorVences, Miguel Angel
dc.contributor.authorZurru, María Cristina
dc.contributor.authorArauz, Antonio
dc.contributor.authorAmeriso, Sebastián
dc.contributor.authorLatin American Stroke rEgistry (LASE) COVID-19 Collaborators.
dc.date.accessioned2021-11-26T20:36:00Z
dc.date.available2021-11-26T20:36:00Z
dc.date.issued2021
dc.description.abstractObjectives: COVID-19 pandemic has forced important changes in health care worldwide. Stroke care networks have been affected, especially during peak periods. We assessed the impact of the pandemic and lockdowns in stroke admissions and care in Latin America. Materials and Methods: A multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March-June 2020). Comparisons were made with the same period in 2019. Numbers of cases, stroke etiology and severity, acute care and hospitalization outcomes were assessed. Results: Most countries reported mild decreases in stroke admissions compared to the same period of 2019 (1187 vs. 1166, p = 0.03). Among stroke subtypes, there was a reduction in ischemic strokes (IS) admissions (78.3% vs. 73.9%, p = 0.01) compared with 2019, especially in IS with NIHSS 0 5 (50.1% vs. 44.9%, p = 0.03). A substantial increase in the proportion of stroke admissions beyond 48 h from symptoms onset was observed (13.8% vs. 20.5%, p < 0.001). Nevertheless, no differences in total reperfusion treatment rates were observed, with similar door-to-needle, door-toCT, and door-to-groin times in both periods. Other stroke outcomes, as all-type mortality during hospitalization (4.9% vs. 9.7%, p < 0.001), length of stay (IQR 1 5 days vs. 0 9 days, p < 0.001), and likelihood to be discharged home (91.6% vs. 83.0%, p < 0.001), were compromised during COVID-19 lockdown period. Conclusions: In this Latin America survey, there was a mild decrease in admissions of IS during the COVID-19 lockdown period, with a significant delay in time to consultations and worse hospitalization outcomes.es
dc.identifier.citationPujol-Lereis VA, Flores A, Barboza MA, Abanto-Argomedo C, Amaya P, Bayona H, Bonardo P, Diaz-Escobar L, Gomez-Schneider M, Góngora-Rivera F, Lavados PM, Leon C, Luraschi A, Marquez-Romero JM, Ouriques-Martins SC, Navia VH, Ruiz-Franco A, Vences MÁ, Zurrú MC, Arauz A, Ameriso SF; Latin American Stroke rEgistry (LASE) COVID-19 Collaborators.. COVID-19 Lockdown Effects on Acute Stroke Care in Latin America. J Stroke Cerebrovasc Dis. 2021 Sep;30(9):105985.es
dc.identifier.urihttps://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2021.105985.es
dc.identifier.urihttp://hdl.handle.net/11447/5126
dc.language.isoenes
dc.subjectLatin Americaes
dc.subjectDeveloping countrieses
dc.subjectStrokees
dc.subjectAcute stroke therapyes
dc.subjectCOVID-19es
dc.subjectLockdownes
dc.titleCOVID-19 Lockdown Effects on Acute Stroke Care in Latin Americaes
dc.typeArticlees

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