Effect of lockdown on the management of ischemic stroke: an Italian experience from a COVID hospital
- Zur Zeit gratis
- 06.07.2020
- COVID-19
- COVID-19
Erschienen in:
- Verfasst von
- Giovanni Frisullo
- Valerio Brunetti
- Riccardo Di Iorio
- Aldobrando Broccolini
- Pietro Caliandro
- Mauro Monforte
- Roberta Morosetti
- Carla Piano
- Fabio Pilato
- Paolo Calabresi
- Giacomo Della Marca
- on behalf of STROKE TEAM Collaborators
- Erschienen in
- Neurological Sciences | Ausgabe 9/2020
Abstract
Objective
To evaluate the impact of the lockdown measures, consequent to the outbreak of COVID-19 pandemic, on the quality of pre-hospital and in-hospital care of patients with acute ischemic stroke.
Methods
This is an observational cohort study. Data sources were the clinical reports of patients admitted during the first month of lockdown and discharged with a confirmed diagnosis of stroke or TIA. Data were collected in the interval ranging from March 11th to April 11th 2020. As controls, we evaluated the clinical reports of patients with stroke or TIA admitted in the same period of 2019.
Results
The clinical reports of patients eligible for the study were 52 in 2020 (71.6 ± 12.2 years) and 41 in 2019 (73.7 ± 13.1 years). During the lockdown, we observed a significant increase in onset-to-door time (median = 387 vs 161 min, p = 0.001), a significant reduction of the total number of thrombolysis (7 vs 13, p = 0.033), a non-significant increase of thrombectomy (15 vs 9, p = 0.451), and a significant increase in door-to-groin time (median = 120 vs 93 min, p = 0.048). No relevant difference was observed between 2019 and 2020 in the total number of patients admitted.
Conclusions
Due to the COVID-19 pandemic and lockdown measures, the stroke care pathway changed, involving both pre-hospital and in-hospital performances.
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- Titel
- Effect of lockdown on the management of ischemic stroke: an Italian experience from a COVID hospital
- Verfasst von
-
Giovanni Frisullo
Valerio Brunetti
Riccardo Di Iorio
Aldobrando Broccolini
Pietro Caliandro
Mauro Monforte
Roberta Morosetti
Carla Piano
Fabio Pilato
Paolo Calabresi
Giacomo Della Marca
on behalf of STROKE TEAM Collaborators
- Publikationsdatum
- 06.07.2020
- Verlag
- Springer International Publishing
- Schlagwort
- COVID-19
- Erschienen in
-
Neurological Sciences / Ausgabe 9/2020
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478 - DOI
- https://doi.org/10.1007/s10072-020-04545-9
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