About: Acute Stroke Care Is at Risk in the Era of COVID-19: Experience at a Comprehensive Stroke Center in Barcelona

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About: Acute Stroke Care Is at Risk in the Era of COVID-19: Experience at a Comprehensive Stroke Center in Barcelona Goto Sponge NotDistinct Permalink

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	Acute Stroke Care Is at Risk in the Era of COVID-19: Experience at a Comprehensive Stroke Center in Barcelona
Creator	Chamorro, Ángel Rudilosso, Salvatore Torres, Ferrán Amaro, Sergio Francesc, ; Jiménez-Fàbrega, Xavier Laredo, Carlos Llull, Laura Obach, Renú, Arturo Vargas, Martha Vera, Víctor Urra,
source	Medline; PMC
abstract	BACKGROUND AND PURPOSE: The purpose of the study is to analyze how the coronavirus disease 2019 (COVID-19) pandemic affected acute stroke care in a Comprehensive Stroke Center. METHODS: On February 28, 2020, contingency plans were implemented at Hospital Clinic of Barcelona to contain the COVID-19 pandemic. Among them, the decision to refrain from reallocating the Stroke Team and Stroke Unit to the care of patients with COVID-19. From March 1 to March 31, 2020, we measured the number of emergency calls to the Emergency Medical System in Catalonia (7.5 million inhabitants), and the Stroke Codes dispatched to Hospital Clinic of Barcelona. We recorded all stroke admissions, and the adequacy of acute care measures, including the number of thrombectomies, workflow metrics, angiographic results, and clinical outcomes. Data were compared with March 2019 using parametric or nonparametric methods as appropriate. RESULTS: At Hospital Clinic of Barcelona, 1232 patients with COVID-19 were admitted in March 2020, demanding 60% of the hospital bed capacity. Relative to March 2019, the Emergency Medical System had a 330% mean increment in the number of calls (158 005 versus 679 569), but fewer Stroke Code activations (517 versus 426). Stroke admissions (108 versus 83) and the number of thrombectomies (21 versus 16) declined at Hospital Clinic of Barcelona, particularly after lockdown of the population. Younger age was found in stroke admissions during the pandemic (median [interquartile range] 69 [64–73] versus 75 [73–80] years, P=0.009). In-hospital, there were no differences in workflow metrics, angiographic results, complications, or outcomes at discharge. CONCLUSIONS: The COVID-19 pandemic reduced by a quarter the stroke admissions and thrombectomies performed at a Comprehensive Stroke Center but did not affect the quality of care metrics. During the lockdown, there was an overload of emergency calls but fewer Stroke Code activations, particularly in elderly patients. Hospital contingency plans, patient transport systems, and population-targeted alerts must act concertedly to better protect the chain of stroke care in times of pandemic.
has issue date	2020-05-26(xsd:dateTime)
bibo:doi	10.1161/strokeaha.120.030329
bibo:pmid	32438895
has license	no-cc
sha1sum (hex)	cdf06c7bc156c5a70392bb9eeab0c26c996605f5
schema:url	https://doi.org/10.1161/strokeaha.120.030329
resource representing a document's title	Acute Stroke Care Is at Risk in the Era of COVID-19: Experience at a Comprehensive Stroke Center in Barcelona
has PubMed Central identifier	PMC7258755
has PubMed identifier	32438895
schema:publication	Stroke
resource representing a document's body	covid:cdf06c7bc156c5a70392bb9eeab0c26c996605f5#body_text
is schema:about of	named entity 'Stroke Unit' named entity 'functional status' named entity 'stroke' named entity 'interquartile range' named entity 'positive COVID-19 test' named entity 'elective procedure' named entity 'emergency physicians' named entity 'COVID-19' named entity 'acute stroke' named entity 'Catalonia' named entity 'symptom' named entity 'Stroke' named entity 'March 15' named entity 'encephalitis' named entity 'in-patient' named entity 'computed tomography scan' named entity 'SARS-CoV-2' named entity 'China' named entity 'hospital discharge' named entity 'public University' named entity 'aneurysms' named entity 'reperfusion' named entity 'COVID' named entity 'follow-up' named entity 'intravenous thrombolysis' named entity 'intravenous thrombolysis' named entity 'acute stroke' named entity 'infection' named entity 'EMS personnel' named entity 'brain imaging' named entity '4 Stroke' named entity 'stroke' named entity 'central facial palsy' named entity 'hospital care' named entity 'acute stroke' named entity 'Stroke' named entity 'acute ischemic stroke' named entity 'angiography' named entity 'COVID-19' named entity 'stroke' named entity 'Stroke Unit' named entity 'thrombectomy' named entity 'atrial fibrillation' named entity 'brain imaging' named entity 'Catalonia' named entity 'infection' named entity 'stroke' named entity 'thrombectomy' named entity 'acute myocardial infarction' named entity 'stroke' named entity 'Stroke' named entity 'Stroke Unit' named entity '24/7' named entity 'Emergency Medical' named entity 'stroke' named entity 'COVID-19 testing' named entity 'hospital discharge' named entity 'COVID' named entity 'April 1, 2020' named entity 'neurological exam' named entity 'randomized clinical trials' named entity 'Catalonia' named entity 'etiological' named entity 'carotid stenosis' named entity 'Stroke' named entity 'COVID-19 pandemic' named entity 'Stroke' named entity 'stroke' named entity 'acute stroke'

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