Carolin Hoyer1, Anne Ebert1, Hagen B Huttner2, Volker Puetz3, Bernd Kallmünzer2, Kristian Barlinn3, Christian Haverkamp4, Andreas Harloff5, Jochen Brich5, Michael Platten1, Kristina Szabo1. 1. Department of Neurology, Medical Faculty Mannheim, Heidelberg University, Germany (C. Hoyer, A.E., M.P., K.S.). 2. Department of Neurology, University Hospital Erlangen, Germany (H.B.H., B.K.). 3. Department of Neurology, Dresden Neurovascular Center, Carl Gustav Carus University Hospital, Technische Universität Dresden, Germany (V.P., K.B.). 4. Institute of Digitalization in Medicine (C. Haverkamp), Faculty of Medicine, University of Freiburg, Germany. 5. Department of Neurology and Clinical Neuroscience (A.H., J.B.), Faculty of Medicine, University of Freiburg, Germany.
Abstract
BACKGROUND AND PURPOSE: This study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation of social distancing measures in the coronavirus disease 2019 (COVID-19) pandemic. METHODS: In this retrospective multicenter study, data on the number of hospital admissions due to acute ischemic stroke or transient ischemic attack and numbers of reperfusion therapies performed in weeks 1 to 15 of 2020 and 2019 were collected in 4 German academic stroke centers. Poisson regression was used to test for a change in admission rates before and after the implementation of extensive social distancing measures in week 12 of 2020. The analysis of anonymized regional mobility data allowed for correlations between changes in public mobility as measured by the number and length of trips taken and hospital admission for stroke/transient ischemic attack. RESULTS: Only little variation of admission rates was observed before and after week 11 in 2019 and between the weeks 1 and 11 of 2019 and 2020. However, reflecting the impact of the COVID-19 pandemic, a significant decrease in the number of admissions for transient ischemic attack was observed (-85%, -46%, -42%) in 3 of 4 centers, while in 2 of 4 centers, stroke admission rates decreased significantly by 40% and 46% after week 12 in 2020. A relevant effect on reperfusion therapies was found for 1 center only (thrombolysis, -60%; thrombectomy, -61%). Positive correlations between number of ischemic events and mobility measures in the corresponding cities were identified for 3 of 4 centers. CONCLUSIONS: These data demonstrate and quantify decreasing hospital admissions due to ischemic cerebrovascular events and suggest that this may be a consequence of social distancing measures, in particular because hospital resources for acute stroke care were not limited during this period. Hence, raising public awareness is necessary to avoid serious healthcare and economic consequences of undiagnosed and untreated strokes and transient ischemic attacks.
BACKGROUND AND PURPOSE: This study aims to assess the number of patients with acute ischemic cerebrovascular events seeking in-patient medical emergency care since the implementation of social distancing measures in the coronavirus disease 2019 (COVID-19) pandemic. METHODS: In this retrospective multicenter study, data on the number of hospital admissions due to acute ischemic stroke or transient ischemic attack and numbers of reperfusion therapies performed in weeks 1 to 15 of 2020 and 2019 were collected in 4 German academic stroke centers. Poisson regression was used to test for a change in admission rates before and after the implementation of extensive social distancing measures in week 12 of 2020. The analysis of anonymized regional mobility data allowed for correlations between changes in public mobility as measured by the number and length of trips taken and hospital admission for stroke/transient ischemic attack. RESULTS: Only little variation of admission rates was observed before and after week 11 in 2019 and between the weeks 1 and 11 of 2019 and 2020. However, reflecting the impact of the COVID-19 pandemic, a significant decrease in the number of admissions for transient ischemic attack was observed (-85%, -46%, -42%) in 3 of 4 centers, while in 2 of 4 centers, stroke admission rates decreased significantly by 40% and 46% after week 12 in 2020. A relevant effect on reperfusion therapies was found for 1 center only (thrombolysis, -60%; thrombectomy, -61%). Positive correlations between number of ischemic events and mobility measures in the corresponding cities were identified for 3 of 4 centers. CONCLUSIONS: These data demonstrate and quantify decreasing hospital admissions due to ischemic cerebrovascular events and suggest that this may be a consequence of social distancing measures, in particular because hospital resources for acute stroke care were not limited during this period. Hence, raising public awareness is necessary to avoid serious healthcare and economic consequences of undiagnosed and untreated strokes and transient ischemic attacks.
Authors: Péter Pál Böjti; Géza Szilágyi; Balázs Dobi; Rita Stang; István Szikora; Balázs Kis; Ákos Kornfeld; Csaba Óváry; Lóránd Erőss; Péter Banczerowski; Wojciech Kuczyński; Dániel Bereczki Journal: Geroscience Date: 2021-08-18 Impact factor: 7.713
Authors: Julius Dengler; Konstantin Prass; Frederick Palm; Sven Hohenstein; Vincent Pellisier; Michael Stoffel; Bujung Hong; Andreas Meier-Hellmann; Ralf Kuhlen; Andreas Bollmann; Steffen Rosahl Journal: Eur Stroke J Date: 2022-04-07
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David Sahakyan; Aminur Rahman; Zhibing Ai; Fanghui Bai; Zhenhui Duan; Yonggang Hao; Wenguo Huang; Guangwen Li; Wei Li; Ganzhe Liu; Jun Luo; Xianjin Shang; Yi Sui; Ling Tian; Hongbin Wen; Bo Wu; Yuying Yan; Zhengzhou Yuan; Hao Zhang; Jun Zhang; Wenlong Zhao; Wenjie Zi; Thomas W Leung; Chandril Chugh; Vikram Huded; Bindu Menon; Jeyaraj Durai Pandian; P N Sylaja; Fritz Sumantri Usman; Mehdi Farhoudi; Elyar Sadeghi Hokmabadi; Anat Horev; Anna Reznik; Rotem Sivan Hoffmann; Nobuyuki Ohara; Nobuyuki Sakai; Daisuke Watanabe; Ryoo Yamamoto; Ryosuke Doijiri; Naoki Tokuda; Takehiro Yamada; Tadashi Terasaki; Yukako Yazawa; Takeshi Uwatoko; Tomohisa Dembo; Hisao Shimizu; Yuri Sugiura; Fumio Miyashita; Hiroki Fukuda; Kosuke Miyake; Junsuke Shimbo; Yusuke Sugimura; Yoshiki Yagita; Yohei Takenobu; Yuji Matsumaru; Satoshi Yamada; Ryuhei Kono; Takuya Kanamaru; Hidekazu Yamazaki; Manabu Sakaguchi; Kenichi Todo; Nobuaki Yamamoto; Kazutaka Sonoda; Tomoko Yoshida; Hiroyuki Hashimoto; Ichiro Nakahara; Aida Kondybayeva; 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Authors: Vincent Raymaekers; Jelle Demeestere; Flavio Bellante; Sofie De Blauwe; Sylvie De Raedt; Anne Dusart; Lise Jodaitis; Robin Lemmens; Caroline Loos; Ligot Noémie; Matthieu P Rutgers; Fenne Vandervorst; Geert Vanhooren; Laetitia Yperzeele; Raul G Nogueira; Thanh N Nguyen; Peter Vanacker Journal: Acta Neurol Belg Date: 2021-06-19 Impact factor: 2.396