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Impact of COVID-19 on stroke caseload in a major HyperAcute Stroke Unit
Journal of Stroke & Cerebrovascular Diseases ( IF 2.0 ) Pub Date : 2020-10-06 , DOI: 10.1016/j.jstrokecerebrovasdis.2020.105383
Fionn Mag Uidhir , Raj Bathula , Aravinth Sivagnanaratnam , Mudhar Abdul-Saheb , Joseph Devine , David L. Cohen

Northwick Park Hospital in London, United Kingdom (UK) is one of the busiest stroke units in the country and is located in one of the areas most heavily affected by the COVID-19 pandemic in the first half of 2020. Admissions to the stroke unit and changes during the peak of COVID-19 were reviewed. Compared with the previous year, mean 96 patients were admitted with suspected stroke during April and May 2020 compared with mean 116 per month in non-COVID periods, ratio 0.82, P=0.01. This reduction involved both strokes and mimics and was unlikely to have occurred by chance. Numbers of patients thrombolysed and of patients referred for thrombectomy decreased dramatically during this time. Mechanisms by which the COVID-19 pandemic and the March lockdown may have affected admissions to the unit are discussed. Reduced admissions to the stroke unit allowed it to contribute its resources to the care of patients with COVID-19 during the peak of admissions.



中文翻译:

一个主要的HyperAcute中风病房中COVID-19对中风病案负担的影响

英国伦敦(英国)的诺斯威克公园医院是该国最繁忙的中风病部门之一,位于2020年上半年受COVID-19大流行影响最严重的地区之一。并回顾了COVID-19高峰期的变化。与上一年相比,到2020年4月和2020年5月,平均有96名可疑中风患者入院,而非COVID期间平均为每月116名,比率0.82,P = 0.01。这种减少涉及中风和模仿,并且不可能偶然发生。在此期间,溶栓患者和接受血栓切除术转诊的患者人数急剧下降。讨论了COVID-19大流行和3月锁定可能影响到该部队入场的机制。

更新日期:2020-10-07
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