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.

中文翻译：

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封锁对缺血性中风管理的影响：来自 COVID 医院的意大利经验。

客观的

评估因 COVID-19 大流行爆发而采取的封锁措施对急性缺血性中风患者的院前和院内护理质量的影响。

方法

这是一项观察性队列研究。数据来源是在封锁的第一个月内入院并确诊为中风或 TIA 出院的患者的临床报告。数据收集时间为 2020 年 3 月 11 日至 4 月 11 日。作为对照，我们评估了 2019 年同期入院的中风或 TIA 患者的临床报告。

结果

符合研究条件的患者的临床报告为 2020 年 52 例（71.6 ± 12.2 年）和 2019 年 41 例（73.7 ± 13.1 年）。在锁定期间，我们观察到到门时间显着增加（中位数 = 387 对 161 分钟，p  = 0.001），溶栓总数显着减少（7 对 13，p  = 0.033），非- 血栓切除术显着增加（15 对 9，p  = 0.451），门到腹股沟时间显着增加（中位数 = 120 对 93 分钟，p  = 0.048）。2019 年和 2020 年在入院患者总数方面未观察到相关差异。

结论

由于 COVID-19 大流行和封锁措施，中风护理途径发生了变化，包括院前和院内表演。