About: Effect of COVID-19 on Emergent Stroke Care: A Regional Experience

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Effect of COVID-19 on Emergent Stroke Care: A Regional Experience
Creator	Kreitzer, Natalie Adeoye, Opeolu Antzoulatos, Eleni Broderick, Joseph Demel, Stacie Flaherty, Matthew Grossman, Aaron Hsiao, Jessica Khatri, Pooja Kircher, Charles Lampton, Holly Peariso, Katrina Prestigiacomo, Charles Sayles, Emily Shirani, Peyman Stanton, Robert Sucharew, Heidi Walsh, Kyle
source	Medline; PMC
abstract	Anecdotal evidence suggests that the coronavirus disease 2019 (COVID-19) pandemic mitigation efforts may inadvertently discourage patients from seeking treatment for stroke with resultant increased morbidity and mortality. Analysis of regional data, while hospital capacities for acute stroke care remained fully available, offers an opportunity to assess this. We report regional Stroke Team acute activations and reperfusion treatments during COVID-19 mitigation activities. METHODS: Using case log data prospectively collected by a Stroke Team exclusively serving ≈2 million inhabitants and 30 healthcare facilities, we retrospectively reviewed volumes of consultations and reperfusion treatments for acute ischemic stroke. We compared volumes before and after announcements of COVID-19 mitigation measures and the prior calendar year. RESULTS: Compared with the 10 weeks prior, stroke consultations declined by 39% (95% CI, 32%–46%) in the 5 weeks after announcement of statewide school and restaurant closures in Ohio, Kentucky, and Indiana. Results compared with the prior year and time trend analyses were consistent. Reperfusion treatments also appeared to decline by 31% (95% CI, 3%–51%), and specifically thrombolysis by 33% (95% CI, 4%–55%), but this finding had less precision. CONCLUSIONS: Upon the announcement of measures to mitigate COVID-19, regional acute stroke consultations declined significantly. Reperfusion treatment rates, particularly thrombolysis, also appeared to decline qualitatively, and this finding requires further study. Urgent public education is necessary to mitigate a possible crisis of avoiding essential emergency care due to COVID-19.
has issue date	2020-07-13(xsd:dateTime)
bibo:doi	10.1161/strokeaha.120.030499
bibo:pmid	32639860
has license	no-cc
sha1sum (hex)	7b5b8958faa2f926d166456942a6a495f8fc9d9f
schema:url	https://doi.org/10.1161/strokeaha.120.030499
resource representing a document's title	Effect of COVID-19 on Emergent Stroke Care: A Regional Experience
has PubMed Central identifier	PMC7359904
has PubMed identifier	32639860
schema:publication	Stroke
resource representing a document's body	covid:7b5b8958faa2f926d166456942a6a495f8fc9d9f#body_text
is schema:about of	named entity 'Experience' named entity 'PURPOSE' named entity 'TREATMENT' named entity 'REGIONAL' named entity 'STROKE TEAM' named entity 'COVID-19' named entity 'AND' named entity 'COVID-19' named entity 'seeking' named entity 'Anecdotal evidence' named entity 'assess' named entity 'care' named entity 'stroke patients' named entity 'COVID-19' named entity 'A Regional' named entity 'COVID' named entity 'Stroke' named entity 'stroke' named entity 'National Institutes of Health Stroke Scale' named entity 'Ohio' named entity 'sensitivity analysis' named entity 'thrombectomy' named entity 'numbers needed to treat' named entity 'March 13, 2020' named entity 'COVID-19' named entity 'Kentucky' named entity 'thrombolysis' named entity 'stroke' named entity 'COVID-19' named entity 'telemedicine' named entity 'healthcare systems' named entity 'March 12' named entity 'multidisciplinary' named entity 'COVID-19' named entity 'confidence limits' named entity 'Northern Kentucky' named entity 'disability' named entity 'stroke' named entity 'cardiomyopathy' named entity 'COVID-19' named entity 'Stroke' named entity 'reperfusion therapy' named entity 'thrombolysis' named entity 'COVID-19' named entity 'COVID-19' named entity 'National Institutes of Health Stroke Scale' named entity 'hypercoagulability' named entity 'National Institutes of Health Stroke Scale' named entity 'thrombectomy' named entity 'acute care' named entity 'stroke' named entity 'COVID-19' named entity 'Stroke' named entity 'stroke' named entity 'COVID-19' named entity 'thrombolysis' named entity 'intravenous thrombolysis' named entity 'thrombolysis' named entity 'acute stroke' named entity 'stroke' named entity 'segmented regression analysis' named entity 'Thrombolysis' named entity 'Stroke' named entity 'sensitivity analysis'

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