(1) Background: The impact of the health crisis caused by coronavirus disease 2019 (COVID-19) has provoked collateral effects in the attention to pathologies with time-dependent treatments such as strokes. We compare the healthcare activity of two stroke units in the same periods of 2019 and 2020, with an emphasis on what happened during the state of alarm (SA). (2) Materials and methods. Hospitals in the region implemented contingency plans to contain the pandemic; in this planning, the stroke units were not limited in their operational capacity. The SA was declared on 15 March and remained in place for 10 weeks. For the analysis, the data were grouped by consecutive calendar weeks. (3) Results. When the SA was declared the number of calls to the emergency telephone went from 1225 to 3908 calls per week (318% increase). However, the activation of the stroke code went from 6.6 to 5.0 (p = 0.04) and the activity in both stroke units decreased. The largest drop in hospitalizations was for transient ischemic attacks (TIAs) with 35.7% less, 28 vs. 18, (p = 0.05). Reperfusion therapies fell by 37.5%; Poisson regression model 0.64; (95% confidence interval (CI), 0.43–0.95). The overall activity of the telestroke suffered a reduction of 28.9%. We also observed an increase in hospital mortality. (4) Conclusion. The excessive duration of the pandemic precludes any hope of resolving this public health crisis in the short or medium term. Further studies should be conducted to better understand the multifactorial nature of this dramatic decline in stroke admissions and its negative impact.

中文翻译：

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中风医院入院率下降，这是不确定的事实，需要解释

（1）背景：2019年冠状病毒病（COVID-19）引起的健康危机的影响在对中风等时间依赖性治疗的病理学引起了附带影响。我们比较了两个卒中病房在2019年和2020年同期的医疗保健活动，重点是警报状态（SA）期间发生的情况。（2。材料和方法。该地区的医院执行了应对大流行的应急计划；在此计划中，行程单元的操作能力不受限制。SA于3月15日宣布成立，并维持了10周。为了进行分析，将数据按连续的日历周进行分组。（3）结果。宣布SA后，每周拨打紧急电话的电话数量从1225增至3908（增加318％）。然而，p = 0.04），两个笔划单元的活动均降低。住院下降最多的是短暂性脑缺血发作（TIA），减少35.7％，分别为28和18（p = 0.05）。再灌注疗法下降了37.5％；泊松回归模型0.64；（95％置信区间（CI），0.43-0.95）。中风的总体活动减少了28.9％。我们还观察到医院死亡率的增加。（4。结论。大流行病持续时间过长，使人们无法在短期或中期解决这一公共卫生危机。应该进行进一步的研究，以更好地了解中风发病率急剧下降及其负面影响的多因素性质。