WFRF:(Karapanayiotides T.)
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 18889naa a2204981 4500 | |
| 001 | oai:gup.ub.gu.se/325558 | |
| 003 | SwePub | |
| 008 | 240528s2023 | |||||||||||000 ||eng| | |
| 009 | oai:prod.swepub.kib.ki.se:152122249 | |
| 024 | 7 | a https://gup.ub.gu.se/publication/3255582 URI |
| 024 | 7 | a https://doi.org/10.1212/WNL.00000000002014262 DOI |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1521222492 URI |
| 040 | a (SwePub)gud (SwePub)ki | |
| 041 | a eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Nguyen, Thanh N4 aut |
| 245 | 1 0 | a Global Impact of the COVID-19 Pandemic on Stroke Volumes and Cerebrovascular Events: A 1-Year Follow-up. |
| 264 | 1 | c 2023 |
| 520 | a Declines in stroke admission, IV thrombolysis (IVT), and mechanical thrombectomy volumes were reported during the first wave of the COVID-19 pandemic. There is a paucity of data on the longer-term effect of the pandemic on stroke volumes over the course of a year and through the second wave of the pandemic. We sought to measure the effect of the COVID-19 pandemic on the volumes of stroke admissions, intracranial hemorrhage (ICH), IVT, and mechanical thrombectomy over a 1-year period at the onset of the pandemic (March 1, 2020, to February 28, 2021) compared with the immediately preceding year (March 1, 2019, to February 29, 2020).We conducted a longitudinal retrospective study across 6 continents, 56 countries, and 275 stroke centers. We collected volume data for COVID-19 admissions and 4 stroke metrics: ischemic stroke admissions, ICH admissions, IVT treatments, and mechanical thrombectomy procedures. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases.There were 148,895 stroke admissions in the 1 year immediately before compared with 138,453 admissions during the 1-year pandemic, representing a 7% decline (95% CI [95% CI 7.1-6.9]; p < 0.0001). ICH volumes declined from 29,585 to 28,156 (4.8% [5.1-4.6]; p < 0.0001) and IVT volume from 24,584 to 23,077 (6.1% [6.4-5.8]; p < 0.0001). Larger declines were observed at high-volume compared with low-volume centers (all p < 0.0001). There was no significant change in mechanical thrombectomy volumes (0.7% [0.6-0.9]; p = 0.49). Stroke was diagnosed in 1.3% [1.31-1.38] of 406,792 COVID-19 hospitalizations. SARS-CoV-2 infection was present in 2.9% ([2.82-2.97], 5,656/195,539) of all stroke hospitalizations.There was a global decline and shift to lower-volume centers of stroke admission volumes, ICH volumes, and IVT volumes during the 1st year of the COVID-19 pandemic compared with the prior year. Mechanical thrombectomy volumes were preserved. These results suggest preservation in the stroke care of higher severity of disease through the first pandemic year.This study is registered under NCT04934020. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng |
| 653 | a Humans | |
| 653 | a Brain Ischemia | |
| 653 | a therapy | |
| 653 | a COVID-19 | |
| 653 | a epidemiology | |
| 653 | a therapy | |
| 653 | a Follow-Up Studies | |
| 653 | a Intracranial Hemorrhages | |
| 653 | a Pandemics | |
| 653 | a Retrospective Studies | |
| 653 | a SARS-CoV-2 | |
| 653 | a Stroke | |
| 653 | a epidemiology | |
| 653 | a therapy | |
| 653 | a diagnosis | |
| 653 | a Stroke Volume | |
| 653 | a Thrombectomy | |
| 653 | a Thrombolytic Therapy | |
| 653 | a methods | |
| 653 | a Treatment Outcome | |
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| 700 | 1 | a Jood, Katarina,d 1966u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience4 aut0 (Swepub:gu)xjooka |
| 700 | 1 | a Nordanstig, Annika,d 1974u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience4 aut0 (Swepub:gu)xnoraz |
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| 700 | 1 | a Siddiqui, Adnan H4 aut |
| 700 | 1 | a Starosciak, Amy K4 aut |
| 700 | 1 | a Tarlov, Nicholas E4 aut |
| 700 | 1 | a Taylor, Robert A4 aut |
| 700 | 1 | a Wang, Michael J4 aut |
| 700 | 1 | a Wolfe, Jared4 aut |
| 700 | 1 | a Wong, Ka-Ho4 aut |
| 700 | 1 | a Le, Huynh Vu4 aut |
| 700 | 1 | a Nguyen, Quy Viet4 aut |
| 700 | 1 | a Pham, Thong Nhu4 aut |
| 700 | 1 | a Nguyen, Trung Thanh4 aut |
| 700 | 1 | a Phan, Hoang Thi4 aut |
| 700 | 1 | a Ton, Mai Duy4 aut |
| 700 | 1 | a Fischer, Urs4 aut |
| 700 | 1 | a Michel, Patrik4 aut |
| 700 | 1 | a Strambo, Davide4 aut |
| 700 | 1 | a Martins, Sheila O4 aut |
| 700 | 1 | a Zaidat, Osama O4 aut |
| 700 | 1 | a Nogueira, Raul G4 aut |
| 710 | 2 | a Karolinska Institutetb Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap4 org |
| 773 | 0 | t Neurologyg 100:4q 100:4x 1526-632X |
| 856 | 4 8 | u https://gup.ub.gu.se/publication/325558 |
| 856 | 4 8 | u https://doi.org/10.1212/WNL.0000000000201426 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:152122249 |
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