Background

This systematic review and meta-analysis aimed to evaluate the impact of the coronavirus disease (COVID-19) pandemic on stroke care, including the number of stroke alerts/codes, number of reperfusions, and number of thrombectomies during the pandemic compared to those during the pre-pandemic period.

Methods

A systematic literature search was performed using the PubMed, EuropePMC, and Cochrane Central databases. The data of interest were the number of strokes, reperfusions, and mechanical thrombectomies during the COVID-19 pandemic versus that during the pre-pandemic period (in a historical comparator group over a specified period of same period length).

Results

The study included 59,233 subjects from 9 studies. Meta-analysis showed that the number of stroke alerts during the pandemic was 64% (56–71%) of that during the pre-pandemic period. The number of reperfusion therapies during the pandemic was 69% (61–77%) of that during the pre-pandemic period. Pooled analysis showed that the number of mechanical thrombectomies performed during the pandemic was 78% (75–80%) of that during the pre-pandemic period. The number of mechanical thrombectomies per stroke patient was higher during the pandemic (OR 1.23 [1.12–1.36], p < 0.001; I²: 0%, p = 0.845).

Conclusion

This meta-analysis showed that the number of stroke alerts, reperfusions, and mechanical thrombectomies was reduced by 36%, 31%, and 22%, respectively, during the pandemic. However, the number of patients receiving mechanical thrombectomy per stroke increased.

中文翻译：

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冠状病毒疾病大流行对中风和机械性血栓切除术数量的影响：系统评价和荟萃分析

背景

这项系统的回顾和荟萃分析旨在评估冠状病毒疾病（COVID-19）大流行对中风护理的影响，包括与大流行期间相比，大流行期间中风警报/代码的数量，再灌注的数量以及血栓切除术的数量。大流行前期。

方法

使用PubMed，EuropeanPMC和Cochrane Central数据库进行了系统的文献检索。感兴趣的数据是在COVID-19大流行期间相对于大流行前时期的卒中，再灌注和机械性血栓切除术的数量（在一个历史比较组中，具有相同时期长度的指定时期）。

结果

该研究包括来自9个研究的59,233名受试者。荟萃分析显示，大流行期间中风警报的数量为大流行前期间的中风警报的64％（56–71％）。大流行期间的再灌注疗法数量为大流行前时期的69％（61-77％）。汇总分析显示，大流行期间机械性血栓切除术的数量是大流行前时期的78％（75-80％）。在大流行期间，每例卒中患者的机械血栓切除术数量更高（OR 1.23 [1.12-1.36]，p <0.001； I ²：0％，p = 0.845）。

结论

这项荟萃分析显示，在大流行期间，中风警报，再灌注和机械性血栓切除术的数量分别减少了36％，31％和22％。但是，每次卒中接受机械血栓切除术的患者数量有所增加。