Dear Editor, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is rapidly spreading worldwide, and the WHO declared the coronavirus disease 2019 (COVID-19) outbreak a pandemic on March 11, 2020 [1]. The outbreak has hit Europe and, as of March 27, 2020, Italy has the second largest number of confirmed cases, that is, a total of 86,498 cases according to the Istituto Superiore di Sanità and 9,134 deaths [2]. This health emergency issue has plunged the Italian health system into an unprecedented state of emergency, and many hospitals are now dedicated exclusively to COVID-19 assistance. We work at the Guglielmo da Saliceto Hospital in Piacenza, a city in northern Italy near Milan. Despite being a relatively small city, Piacenza and its province (about 280,000 inhabitants) are one of the epicenters of the Italian epidemic, listing 2,276 cases at the time of writing. This health emergency has revolutionized the hospital organization, and everything has changed for practicing clinicians in just a few weeks. For example, neurologists also contribute to the management and care of COVID-19 patients or have been “converted back” to operating as emergency physicians, as numerous colleagues have been infected. The question is: what can we say about the remaining non-COVID-19 pathologies? Let us take the ischemic stroke as an example: it seems to have almost disappeared from the Casualty Department! Over the past 5 years (2015–2019), the city of Piacenza has recorded an annual average of 612 new cases of ischemic stroke, with a monthly average of 51 cases, and 21% of them are large vessel occlusion (LVO). We investigated the monthly variance of ischemic stroke using the ANOVA test. Surprisingly, between February 21, 2020 (first SARS-CoV-2 patient recorded in Italy – in Codogno, a nearby city), and March 25, 2020, there were only 6 admissions from the Casualty Department for ischemic stroke (2 transient ischemic attacks, 1 cardioembolic LVO, and 3 lacunar stroke).

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COVID-19时代伤员部门缺血性中风失踪的令人费解的案例

尊敬的编辑， 严重急性呼吸系统综合症冠状病毒 2 (SARS-CoV-2) 正在全球范围内迅速传播，世界卫生组织于 2020 年 3 月 11 日宣布 2019 冠状病毒病 (COVID-19) 爆发为大流行 [1]。疫情已袭击欧洲，截至 2020 年 3 月 27 日，意大利的确诊病例数居第二位，即根据 Istituto Superiore di Sanità 的数据，共有 86,498 例病例和 9,134 例死亡[2]。这一卫生紧急问题使意大利卫生系统陷入前所未有的紧急状态，许多医院现在专门提供 COVID-19 援助。我们在意大利北部米兰附近城市皮亚琴察的 Guglielmo da Saliceto 医院工作。尽管是一个相对较小的城市，皮亚琴察及其省（约 28 万居民）是意大利疫情的中心之一，列 2，在撰写本文时有 276 个案例。这场突发卫生事件彻底改变了医院组织，在短短几周内，执业临床医生的一切都发生了变化。例如，神经科医生也为 COVID-19 患者的管理和护理做出了贡献，或者由于许多同事被感染而“转回”担任急诊医生。问题是：对于剩余的非 COVID-19 病理，我们能说些什么？让我们以缺血性中风为例：它似乎几乎从伤员科消失了！过去5年（2015-2019年），皮亚琴察市年均新增缺血性脑卒中612例，月均51例，其中21%为大血管闭塞（LVO）。我们使用 ANOVA 检验调查了缺血性卒中的每月方差。