A year ago the World Stroke Organisation (WSO) highlighted the enormous global impact of the COVID-19 pandemic on stroke care. In this review we consider a year later where we are now, what the future holds, and what the long term effects of the pandemic will be on stroke. Stroke occurs in about 1.4% of patients hospitalised with COVID-19 infection, who show an excess of large vessel occlusion and increased mortality. Despite this association, stroke presentations fell dramatically during the pandemic, although emerging data suggests that total stroke mortality may have risen with increased stroke deaths at home and in care homes. Strategies and guidelines have been developed to adapt stroke services worldwide, and protect healthcare workers. Adaptations include increasing use of telemedicine for all aspects of stroke care. The pandemic is exacerbating already marked global inequalities in stroke incidence and mortality. Lastly the pandemic has had a major impact on stroke research and funding, although it has also emphasised the importnace of large scale collaborative research initiatives.

一年前，世界中风组织 (WSO) 强调了 COVID-19 大流行对中风护理的巨大全球影响。在这次审查中，我们考虑一年后我们现在的处境、未来的情况以及大流行对中风的长期影响。因 COVID-19 感染而住院的患者中约有 1.4% 发生中风，这些患者表现出过度的大血管闭塞和死亡率增加。尽管存在这种关联，但在大流行期间，中风发病率急剧下降，尽管新出现的数据表明，随着家庭和疗养院中风死亡人数的增加，中风总死亡率可能有所上升。已经制定了策略和指南来适应全球中风服务并保护医护人员。适应措施包括增加在中风护理的各个方面使用远程医疗。这一流行病正在加剧全球中风发病率和死亡率方面本已明显的不平等。最后，大流行对中风研究和资助产生了重大影响，尽管它也强调了大规模合作研究计划的重要性。