Acute Stroke Care During COVID-19: National Data

Overview

Journal Infect Dis Rep

Publisher MDPI

Specialty Infectious Diseases

Date 2022 Mar 22

PMID 35314654

Authors

Grzegorz Miekisiak

Samuel D Pettersson

Dariusz Szarek

Piotr Morasiewicz

Justyna Fercho

Stanislaw Adamski

Lech Kipinski

Tomasz Szmuda

Affiliations

Soon will be listed here.

Abstract

(1) Background: The pandemic of COVID-19 and subsequent lockdown strategies had a profound impact on many aspects of everyday life. During this time the world faced the unprecedented crisis of healthcare disrupting timely care delivery. This study was designed to evaluate the impact of the pandemic on the acute treatment of stroke in Poland. (2) Methods: The national data on hospitalizations with stroke as a primary diagnosis were obtained from the National Health Fund of Poland. Poisson regression was used to determine the significance of the change in hospital admissions. The differences between proportions were analyzed using the "N-1" Chi-squared test. (3) Results: During the COVID-19 period, the number of hospitalizations dropped by 8.28% with a monthly nadir of 22.02 in April. On a monthly scale during 2020, the greatest decrease was 22.02%. The thrombolysis ratio was also affected, with the highest monthly drop of 15.51% in November. The overall number of in-hospital deaths did not change. (4) Conclusions: The pandemic caused a serious disruption of the acute care of stroke. There is no evidence that the quality of care was seriously compromised.

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References

Rinkel L, Prick J, Slot R, Sombroek N, Burggraaff J, Groot A . Impact of the COVID-19 outbreak on acute stroke care. J Neurol. 2020; 268(2):403-408. PMC: 7370633. DOI: 10.1007/s00415-020-10069-1. View

Loo J, Spittle D, Newnham M . COVID-19, immunothrombosis and venous thromboembolism: biological mechanisms. Thorax. 2021; 76(4):412-420. DOI: 10.1136/thoraxjnl-2020-216243. View

Zhao L, Yang X, Yang F, Sui G, Sui Y, Xu B . Increased quality of life in patients with stroke during the COVID-19 pandemic: a matched-pair study. Sci Rep. 2021; 11(1):10277. PMC: 8119409. DOI: 10.1038/s41598-021-89746-8. View

Katan M, Luft A . Global Burden of Stroke. Semin Neurol. 2018; 38(2):208-211. DOI: 10.1055/s-0038-1649503. View

Braithwaite J, Westbrook J, Coiera E, Runciman W, Day R, Hillman K . A systems science perspective on the capacity for change in public hospitals. Isr J Health Policy Res. 2017; 6:16. PMC: 5366102. DOI: 10.1186/s13584-017-0143-6. View

Hajdu S, Pittet V, Puccinelli F, Ben Hassen W, Ben Maacha M, Blanc R . Acute Stroke Management During the COVID-19 Pandemic: Does Confinement Impact Eligibility for Endovascular Therapy?. Stroke. 2020; 51(8):2593-2596. PMC: 7340133. DOI: 10.1161/STROKEAHA.120.030794. View

Pinkas J, Jankowski M, Szumowski L, Lusawa A, Zgliczynski W, Raciborski F . Public Health Interventions to Mitigate Early Spread of SARS-CoV-2 in Poland. Med Sci Monit. 2020; 26:e924730. PMC: 7174894. DOI: 10.12659/MSM.924730. View

Tejada Meza H, Lambea Gil A, Sancho Saldana A, Martinez-Zabaleta M, de la Riva Juez P, Lopez-Cancio Martinez E . Impact of COVID-19 outbreak on ischemic stroke admissions and in-hospital mortality in North-West Spain. Int J Stroke. 2020; 15(7):755-762. PMC: 7322514. DOI: 10.1177/1747493020938301. View

Chwojnicki K, Ryglewicz D, Wojtyniak B, Zagozdzon P, Czlonkowska A, Jedrzejczyk T . Acute Ischemic Stroke Hospital Admissions, Treatment, and Outcomes in Poland in 2009-2013. Front Neurol. 2018; 9:134. PMC: 5858531. DOI: 10.3389/fneur.2018.00134. View

10.

De Vos P, Ceukelaire W, Van der Stuyft P . Colombia and Cuba, contrasting models in Latin America's health sector reform. Trop Med Int Health. 2006; 11(10):1604-12. DOI: 10.1111/j.1365-3156.2006.01702.x. View

11.

Bersano A, Kraemer M, Touze E, Weber R, Alamowitch S, Sibon I . Stroke care during the COVID-19 pandemic: experience from three large European countries. Eur J Neurol. 2020; 27(9):1794-1800. PMC: 7300856. DOI: 10.1111/ene.14375. View

12.

Edwards N, Saltman R . Re-thinking barriers to organizational change in public hospitals. Isr J Health Policy Res. 2017; 6:8. PMC: 5357814. DOI: 10.1186/s13584-017-0133-8. View

13.

Kerleroux B, Fabacher T, Bricout N, Moise M, Testud B, Vingadassalom S . Mechanical Thrombectomy for Acute Ischemic Stroke Amid the COVID-19 Outbreak: Decreased Activity, and Increased Care Delays. Stroke. 2020; 51(7):2012-2017. DOI: 10.1161/STROKEAHA.120.030373. View

14.

Bres Bullrich M, Fridman S, Mandzia J, Mai L, Khaw A, Gonzalez J . COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals. Can J Neurol Sci. 2020; 47(5):693-696. PMC: 7324648. DOI: 10.1017/cjn.2020.101. View

15.

Hopkins L . Mechanical thrombectomy for ischemic stroke: a role for cardiology!. Kardiol Pol. 2020; 78(7-8):798-799. DOI: 10.33963/KP.15565. View

16.

Padjen V . Acute stroke care during the COVID-19 pandemic. Eur J Neurol. 2021; 28(10):3224-3225. PMC: 8251471. DOI: 10.1111/ene.14843. View

17.

Trabucchi M, De Leo D . Nursing homes or besieged castles: COVID-19 in northern Italy. Lancet Psychiatry. 2020; 7(5):387-388. PMC: 7185948. DOI: 10.1016/S2215-0366(20)30149-8. View

18.

Coull A, Lovett J, Rothwell P . Population based study of early risk of stroke after transient ischaemic attack or minor stroke: implications for public education and organisation of services. BMJ. 2004; 328(7435):326. PMC: 338101. DOI: 10.1136/bmj.37991.635266.44. View

19.

Ozkan H, Ambler G, Banerjee G, Chan E, Browning S, Mitchell J . The impact of the UK COVID-19 pandemic on patient-reported health outcomes after stroke: a retrospective sequential comparison. J Neurol. 2021; 269(4):1741-1750. PMC: 8517937. DOI: 10.1007/s00415-021-10819-9. View

20.

Perry R, Banaras A, Werring D, Simister R . What has caused the fall in stroke admissions during the COVID-19 pandemic?. J Neurol. 2020; 267(12):3457-3458. PMC: 7322387. DOI: 10.1007/s00415-020-10030-2. View